What causes an elevation in the ammonia level while having acute pancreatitis?
Patient: My son is currently in the hospital with acute pancreatitis - very sick but being treated appriopiately. I am concerned because Ammonia level is elevated at 71 - he rec d Lactulose ( 1 - dose so far ) . He is heavily sedated but seems oriented. I am worried that this could get worse in setting of pancreatitis . Please advise. Doctor: Hello,  Sorry to hear about the condition of your son, increase in the level of ammonia could be suggestive of patient landing into mods multiple organ failure as a result of pancreatitis.  Treatment is ok. Wait and watch is only we can do.  Hope I have answered your query. Let me know if I can assist you further.  Regards, Dr. Ramesh Kumar, Gastroenterologist