ammonia levels

Hi Nancy,

I found this link that may be of interest to you.

http://www.nlm.nih.gov/medlineplus/ency/article/000302.htm

It mentions Rifaximin which is also mentioned in the Wikipedia link that Marion gave you. Perhaps that is something that you can discuss with Doug’s doctors alongside the Lactulose?

My best wishes to you and Doug,

Gavin

Hi,
As always,consult your doctor for advice first;the following is for informational purpose only.

The normal dose for lactulose in treating hepatic encephalopathy is 30-45ml three to four times daily by mouth; if necessary ,hourly doses of the same may be given until a laxative effect is induced;once a laxative effect has been established,dosage should be reduced to produce 2-3 loose stools daily.
Rectal dosage mostly reserved for coma patient- dilute 300ml of lactulose in 700ml water administered via rectal enema and retained for 30-60min;may repeat every 6 hours as needed;oral therapy should replace rectal as soon as possible.
God bless.

Hi Nancy…..although, some of the information offered by Wikipedia has been disputed I do however, continue to find it an informational site. You might want to take a look at this link and scroll down to treatment:
http://en.wikipedia.org/wiki/Hepatic_encephalopathy#Treatment. Of coure, only your physician will be able to determine the treatment choices available.
Hopefully others will come along and share some of their thoughts also.
All my best wishes,
Marion