Hepatic encephalopathy is a liver disorder. Liver is responsible for excreting excess proteins (CHON) in our body. Ammonia is a by-product of protein. If liver is damaged, ammonia levels will go up and will circulate in our blood (condition called hyperammonemia). This is why patients with liver disease are restricted with protein rich foods.
Hyperammonemia is a metabolic condition characterized by elevated levels of ammonia in the blood. It can be due to an improperly working liver and/or kidneys. Eating a diet low in proteins may help. You should really discuss this your doctor. It can cause brain damage if not controlled.
When there is excessive level of ammonia in our body, and it is not properly excreted in by the liver, they tend to circulate in our blood. This is why blood is withdrawn to determine ammonia level.
In medical term, it is "hyperammonemia".
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Ammonia is a natural occurring compound in the blood. It's typically the result of intestinal bacteria during the digestion process. Usually, the body will process the ammonia and you don't have much of an odor, but large amouns of blood can give off a small amount of ammonia. But even small amounts of ammonia will give off the characeristic smell.
What causes a high PH level in the blood
Liver dysfunction
Liver problems