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Early physical symptoms of elevated blood ammonia include fatigue, muscle weakness, loss of appetite, nausea, vomiting, diarrhea, pain in the back, sides or abdomen, or other symptoms of liver and kidney damage.
High levels of ammonia in the blood are dangerous and can cause symptoms such as confusion, sluggishness, and coma. High ammonia levels in the blood can result from acute liver failure. Cirrhosis of the liver and poor liver function can also cause high levels.