A4. Elevated levels may indicate:

• Liver dysfunction (cirrhosis, acute liver failure, hepatitis).

• Reye’s syndrome (in children).

• Urea cycle disorders.

• GI bleeding, where excess protein is broken down to ammonia.

• Renal failure.

• Certain drugs (e.g., valproate, diuretics).

  SCD homecare do S. ammonia test level in Gurugram and Palam.