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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.
The normal ammonia range is 10â47 Î¼mol/L. High ammonia levels and signs of hepatic encephalopathy is a worsening of brain function that occurs when the liver is no longer able to remove toxic substances in the blood due to cirrhosis. Symptoms may be mild at first.