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High ammonia level in liver. On lactulose, unable to have bowel movement. Suggest

My fiance was in car accident and went to the emergency.... which we at back at now, she was admitted once due to the accident April 18, she got admitted Sun 21 2013 she was told her ammonia level was high in her liver. They gave her lactulose and she has not had a bowel movement yet it is now Sat April 27. What should I ask the doctors to do?
Asked On : Wed, 1 May 2013
Answers:  1 Views:  72
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Gastroenterologist 's  Response
High ammonia levels may suggests she has a liver problem.
Is she is still constipated worthwhile getting a per rectal finger examination done to look for impacted stools, if they are there need to be manually evacuated aided with enemas and other stool softners like liquid paraffin and other purgatives as per the doctors advice.
Also ensure she is not on medications causing constipation (some pain killers) and gets adequate hydration and fiber in diet.
Hope this answers your query.
Wish her a speedy recovery.
Answered: Wed, 1 May 2013
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