Doctor insights on:
Amylase Blood Test Levels
Pancreatitis: Typical tests done include amylase and lipase. Amylase can be elevated due to other problems, so lipase is more specific. Any elevation indicates a problem. Lab values are specific to the lab used. Severe pancreatitis can elevate the lipase into the 1000's. Even a small elevation above normal can cause severe pain. ...Read more
No: Tsh or thyroid stimulating hormone is only good for assessing thyroid function (either good, overactive or underactive). With that said, during that same blood draw, your blood could potentially be checked for testosterone to determine how much you have. This is best done in the morning. Remember that we really should treat the person (and symptoms), not just a number. Make sure benefit > risk. ...Read more
Repeat / start worup: High sgot/liver enyzme levels are quite common but do need a workup. Causes range from having gotten drunk a few days previous to taking iboprofen to lack of physical fitness to life-threatening, treatable illnesses like viral or autoimmune hepatitis / hemochromatosis / wilson's / drug allergy. Your physician knows the right way to proceed for you. ...Read more
Blood test report: homocysteine level high/ blood platelets low/ bilirubin high. What could be wrong?
Big picture please: As a lab doctor, this means nothing in isolation. I appreciate your caring & this is no familiar pattern. Is the person clinically healthy? How off are the values? Vegetarians and junk-fooders are equally at risk for high homocysteine as are folks with genetic disease. Bilirubin -- gilbert's? Platelets -- gin and tonic? This isn't something to discuss in a 400-character text thx 4 understanding. ...Read more
What is the calcium?: Upper normal calcium with high PTH could indicate primary hyperparathyroidism as well. Other possible causes include: low vitamin d, kidney problem or a lab error. You need to sit down with your doctor to look at all values, not just calcium and pth. Good luck. ...Read moreSee 1 more doctor answer
How high?: It's important to know how high the tests were above the normal range (were they clinically significant?). Cortisol is produced by the adrenal glands which is under control by the pituitary. The problem could be either one. Your doctor who ordered the cortisol should be able to tell you the next step of workup. If the tests were indeed very high, you will need more testings before treatment. ...Read moreSee 1 more doctor answer
No. For most blood: fasting is not needed & commonly misleading, though promoted. Optimal PSA value <1.0 ng/dL, though called normal up to 4.0 ng/mL. At 1.3 ng/ml (Avodart Trial; most thorough done to date) prostate size, by ultrasound, has doubled young healthy values. If PSA < 1.0, prostate cancer extremely rare. If elevated, consider https://www.accureference.com "Prostate Health Index" test for better guidance. ...Read more
Amylase & lipase: These check for the enzymes to see if they're being released into the blood when somebody has an upper abdominal emergency. If you're concerned you haven't got enough pancreatic enzymes, a stool assay for pancreatic elastase might be more helpful. ...Read moreSee 1 more doctor answer
They do not: All blood tests are usually normal in patients with Essential Hypertension. They can be abnormal in patients with hypertension secondary to renal disease or other causes of hypertension 2/2 identifiable source. However any patient with newly diagnosed hypertension should get all the recommended blood tests to rule out diabetes, renal disease, hyperlipidemia, electrolyte abnormalities. ...Read more
Random blood sugar test result 375mg/dL repeat test done Fasting Plasma Glucose result 228mg/dL. Am I diabetic?
Yes!: You are def a diabetic. Get a glucose meter and check some fingersticks. Completely NL in the AM fasting is 70-100. 101-125 is borderline, >125 is diabetes. Go see a diabetes doc and get an A1C test. Normal is up to 5.7. Pre-diabetic is 5.7 - 6.4. Diabetes is >6.4. Check out this link from the NIH: http://diabetes.niddk.nih.gov/dm/pubs/A1CTest/A1C_Test_DM_508.pdf. You need diabetic tx! ...Read more
Blood test: measure serum lipase fasting, then measure again 30 min after lundh meal. How much should lipase rise?
Urine amylase slight elevated (0-17) 25, regular serum amylase. Normal mrcp, CT scan, ultrasound. Any reason why urine elevated and not serum?
Blood results: alt/sgpt serum level=40 iu/l, serum alkaline phosphatase=43 iu/l, serum bilirubin level=2 umol/l, serum urea level=2.3 mmol/l. Normal?
Normal: It is very important to know why these were drawn in what sounds to be an otherwise healthy 19 year old. Did you expect to find something wrong? ...Read more