I am so sorry to hear about your relative. That must have been such a horrible surprise having her become so sick after the surgery.
I'm not sure if I understood you right. Did you imply that she had surgery to take out some intestinal cysts and then became unconscious and toxic with ammonia?
If this is so, I can give you my unqualified observation. Sometimes taking the aggressive approach of interfering with our body's own healing strategies (like the development of pockets of poison or fistulas in our intestinal tract), can cause a whole lot more trouble.
This is especially the case when built up toxins are involved. I'm not sure how they would have approach her surgery but I can't help but wonder, when they removed the fistula, how careful were they with the waste material and how could they stop it from being leaking/absorbed through the intestinal tract during and after the surgery?
If she has had intestinal disease for a long time, she may also have developed high populations of parasites because a weak system is prone to parasites. One of the major by-products of parasite metabolism is ammonia so yes I could see a connection there. However I am not a doctor and do not know pathology so I don't know other potential causes of ammonia build up.
If it was simply due to wastes in the intestines, they may be able to do some extensive yet very gentle colon irrigation with enemas. I would think that they would have to be very careful not to use too much water pressure.
If you are close to this person and your instinct about this is strong, you may wish to speak up and insist that they hear you. I she is unresponsive; I guess you want to act quickly. Ammonia can can cause brain damage.
My heart and hope go out to you and your relative and I'm sure you'll have the prayers of all our members on your side also.
All the best.
[This message has been edited by Tarilee (edited 07-12-2002).]