Pancreatitis and labs
Common Questions and Answers about Pancreatitis and labs
pancreatitis
If all your labs (liver and pancreatic enzymes) are nornal, it would be very unusual for this to be pancreatitis. Typically the only time pancreatitis shows up and the enzymes levels show 'normal' levels is when someone progresses from acute to chronic pancreatitis. So if this hasn't been a condition that's happened several times in a couple of years, the chances of it being pancreatitis is low.
All of the PPIs do not act the same nor do they have the same side-effects.
Hi, understand your concern. With pancreatitis usually the lipase and amylase values are increased many folds. And if chronic the imaging studies will usually show pancreatic fibrosis. In the absence of these findings its unlikely that you have chronic pancreatitis. The other causes for the pain could be infections of the bowel and bladder, prolapsed intervertebral disc or inflammatory diseases of the colon. So, if your symptoms persist discuss these options with your doctor. Regards.
They also tested my CA 19 (which had been tested prior, once a yr before and the 2nd time one month prior in routine labs) as my Dad passed away of Pancreatic Cancer the same year at age 73. My CA went from 43 the first time I was tested a yr prior to the abdominal pain, 37 the month prior to the abdominal pain to 66 when it turned out my lipase was elevaed. My lipase went down but remained slightly elevated for at least 2 wks (it has not been checked since), my CA 19 had gone down 10 points.
The pain is not extremely intense but is very noticeable and at times strong. My labs were normal for the most part except for elevated alkaline phosphatase and an ultrasound this time showed slight calcium deposits in the tail of the pancreas but did not show up on an abdominal xray. Any insight would be greatly appreciated.
Also, how would they know they are calcium deposits from an ultrasound and not something else? The next step may be a CT scan but the idea of that really worries me.
I too have a very low lipase number with acute and pain, blotted stomach, constipation, and gas (coming out both ends). Went to ER. They did a CT and blood work and told me everything was fine and sent me out the door. I was still in pain, bloated and feeling abandoned. I have all my labs and finally my CT scan results. I will be calling them on Monday 11/16/2020. They lied to me.
The most common causes of pancreatitis are gallstones and heavy alcohol use. Other less common causes include medications, metabolic disorders (hypertriglyceridemia and/or hypercalcemia), infection, trauma, surgery/procedures (ERCP), autoimmune disorders, and anatomic variants (pancreas divisum). Sometimes, a cause for pancreatitis is never found.
Pancreatitis can often be diagnosed clinically based on symptoms and/or labs (e.g., lipase, and to a lesser extent amylase). CT can confirm this, showing fat stranding around the pancreas, but the main role of CT is to evaluate complications of acute pancreatitis (e.g., necrosis, collections, etc.) and/or sequela of chronic pancreatitis (e.g., calcifications).
He is a very sensitive, nervous cat. His labs indicate that he does not have pancreatitis, and overall his lab work looks good. He had a full senior work up, as well as urinanalysis and the test for the pancreatitis (negative). He has been dehydrated, not eating well, nauseated and vomiting. Is the next step to do an ultrasound?
He even ate tons of grass and threw all of it up. After about two three days he finally stopped and got a lot better except he seemed to lost his voice. He couldnt bark or "speak" at all for over a week. It seems like he is starting to get his voice back but he just all of a sudden got really week. He cant eat and has veryyy little energy. Normally he's always excited to go for a walk and runs to the door when its time to go.
I had my gallbladder removed over one year ago. One week after having it removed I began to have abdominal pain that hurt through to my back. It is very painful and nothing helps. I've had multiple tests done and 2 ERCP's. After the first ERCP the pain stayed gone for 2 months and then returned. After 2nd ERCP, I ended up in the hospital with pain and fever. My CT scan was normal and so were my A&L levels.
Trouble was I had a really bad Nicorette habit. Low and behold I have chronic pancreatitis and if I chew the gum--the pancreatic pain skyrockets. I would say "YES" Nicorette either causes, triggers, or aggrevates pancreatitis.
Since then I have had my gallbladder removed, I have cronic pancreatitis and have not yet been able to regulate my Synthroid. I have an Internal Med Dr. that seems very concerned but the Endo des not. I have had regular blood test. This past year my labs are showing Thyroglobulin AB present, in the first of the year they were low .5 now they are 24.6. I was always told that since I do not have a Thyroid I should not produce any if not little.
Comprehensive diagnostics including endoscopies, colonoscopies, biopsies and labs (blood and stool) yield no reason, other than limited gut motility and chronic constipation. Rxs, dietary and biomedical interventions ineffective. NG tube cleanse outs are effective but last only 2 days before bloating returns. Carries diagnosis of IBS, GERD, Non-Allergic Rhinitis. Has history of pancreatitis. Is on special diet. Bloating unresolved for 6 months. Welcome any ideas. Thank you.
im now being directed to take a gastric emptying study which i already have had done a year ago and those results were normal..my question is...is here a link between pancreatitis and bile reflux? and if so, would it not be indicative of an obstruction (due to the minor dilation) of my pancreatic duct....is there any remedies or speculation around these test results?
Yellow skin and eyes clay colored-stools - Normal liver enzymes
Hi All - So I got CBC labs done recently and my liver enzymes were normal AST at 35(10-40 range) and ALT at 58(9-60 range) although on the high side of the range, but they were still in the normal range according to the labs.
After more investigation I tested for pancreatic enzymes such as Amylase at 118 (21-101 range) and Lipase at 114 (7-60 range) which were elevated.
I had hyperparathyroidism and it was my understanding that was separate from my thyroid issue. I'm not sure that is clinically correct though.
Hope you get more answers.
i went to the hospital a year ago and i was told by one doctor i had pancreatitis but a different doctor told me it wasn't. last week i go to the hospital again with pain and they did an altrasound. the doctor in the hospital said they found a mass on my pancreas. when i was sent to the specialist he said it wasn't a mass that it was enlarged bile ducts. he said they were twice the size they should be. but i dont have insurance and he wanted to treat me for gerd.
Now its been basically non-stop, confirmed by mri, that it is chronic pancreatitis, and fatty liver. Im being sent to a pain specialist for the pain, and hoping he can offer relief, because Ive been recieving very little help from my doctor with that. Im 5'5", used to be about 138lbs, and now am 162, with gain of 10lbs a month on a low fat diet, no meat, no bread, soft food. I dont understand except unless wieght gain is from thyroid going wrong, im hypothyroid.
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