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Doctor insights on: Amylase Normal In Pancreas

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Dr. Barbara Lavi
3 Doctors shared insights

Pancreas (Definition)

Abdominal organ. It is digestive organ: it secretes enzymes into the small bowel which break down food and help its absorption. It is also an endocrine organ: it produces hormones involved in sugar control and control of digestion. Insulin is one of these hormones. Diabetics either lack Insulin (type 1 diabetes) or have inadequate ...Read more


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My sister has elevated lipase and amylase. Nauseated, no appetite. Platelets low. So far MRI of pancreas is normal. What could be the problem?

My sister has elevated lipase and amylase. Nauseated, no appetite. Platelets low. So far MRI of pancreas is normal. What could be the problem?

Many sources: While lipase and amylase are produced for the most part by the pancreas, an elevation is usually a result of inflammation of pancreatic tissue. If the condition is not severe the scans may fail to detect changes in the gross structure of the pancreas Other organs however are associated with an elevated amylase such as the fallopian tubes and lipase is known to be be produced in mature and immature adipocytes, muscle cells, and mammary epithelial cells. The clinical condition should be followed and if symptoms progress, then reevaluation should be considered ...Read more

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Amylase (x 2 upper limit), lipase (x 7 u.L.) and transaminases (x2-3) have been elevated for 6 yrs. Pancreas and liver normal on ct. No pain. Workup?

Amylase (x 2 upper limit), lipase (x 7 u.L.) and transaminases (x2-3) have been elevated for 6 yrs. Pancreas and liver normal on ct. No pain. Workup?

Gallbladder: Do you still have a gallbladder? If so, you need to have this checked out. See a GI specialist or hepatologist. There are many at the uw where you live. ...Read more

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What causes elevated lipase, amylase, transaminases (x 2-15) in the presence of normal liver and pancreas on ct? I have phpt and unid. Adrenal tumor.

Gallstones: Gallstones or bile duct narrowing/strictures can cause laboratory findings like that. Some stones are too small to see on ct scans, but still can cause problems in you pancreas and biliary system. ...Read more

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Elevated liver enzymes (ALT- 85, AST- 75). Normal liver/gall bladder ultrasound. Amylase was elevated but has normalised. Pain on LEFT side. Pancreas?

Elevated liver enzymes (ALT- 85, AST- 75). Normal liver/gall bladder ultrasound. Amylase was elevated but has normalised. Pain on LEFT side. Pancreas?

See below: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, if you drink alcohol, stop entirely, if you are even slightly overweight, lose weight and discuss any medications, including over the counter ones, with your doctor.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more

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CBC, CMP, lipase, amylase, &abdominal u/s all normal, pain in upper abdomen. What else could this be? Having endoscopy in 2 weeks. Scared

CBC, CMP, lipase, amylase, &abdominal u/s all normal, pain in upper abdomen. What else could this be? Having endoscopy in 2 weeks. Scared

Upper abdominal pain: There are a variety of reasons why you could have pain in this area. I would need a much more detailed history in order to render an opinion. With the studies you had being normal it is unlikely that you have a serious problem, but further evaluation may be necessary. ...Read more

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My lipase level is very low, amylase normal, left upper pain, light stools, CT is negative, pancreatic insufficiency maybe? Started 3wks ago.

My lipase level is very low, amylase normal, left upper pain, light stools, CT is negative, pancreatic insufficiency maybe? Started 3wks ago.

Doubt pancreas: If you've got pancreatic insufficiency, you'll be able to tell that you're seriously sick. The light stools of biliary and pancreatic duct insufficiency aren't just pale, they look like clay. You'd also have obvious weight loss and diarrhea by now. You'll be followed, early gluten enteropathy is a possibility and there are a host of others. ...Read more

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When I get stomach attacks my lipase and or amylase rise by like 20 points never higher! Can I have pancreatic ca? I'm scared mri-ct-us all normal!

When I get stomach attacks my lipase and or amylase rise by like 20 points never higher! Can I have pancreatic ca? I'm scared mri-ct-us all normal!

