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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.
An ammonia test is done to: 1  Check how well the liver is working, especially when symptoms of confusion, excessive sleepiness, coma, or hand tremor are present. 2  Check the success of treatment for severe liver disease, such as cirrhosis.n ammonia test is done to: 1  Check how well the liver is working, especially when symptoms of confusion, excessive sleepiness, coma, or hand tremor are present. 2  Check the success of treatment for severe liver disease, such as cirrhosis.