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Start at this link.

https://my.clevelandclinic.org/health/articles/22686-ammonia-levels
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If your father is suffering from kidney and/or liver disease, high ammonia levels in his blood can be present. He should seek guidance from his Nephrologist and Hepatologist immediately if his symptoms are as follows:

Signs or symptoms of a high blood ammonia level can include:
confusion
excessive fatigue or sleepiness
disorientation, or confusion about surroundings, including time and place
mood shifts
irritability
hand tremors
vomiting
seizures
fatigue following a virus-related illness
mental changes
lapses into unconsciousness or a coma
gait abnormalities

You can read more at this link:

https://www.healthgrades.com/right-care/kidneys-and-the-urinary-system/ammonia-levels

We on this forum are not qualified to guide you any more than to link you to articles on the internet on the subject of ammonia levels. Please seek help from your father's doctors b/c such a matter can be very dangerous. My husband just had a liver transplant at the Mayo Clinic and some of our group members had high ammonia levels pre-transplant (both liver & kidney) which caused car accidents, mental confusion, and all manner of other terrible issues for them. It can be a life threatening problem!

Best of luck.
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