See long ans: Assuming the mri, ct and us were done with contrast another possibility is pancreatic divisum which would require a mrcp - this entity can cause these symptoms. ...Read more

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Are normal cbc, billuprin, amylase and lipase levels, CT scan and qualitative fecal fat test a good indication against pancreatic cancer?

Are normal cbc, billuprin, amylase and lipase levels, CT scan and qualitative fecal fat test a good indication against pancreatic cancer?

Yes: Pancreatic cancer is most uncommon at your age to begin with (it is not a common cancer in general). Normal blood tests and ct scan should reassure you that pancreatic cancer is not there. ...Read more

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No pain, amylase back in May was 184, lipase was 66 (range was until 60 the highest, amylase range is 110 the highest). Pancreas problems or what?

No pain, amylase back in May was 184, lipase was 66 (range was until 60 the highest, amylase range is 110 the highest). Pancreas problems or what?

Not likely: It sounds like you had some issues, maybe abdominal pain sometime in May, when you had your pancreatic enzymes checked, but you no longer have pain now. Based on the minimal elevation of your enzymes even in May I doubt their origin was pancreatic even then. ...Read more

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I had serum amylase reading high; what else can it be if it's not pancreas?

I had serum amylase reading high; what else can it be if it's not pancreas?

High amylase: In pancreatitis amylase and lipase are both elevated more than three times the normal level, but amylase can be elevated without having pancreatitis. It can be elevated in cholicystitis, kidney failure, tumors of salivary glands, prostate, lung and ovaries. ...Read more

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My amylase level is 120. A mass was found on the head of my pancreas. I also suffer with Large stomcah, even with exercise.?

My amylase level is 120. A mass was found on the head of my pancreas. I also suffer with Large stomcah, even with exercise.?

Pancreatic mass: I would suggest you see a gastroenterologist who can perform an ultrasound guided endoscopic FNA (fine needle aspirate) of this mass. You will not have peace of mind until you get a diagnosis. Once you get a diagnosis you can make and educated decision on treatment. ...Read more

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Why does serum lipase and amylase increase during acute pancreatitis? Shouldn't it decrease since there is problem with pancreas (inflammation)?

Lipase serum levels: I believe the reasons both rise in the bloodstream is because there is disruption of the pancrease (pancrelipase) and these enzymes get into the blood stream. They are both part of the exocrine function and should not be in the blood steam. The endocrine portion of the organ involves insulin production. This chemical is supposed to be in the blood. The other are designed to be released into the duodenum. ...Read more

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What do you suggest if my sister has elevated lipase and amylase. Nauseated, no appetite. Platelets low. So far MRI of pancreas norm?

What do you suggest if my sister has elevated lipase and amylase. Nauseated, no appetite. Platelets low. So far MRI of pancreas norm?

Pancreatitis?: Sometimes imaging lags behind acute disease process. Sounds like pancreatitis. Doctor should treat symptoms and patient not the images. Etiology of pancreatitis needs to be worked out. ...Read more

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Got a blood test @ Labcorp, Amylase, serum. 108 (31-124 range) Lipase, serum. 75 (0-59) Do I have liver or Pancreas problem? Thx

Got a blood test @ Labcorp, Amylase, serum. 108 (31-124 range) Lipase, serum. 75 (0-59) Do I have liver or Pancreas problem? Thx

Unlikely: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, based on the data you provided, there is no reason to suspect liver or pancreas problems.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more

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I m 27 suffering frm Gerd les lax, pain above navel, amylase 144 & lipase 58, is this pain frm pancreas what test should I do for pancreatitis pls help?

Test: You don't do the tests.
You need to see your primary doctor who will review your medical history, evaluate your clinical complaints, examine you, and then order labs that he/she thinks is related to your symptoms.

If you have been seeing a gastroenterologist see that doctor not your PC. ...Read more

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Elevated lipase/amylase, no gallbladder, mrcp no infl of pancreas, liver lesion, not a drinker/smoker, only 32, was taking asacol (mesalamine) hd/colazal, opinion?

