Pancreatitis with normal lipase
Common Questions and Answers about Pancreatitis with normal lipase
pancreatitis
They have decreased some since his hospitalization, but they are far from normal (last blood work had lipase at 14 times normal and amylase was 4 times normal). He does not have any pain. He is eating an extremely low fat diet and has restrictions on his activites. Are there any suggestions on what might be causing this abnormality? I am worried about the long term effects for him.
I appreciate any comments or help.
How is it possible ...can the High Lipase results mean something else ? Doc so sure he dx me with Severe Pancreatitis ... and everyone where I work ( a surgery center ) came to me to see if I was okay and wanted to go home ... I was okay ???
Please is there anyone who can give me some understanding on this ...or am I just being spared the pain ??
This discussion is related to <a href='http://www.medhelp.org/posts/show/231860'>pancreatitis vs crohns-how can you tell?!?
Hello. I have been worried about liver disease for over a year. I have been to the GI several times for answers regarding my URQ pain but my doctor does not seem concerned because my blood work is normal. I know something is wrong. I was a heavy drinker for over 20 yrs and quit 16 months ago. I have lost weight and I believe that I have Terry's Nails. My recent lab test came back with my Lipase at 399 range (73-393).
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.
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.
Did you get an answer?
•Pancreatitis - also known as inflammation of the pancreas, can cause amylase and lipase levels to be increased up to 3 times normal. Both values should be increased, in order to carry the diagnosis of pancreatitis.
•Lipase may be increased in tumors of the pancreas, or stomach certain stomach conditions. These conditions are usually painful.
•Gall bladder infection - Inflammation of the gall bladder (cholecystitis), may cause increased lipase levels (hyperlipasemia).
There are people with chronic pancreatitis and I knew a woman last year that had her entire pancreas removed because of it.
Since there is a history of cancer has a oncologist checked you out or is this all primary care and/or GI doc?
Other things to consider - gall bladder (stones AND functionality), stomach issues like gastritis... I'm sure there are more...
Do you have any other symptoms? Good luck and God bless!
if the culprit is the pancreas,at least thats how pancreatitis usualy presents itslef,,,,i have seen people with pancreatitis have no elevated amalayes/lipase at all,untill they had an attack,,,and they returned right after it was over,,,so constant elevated levels could be more then just pancreas issues.
My husband, age 40, started out with elevated lipase levels (650-750 range) consistently for the past 4 weeks. He was a heavy drinker, smokes, and eats a lot of fatty foods. He has gone through massive blood testing throughout the month and everything is normal except for the elevated Lipase levels, had quit drinking a month ago, had an Ultrasound, CT Scan, and MRI which were all normal. I have noticed signs of depression, anxiety, and his stomach discomfort for at least the past 6 months.
We appreciate your question. Elevated lipase can be associated with gastroenteritis which you may have had based on nausea you describe. If your stomach lining is irritated, you can have elevated lipase. https://www.medicalnewstoday.com/articles/322201.php You could also have your symptoms and pancreatitis and have elevated lipase. Sometimes a bland diet will help such as the brat diet. This is banana, rice, applesauce, and toast.
My gall bladder was removed 25 yrs ago.I had abdominal pain 10 days ago. My Doctor think I have pancreatis. Blood test showed Lipase level was 1412 & Amylase was 273. Three days ago, I had my 2nd blood test done, Lipase down to 382 & Amylase down to 273. but both of them still within the high level range. What can bring Lipase & amylase down to normal. What kind of food I should avoid? Should I eat light for 3 more weeks?
I am 3 days post discharge from the hospital, my amylase was 4000 upon admission with a normal Lipase, I admitted due to the elevated amylase/lower left quadrant abdominal pain and severe nausea. My CT scan showed no pancreatitis. I too, do not drink, though I do have a mildly fatty liver from high triglycerides. My gallbladder has been removed for some years now.
I have had mildly elevated lipase (amylase always normal) for 9 months. At times I have stomach pains and always have bloating. I have had a colonoscopy, abdominal CT scan, ultra-sound within the past 2 months and all were normal. I have seen a specialist (gastroenterologist) and he said he is not concerned unless the blood levels are 2 - 3 times higher than normal (only about 50 - 70 points higher now). I also have a mildly elevate AST for the past 4 years and tests have not shown a cause.
During a recent trip to Mexico, I came down with 'travelers diarrhea' - fever, diarrhea, nausea, vomitting, dehydration. Upon arriving back in the states, I was readmitted to the hospital due to elevated amylase and lipase. I didn't have the severe pancreatitis pain until later that night and then only one other bout two nights later. A CT scan, ERCP, and internal ultrasound were all normal and I was discharged after 5 days.
Liver enzymes were highly elevated. Normal lipase/amylase and ultrasound and X-rays came back normal. Only thing noted was a 10mm calcification on right hepatic.
Went to GI who ordered MRCP and that came back with 'possible' common bile duct obstruction.
During the time I waited for ERCP double balloon, my liver enzymes went back up.
Had difficult procedure with history of my gastric bypass where they put a temp plastic stent.
I hope to have got digestive correct, as I assume pancreatitis has to do with that. Vet called today, said Ozzie's level are over 1'000 on lipase count and that makes it sure it is pancreatitis, che chronic version.
Having had a look at internet, none of the symptoms agree with what he does.
He does not, vomit, reject food, loose stool....
My CT Scan was normal, same for my ultrasound, and endoscope. Yet, almost 2 weeks after my attack, my lipase and amylase levels remain very high. I have not been in pain for about 1 week. So what caused the attack? My doc has no idea. CalGal, what is autoimmune pancreatitis -- I never heard of it...
My husband (58) who is fit, very active, no diabetes, BP 120/80, cholesterol normal and all bloods in normal range (except very high lipase and at times, very high amylase). This has now been monitored over three years. He had two years with no alcohol and the levels remained high. He went on a holiday ten months ago, ate only Asian food, drank alcohol again and on return, the tests were NORMAL. Now, ten months later - Lipase up around 3,600 (yes, always that high) and amylase up a bit.
In chronic pancreatitis, amylase levels initially will be moderately elevated but often decrease over time with progressive pancreas damage.
Amylase levels may also be significantly increased in people with pancreatic duct obstruction and cancer of the pancreas.
Increased levels of amylase in peritoneal fluid can occur in acute pancreatitis but may also occur in other abdominal disorders, such as obstructed intestine or decreased blood flow to the intestines (infarct).
It sounds like your husband has at least pancreatitis based on CT, but it is unusual that the other blood work was normal. Usually pancreatitis presents with elevated amylase and/or lipase. Significant weight loss is concerning for cancer. Jaundice, dark urine, and light stools would also be concerning if present.
My lipase panels have fluctuated from normal to a tad bit above normal. I haven’t touched alcohol in 30 days and prior to that was a wine drinker one or two classes at night. The pain actually has gotten worse since since I’ve stopped the wine. The emergency room doctor thought it was a mild case of pancreatitis but my family doctor believes it’s an ulcer. I’ve been taking 40 mg of Prilosec as well as sucralfate. I’ve also been having some weight loss.
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