Ammonia Test
Test Overview
An ammonia test measures the amount of ammonia in the blood. Most ammonia in the body forms when protein, Opens dialog is broken down by bacteria in the intestines, Opens dialog. The liver, Opens dialog normally converts ammonia into urea, Opens dialog, which is then eliminated in urine.
Ammonia levels in the blood rise when the liver is not able to convert ammonia to urea. This may be caused by cirrhosis, Opens dialog or severe hepatitis, Opens dialog.
For this test, a blood sample may be taken from either a vein or an artery.
An ammonia test is done to:
- Check how well the liver is working, especially when symptoms of confusion, excessive sleepiness, coma, or hand tremor are present.
- Check the success of treatment for severe liver disease, such as cirrhosis.
- Help identify a childhood disorder called Reye syndrome, Opens dialog that can damage the liver and the brain. Ammonia testing can also help predict the outcome (prognosis) of a diagnosed case of Reye syndrome.
- Help predict the outcome (prognosis) of a diagnosed case of acute liver failure.
- Check the level of ammonia in a person receiving high-calorie intravenous (I.V.), Opens dialog nutrition (hyperalimentation).
When a blood sample is taken, you may feel nothing at all from the needle. Or you might feel a quick sting or pinch.
There is very little chance of having a problem from this test. When a blood sample is taken, a small bruise may form at the site.
Normal
Each lab has a different range for what's normal. Your lab report should show the range that your lab uses for each test. The normal range is just a guide. Your doctor will also look at your results based on your age, health, and other factors. A value that isn't in the normal range may still be normal for you.
High values
High levels of ammonia in the blood may be caused by:
- Liver disease, such as cirrhosis, Opens dialog or hepatitis, Opens dialog.
- Reye syndrome, Opens dialog.
- Heart failure, Opens dialog.
- Kidney failure, Opens dialog.
- Severe bleeding from the stomach or intestines.
High ammonia values in a baby may be present when the blood types of the baby and the parent who gave birth do not match (hemolytic disease of the newborn, Opens dialog).
Current as of: April 30, 2024
Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
Current as of: April 30, 2024
Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.