can a high level of ammonia in the liver cause someone to get disoriented & think night is day?
About three weeks ago, not working Wed. I stayed at home & rested. Same on Thurs. falling asleep about 515 PM. I awoke at 7 pm, thinking it was 7 am. Got dressed, got in car and headed to a high school where I was supposed to serve as a substitute on Fri. AM. Stopped at clinic along the way. It was closed. Something seemed strange. Arrived at high school parking lot around 7:45 pm.. Very few cars in parking lot. School not open. Confused why there were no cars there. Caretaker and and adjunct teacher came by. Convinced me it was almost 8 pm. So, drove home. On arrival phone was ringing. School secy was calling to see if I got home okay. I am a good driver. At 0315, concerned about medical over dosage called pharmacy. Pharmacy said I might have poisoned myself. Called MD's office. Soon after, the answering service called and told me to go to hospital ER room. Drove there quickly. Entered and met a nurse. She got help and escorted me to a exam room. Took my vitals. Then took blood. I am on coumadin among other MDS. Physician assistant on call handling ER room examined me, checked vitals watched me walk. Told him I was ready to teach. Around 0630 when released, stopped off for breakfast & went to school to teach. Lots of subs and substitute coordinator busy. I couldn't get to talk to her and thinking nothing of it, went to breakfast, taught my classes and returned home after school. The physician asst. in ER told me to stay home Sat & Sun bec.. my coumadin level would get high and he didn't want any bleeding via fall. On Mon, drove an hour to a middle school and taught all day. No big deal. Felt fine. Tues. returned and was covering for another teacher. Around 1215 I checked the substitute job board to see if there was any work for me. Found I couldn't enter the system. The school secy did same thing: same results. Called the Bd.of Ed. Substitute Coordinator. She said a letter had been received from the principal, obviously negative and that I was permanently terminated as a sub. Stayed at home shocked. Saw my internist the following Tues. He opened the Principal's letter and read that because of my confusion the previous evening, it was the impression that something was wrong. He wrote I was banned from teaching in the school because (supposedly) high school students were hard to teach. False. Middle schools = harder but I've taught a long time.. Initial reaction of Internist was that the principal was full of beans. No one could tell my condition due to confusion the night before when I had thought eve was Morning. Internist ordered some tests. A few days later,internist told me my ammonia level was higher than normal. Gave me a standard RX liquid to take every 12 hrs. Had a test (possibly) MRI of my abdomen on Tues. aft.(two days ago). Ammonia blood test wasn't drawn properly so had it drawn again. Am seeing internist tomorrow after one more test. My psych today said high ammonia level could have caused confusion that night. Never had this happen before. Went more than a week before internist's blood test showed high ammonia level. Could this one incident have been caused by high ammonia level? Will see internist Thurs.5/26 aft. after another med. test/ Could the ammonia level have caused the confusion incident? Than you. Alan D.Kardoff, Ph.D., email@example.com, 321-24-1117
Asked By: mgmtdrak - 5/25/2011
Best Answer - Chosen by Asker
Yes, high ammonia levels can cause the type of confusion you experienced. It can go anywhere to just forgetfulness to behavior changes, even violence and hallucinations. It is really a common symptom of anyone who has advanced liver failure. The liver cannot function like it should and it cannot get rid of toxic... More
Answered By: Baa Baa - 5/25/2011
Additional Answers (2)
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Answered By: Gregory Abreu - 5/26/2011
My 60 year old mother has been experiencing high ammonia levels since August 26th, 2013. She is severely disoriented, but thankfully her liver is also functioning properly. All of her other vitals are stable, and only the ammonia levels high. Lactulose is also the same medicine prescribed to her to remove the excess... More
Answered By: Dwight - 9/11/2013
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