NH3 test

Ammonia

About the parameter

Protein digestion produces ammonia within the intestine by deamination of amino acid. Ammonia reaches the liver by portal blood where it is attached to the urea (main path for intestinal ammonia within the urea). Heavy liver dysfunction (e.g. shunt, cirrhosis) can prevent the liver of synthesizing ammonia into urea.

As a result one will receive a lowered urea speculum in relation to creatinine as well as increased blood ammonia. Ammonia and other protein metabolism (aromatic amino acids) that get out of control of the liver metabolism can affect the central nervous system (hepatoenzephale syndrome).