Doctor insights on:
Can someone have pancreatitis with no pain? I have elevated amylase serum at 206 and lipase enzymes at 898
Amylase serum is normal 96 (ref <101 units/l) amylase urine is 27 (ref 0 - 15 units/hr). Why would urine's elevated and not serum? I have no symptoms, mrcp, CT scan all normal.
CLEARANCE: There are multiple types of amylase enzyme in blood stream and you are clearing them thru the kidney at a faster rate than "normal" also there are normal people who fall outside the normal parameters--simply the way normals are determined with all the neg studies/no symptoms i would not worry and would not pursue further. ...Read moreSee 1 more doctor answer
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 pancreas, salivary glands, prostate, lung and ovaries.It may be be elevated after ERCP procedure, and some medications can cause elevation of amylase and very high triglycerides can cause pancre. ...Read more
Sure: Are the mechanisms okay? If you feel well, usually your amylase is just tagged with an immunoglobulin that slows its clearance. If your kidneys aren't working well, you don't lose it fast enough. If your pancreas is even a little bit hurt, or your salivary glands, you get some in your bloodstream. Even morphine can make this happen. How do you FEEL? ...Read more