Hepatic encephalopathy is a liver disorder. Liver is responsible for excreting excess proteins (CHON) in our body. Ammonia is a by-product of protein. If liver is damaged, ammonia levels will go up and will circulate in our blood (condition called hyperammonemia). This is why patients with liver disease are restricted with protein rich foods.
When there is excessive level of ammonia in our body, and it is not properly excreted in by the liver, they tend to circulate in our blood. This is why blood is withdrawn to determine ammonia level.
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The ammonia level may still be high after a water change because the beneficial bacteria in the aquarium may not have had enough time to establish and break down the ammonia. It is also possible that the tank is overstocked or overfed, leading to excess ammonia production. Regular water testing and maintenance can help address high ammonia levels in the aquarium.
The most likely reason for abnormally high blood ammonia levels is liver dysfunction or liver disease. The liver is responsible for processing ammonia in the body, and if it is not functioning properly, ammonia levels can build up in the blood. Other possible reasons include genetic disorders or certain medications.
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Ammonia is a natural occurring compound in the blood. It's typically the result of intestinal bacteria during the digestion process. Usually, the body will process the ammonia and you don't have much of an odor, but large amouns of blood can give off a small amount of ammonia. But even small amounts of ammonia will give off the characeristic smell.
High blood ammonia levels can be caused by liver disease, such as cirrhosis, or by rare inherited disorders that affect the body's ability to process ammonia. Symptoms can include confusion, lethargy, and hand tremors. Treatment involves addressing the underlying cause and may include medications to lower ammonia levels.
Liver problems