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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.
Possible Causes and Treatments of Ammonia Smell in Nose. Excessive sweating is one of the main reasons for an ammonia smell in nose. Sweat in itself has no smell, but when it is exposed to bacteria on the skin, it can develop a foul odor. This is mostly due to bacterial digestion of apocrine sweat.