Elevated lipase/amylase, no gallbladder, mrcp no infl of pancreas, liver lesion, not a drinker/smoker, only 32, was taking asacol (mesalamine) hd/colazal, opinion?

See GI doctor: Its not clear whether you have pain / pancreatitis or how high your levels are. There's a lot of causes of pancreatitis including medicational side effect but it is best to have a GI doctor review your labs / imaging first. ...Read more

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Which test is better for diagnosing pancreas insufficiency: stool panc elastase or serum lipase/amylase? Would either diagnose pancreatic cancer?

Which test is better for diagnosing pancreas insufficiency: stool panc elastase or serum lipase/amylase? Would either diagnose pancreatic cancer?

Both together: Neither of the tests alone tells much. A combination of tests and exams will lead to diagnosis. Pancreatic cancer is not able to be ruled out by any test or imaging study. It can only be absolutely proven by some form of biopsy. A ct guided needle or egd with brushing a may be the only way to find it. ...Read more

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Pancreatic amylase levels over 2400 hayley’s symptoms, frequency between the attacks shorter. Hayley's journey@ http://childrenlivinginpain. Com/?

Pancreatic amylase levels over 2400 hayley’s symptoms, frequency between the attacks shorter. Hayley's journey@ http://childrenlivinginpain. Com/?

What is the?: Hereditary pancreatitis is a real problem. Related to the same genes as in cystic fibrosis. Ultimately structural changes in the pancreas lead to daily pain without enzyme rise. Avoid narcotics. See about celiac plexus block. If enzymes still go up, consider non-encapsulated pancreatic enzymes (high- dose) with every meal (and acid suppression) to minimize pain. Hope this helps. ...Read more

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I had blood work done due to 1.4 cm pancreatic lesion. A/G ratio is 0.9 low and amylase 24 low. What could it mean?

I had blood work done due to 1.4 cm pancreatic lesion. A/G ratio is 0.9 low and amylase 24 low. What could it mean?

Lab values: A low amylase has no clinical significance. Reasons for a low A/G ratio include hypoalbuminemia and hypergammaglobulinemia. But the lesion needs follow up, first with MRCP and then endoscopic ultrasound with possible fine needle aspiration. ...Read more

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Could pancreatic insufficiency be linked with trouble digesting sugars (bc of amylase), or only lipids?

Could pancreatic insufficiency be linked with trouble digesting sugars (bc of amylase), or only lipids?

Chronic pancreatitis: Chronic pancreatitis is hallmarked by problems absorbing fats (greasy, floating stools, sometimes gray or chalky). Problems with sugar metabolism come later as more of the pancreas is damaged. Chronic pancreatitis is further characterized less by low amylase production and more with lack of Insulin production and associated problems with glucagon. ...Read more

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How to diagnose pancreatic dysfunction? Amylase, lipase and insulin blood test?

History & physical: If the pancreas is inflamed or damaged, amylase and lipase are often up, and it's not subtle. If your pancreas isn't functioning properly, you'll be losing weight with no explanation and probably have diarrhea / steatorrhea. Your physician can check your stool for pancreatic enzymes. It's rare but with a suggestive history, a screen may show something that could respond to enzyme replacement. ...Read more

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Would amylase and lipase be high or low with pancreatic cancer?

Amylase and lipase: Are usually elevated with inflammation such as pancreatitis and could be normal with pancreatic cancer. A tumor marker ca 19-9 is usually elevated with pancreatic tumors. Depending on the location of tumor biliary enzymes could be elevated too. ...Read more

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Can pancreatic enzymes with protease, amylase and lipase hurt or help cancer?

Health fraud: Giving the pancreatic enzymes that help in pancreatic insufficiency (cystic fibrosis, chronic pancreatic scarring) as a cancer treatment is a cynical, cruel fraud. It's often packaged with "detoxification" and coffee enemas. Don't pay money to the people who've tried to deceive you on the thought "what if it did work? ". ...Read more

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Why is my husbands lipase 450 and amylase 250 so high. They said he has cirrossis of the liver. Those are pancreatic enzyme's.

