What complicates PA?
Illness (cold, flu, GI bugs, viruses, etc.), stress, dehydration, lack of calories and constipation can cause metabolic instability. During these times, caregivers will want to speak with physicians about further restrictions in protein or a trip to the ER for IV hydration and monitoring. Some children with PA are more prone to elevated ammonia levels, pancreatitis and cardiomyopathy.
