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Ammonia test

Also called: Blood ammonia, NH3

An ammonia test measures a waste product the liver normally clears. High ammonia can cause confusion in liver disease.

SampleA small tube of blood from a vein in your arm
Fasting?Usually not needed
ResultsOften the same day
Good to knowOne result rarely tells the whole story. Your provider looks at your results together with your symptoms, exam, and other tests.

What the test is

The sample must be handled quickly, on ice, for accurate results.

Why it's done

  • Confusion or sleepiness in someone with liver disease
  • Some metabolic disorders in babies
  • Valproate side effects

Getting ready and what happens

  • Avoid smoking and exercise beforehand.

How the test is done

  • A health worker cleans the skin, puts a band around your arm, and draws blood from a vein with a small needle. It takes a few minutes.

What the results mean

High

Can point to liver failure, a metabolic disorder, or a medicine effect. In cirrhosis, treatment of confusion is based on symptoms more than the number.

When a result needs quick action

Call 911New confusion, extreme sleepiness, or unresponsiveness

Questions to ask your provider

  • What do my results mean for me?
  • Do I need to repeat this test or have other tests?

Risks

A blood draw is very safe. You may have slight pain or a small bruise where the needle went in.

Related conditions

Related medicines

Related tests

Sources

Last updated 2026-11-13.