Why is my husbands lipase 450 and amylase 250 so high. They said he has cirrossis of the liver. Those are pancreatic enzyme's.

I'm sorry: Elevated lipase and amylase can result from ongoing damage to the pancreas from alcohol -- perhaps refluxing up a damaged duct, or he may have a cystic fibrosis variant, a hereditary pancreatitis, or any of several other entities. Few diseases truly involve only one organ, and he may have more than one thing going on. This sounds serious and I am glad he has you to care for & love him. ...Read more

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Elevated levels of lipase and amylase, mrcp no pancreatic inflammation, but did show a liver lesion. Also have UC. What is happening??

Still gallbladder?: If not drinking much alcohol? [4-6 oz /day of wine, 12 oz beer or 1.5 oz whiskey or vodka ] then be sure not taking anything that could harm the pancreas, see side effects /warnings on each medicine. Still could be some type of gallbladder/stone issue along the common bile duct or flair of uc, see a g.i. dr. For further tests and no smoking ever, this can cause cancer even of pancrease (pancrelipase). ...Read more

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Blood glucose fasting 125 hb1ac 6% pancreatic amylase 23 (nor 30-110) bmi 30 almost bedridden due to L3 L4 operation pls adv 2 STOP PROGRESSION TO DM?

Blood glucose fasting 125 hb1ac 6% pancreatic amylase 23 (nor 30-110) bmi 30 almost bedridden due to L3 L4 operation pls adv 2 STOP PROGRESSION TO DM?

Diet is the key: I understand your exercise is limited, so your next step is diet. Do an internet search for a BMR calculator to determine how many calories you can eat a day to maintain your weight and be sure not to eat more than that. Low carbohydrates is also important to keep blood sugars lower. Also, talk to your doctor to see if/when you would need to start a medication to help with your blood sugars. ...Read more

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If mid back and abdominal discomfort were caused by pancreatic cancer, would not blood work be off in CBC, amylase, or lipase in a 27 yo male?

If mid back and abdominal discomfort were caused by pancreatic cancer, would not blood work be off in CBC, amylase, or lipase in a 27 yo male?

See below: Blood test results may be normal in a person with pancreatic cancer.
You, at 27, are unlikely to have pancreatic cancer.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex. ...Read more

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Mom has jaundice w elevated liver enzymes, and elevated amylase and lipase. Ct w contrast was done, no tumors seen. Could this be pancreatic cancer?

Mom has jaundice w elevated liver enzymes, and elevated amylase and lipase. Ct w contrast was done, no tumors seen. Could this be pancreatic cancer?

It is unclear: Hi kitten40047. The jaundice and elevated enzymes are concerning. It is reassuring to hear that the ct was negative. There may be other reasons for her symptoms. However, in the absence of any other explanation for the symptoms she has, you may want to have mom undergo additional tests, including perhaps MRI or endoscopy, which may shed more light on the pancreatic and liver areas. ...Read more

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I have raised serum Amylase ranging from 116 to 129 with slight epigastric pain. USS pancreas gallbladder and liver appeared normal. Cholesterol 7.1?

Relax: About 1% of folks run a high amylase for no real reason ("macroamylasemia", etc.) If imaging is normal, you don't have pancreatitis. If these are your only problems, this line of investigation is unlikely to be profitable and you'll do best simply to be thankful and get followed. Best wishes. ...Read more

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What are normal Lipase and Amylase levels for 27 year old female?

Depends on the lab: However, there are pitfalls. The published ranges are set so that 5% of healthy people fall outside. Low values in a person who feels and appears well aren't helpful. Just the irritation of an ERCP can raise the numbers. And 1% of humankind have an antibody that causes a high amylase without there being anything else wrong. Most mild variations from normal can be ignored. ...Read more

Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more


Dr. Daniel Saurborn
164 Doctors shared insights

Amylase (Definition)

An enzyme produced by either the panceas or the salivary glands that aid is the ...Read more