 [ Symptoms ] tip of the penis is itchy pain during urination and it feels as if it is leaking but no pus i have never discussed this before but the symptoms are happening more and more when i wake up and pee it is painful and feels like it is burningrazor blade sensation but not intolerable when i shake it it seems to provide relief to the tip of my penis i have seem a little skin peel but i ejaculate a lot the questions is whether it is a sti or something less major after urination it leaks or drains but to sign or pus or such all places on my genital region are clean what would it be [ Disease ] usually when ammonia is high there is trouble with the liver since it is the organ that breaks down protein to ammonia it is no longer standard practice to subscribe very low protein diets with liver disease i am not sure how much your doctor is recommending the key is to eat the right amount of protein    not too much but not too little the total protein measures the amount of protein in the blood which could be affected by your diet i recommend seeing a registered dietitian who can explain to you the amount of protein you need and how it relates to all of your blood levels read more total serum protein ammonia blood test