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(3) renal â glutamine break down in proximal tubule (combines with H+ -> NH4+ and eliminated) CAUSES OF HYPERAMMONAEMIA. Overproduction of ammonia. Protein/ amino acid load. gastrointestinal hemorrhage. gastric bypass. multiple myeloma. allogeneic stem cell transplantation.
Ammonia is the combination of Nitrogen (produced from protein breakdown) and Hydrogen. An excess in the body is known as hyperammonaemia and can result in cell damage, vomitting, fatigue, Helicobacter pylori infection, confusion, irritability and nausea.