Hi, Ejsmommy, and welcome to the forum. Regarding the ammonia levels, they elevate because the diseased liver isn't capable of filtering all the toxins, so they go to the brain and elevate the ammonia level, producing odd behaviors. Lactulose (and sometimes Xifaxan) are given to treat this through multiple BMs. If the dose of Lactulose he is getting doesn't seem to be helping, you can increase it without permission from a doctor--he won't overdose on it.
Does your dad drink alcohol? If so, he needs to stop. It is the worst thing for the liver. Has anyone mentioned hep C treatment or being evaluated for transplant?
Forum moderator - Hepatitis
"But that was yesterday, and I was a different person then."
Lewis Carroll, Alice in Wonderland
Liver transplant recipient, Oct. 27, 2011, at Mayo Hospital, Jacksonville, FL
Post Edited (hep93) : 7/11/2012 5:37:48 PM (GMT-6)