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Wauconda, IL
A 50-year-old female asked:

idiopathic recurring pancreatitis, no alcoholism, gallstones, pain, high triglycerides. only elevated amylase and lipase. what is next step?

3 doctor answers9 doctors weighed in
Dr. Tracy Berg
General Surgery 32 years experience
Tech Hida scan: A tech hida scan next to check on function and possible blockages in biliary tree. Then a visit with your local GI doc or surgeon. A scoping procedure ercp, can diagnose anomalous biliary anatomy and possible corrective sphincterotomy or stent. You may benefit from gallbladder removal as well. Good luck. Stay well hydrated and on a low fat diet while you are getting evaluated. Be well.
Dr. Joseph Woods
Pathology 28 years experience
See your doctor soon: It is wise to see your doctor soon regarding this. Depending on how high your amylase and lipase are it could be acute or chronic pancreatitis, and considering that you're on medications and have a history of acute pancreatitis, it's even more important to see your doctor. Diet restrictions like low fat intake and fluid replacement and monitoring are needed to be done, so see dr. Asap.
Dr. Pavel Conovalciuc
Family Medicine 23 years experience
Gene testing: I have a patient with a similar condition who had only negative work up with conventional methods - ultrasounds, ct, hida, ercp, but then was found to have a gene mutation. Check your GI doc and ask for referral if needed.

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Last updated Jun 10, 2014
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