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Whatâs more, aside from increased level of ammonia in the blood, other symptoms also can be induced such as muscle weakness, fatigue, lethargy and so on. In addition, if left untreated, elevated blood ammonia can affect brain tissue, leading to symptoms such as confusion and delirium.
Gastrointestinal Bleeding. Gastrointestinal bleeding may cause an elevated blood ammonia level. Red blood cells contain a high concentration of protein. Significant bleeding, especially in the upper part of the digestive system, increases the protein load in the intestine and the production of ammonia.