Doctor insights on:
Elevated Amylase Normal Lipase
Lipases, such as lipoprotein lipase and endothelial lipase, are enzymes that breakdown circulating triglycerides (tg). Specifically, lipases degrade tg rich lipoproteins including chylomicrons, very low density lipoprotein (vldl) and remnant particles produced by breakdown of chylomicron and vldl particles. Decreased lipase function leads to accumulation of ...Read more
Work up : Ignore the MCHC. Reference ranges are set so a few percent of healthies fall outside on either end. Your physician will probably have you repeat the liver enzymes after two weeks off alcohol and meds, or perhaps proceed to a search for possible hepatitis, hemochromatosis, Wilson etc ...Read more
Calprotectin 95, ALT & AST chronically fluctuating elevated,sigmoidoscopy normal,MRCP normal, could it be IBD causing elevated liver enzyme ?
IBD complication AIH: The calprotectin level (I'm assuming it's a stool test) is rather high 4 ur age (normal is less than 51 ug/g stool), which seems confirm IBD but unfortunately didn't spare u a sigmoidoscopy. Caveat: proton pump inhibitors like Prilosec falsely elevate calprotectin. Nonetheless, a common complication of IBD is autoimmune hepatitis (AIH) which can cause fluctuating liver enzymes & damage. TTY GI do ...Read more
Normal pancreatic enzymes, normal liver enzymes, normal CBC, normal ESR & C-RP. does this rule out pancreatic and liver cancer?
Why do you ask?: Why would you think you have this stuff at age 20? You've written about this before. You owe it to yourself and those who love you to get with someone who can help you out these thoughts out of your mind and get on with studying, getting job skills and experience, perhaps finding romance and meaningful things to enjoy. To be brave, act brave. You're anything but helpless. ...Read more
AST elevated (65), ALT elevated (50) and total bilirubin elevated (3.0). All other enzymes are normal. Is this significant??
Maybe Infection.: The elevation of neutrophils coukl mean bacterial infection, as these cells are important in fighting this kind of infection. The high hemohlobin seems nonspecific, in abscence of other symptoms and signs. It could possibly mean a polycythemia, one of the porphorias, or a myeloproliferative disorder, which could explain the high neutrophils. It can also be from high altitude. See dr. For more. ...Read more
Total bilirubin 2.5 (Elevated), Direct bilirubin 0.5 (Elevated), Indirect bilirubin 2.0 (Elevated) All other liver enzymes normal. What causes this?
Rerun test: 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, you need to re do the tests in non-fasting state. With the exception of elevated direct bilirubin, the findings are consistent with Gilbert syndrome, which is not a disease. See this site for more info: http://www.mayoclinic.org/diseases-conditions/gilberts-syndrome/basics/definition/con-20024904 ...Read more
Explanations for elevated bilirubin ? (indirect high, direct normal)...also normal hemoglobin, low platelets, other liver function tests normal
Need more info: About 2-3% of otherwise normal people have elevated bilirubin, usually less than 5.0 mg/dL. Gilbert's disease is a usual cause and it despite disease in the name, it does not adversely affect a person's health. If you have any symptoms, it would be prudent to see your doctor. Consult this site for more info. http://www.mayoclinic.org/diseases-conditions/gilberts-syndrome/basics/definition/CON-20024904 ...Read more
On ursodeoxycholic acid, transaminases chronically fluctuating elevated ALT 50-200 AST 40-80.ALP 90-107. MRCP normal,fibroscan normal,what could it be?
Difficult question: Why the ursodiol? If for blood cholesterol, there may be better options (I don't see CF or PBC on your history). Sounds like you're getting a work up for the elevated enzymes. Consider a virtual consult with GI specialist for a thorough review of lab and imaging results. ...Read more
Yellow stools, sometimes loose/watery. Bilirubin in range, amylase & lipase normal and alkaline phosphatase in range. Ultrasound shows normal g/bladder and main ducts. Liver normal. No jaundice, ?
It seems you had: extensive work up. If no weight loss and stool analysis is negative for malabsorption, irritable bowl could be considered. Feet swelling could be due multiple reasons including adverse effect of Norvasc, (amlodipine) vascular insufficiency, CHF or dependent ...Read moreSee 1 more doctor answer
Urine amylase slight elevated (0-17) 25, regular serum amylase. Normal mrcp, CT scan, ultrasound. Any reason why urine elevated and not serum?
Alt, Ast and Alp within normal range.
Alp isoenzyme also within normal range but GGT elevated to 129. Ab ultrasound scheduled for monday.
See descriptors: but no question. Please resubmit and include a clear & specific question. ...Read more
Treat the number?: Advice: doctors treat patients and not numbers. A slightly elevated crp" without the clinical context, is like a fish out of water. You need more information...Was an infection or a heart problem suspected? How were you feeling? The CRP mentioned can be bad if it's in the context of a heart attack, or not really bad if an infection was suspected. ...Read moreSee 1 more doctor answer
Workup: If available, get a proper genetic workup even if no one else in the family is affected. If your amylase is high but lipase normal and there is nothing on imaging pointing to the pancreas, this may be macroamylasemia. If the pancreatitis is real, checking the cystic fibrosis and trypsinogen loci is indicated. This may be one piece in the puzzle. Be persistent. ...Read more
Last month ast, ALT all normal, albumin, globulin, bilirubin not normal, this month albumin, bilirubin, globulin normal but AST and ALT very high.Possible?
Yes: This is not only possible but commonplace. I believe we've met. Cirrhosis is a chaotic system and labs fluctuate based on activity (damage / healing). We're not going to know for certain, but if we could talk to your liver, i'd bet he would tell you he's regenerated a huge number of cells which is why he's working better and has more total cells though still bearing injury. Be glad. ...Read more
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- Normal mcv low rdw
- High rdw normal mcv
- Sgot sgpt normal range
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- Low amylase and lipase levels
- Normal serum lipase level
- Elevated tibc normal iron
- Pt ptt inr normal range
- What does an elevated lipase and amylase mean?