Doctor insights on:
Enzymes To Treat Pancreatitis
Usually no need: Dr. Kim is correct. As an autopsy pathologist, i see this frequently and unless there is obvious disease already, it's a normal variant. Different people deposit fat in different places (look around you!) and many people store some in their pancreas. ...Read moreSee 1 more doctor answer
Treat the cause: These are always worrisome. If they're still up after no alcohol, meds or marathons for two weeks, you'll be tested for the viral hepatitis group, autoimmune hepatitis, hemochromatosis, wilson's, and antitrypsin deficiency. If none of these are a factor, a lifestyle change to a focus on aerobic fitness may well bring them down & bring other benefits as well. ...Read more
Don't Rx a lab: Instead of 'curing' a lab value, find the cause. This may be your warning that you're drinking too much, taking a medicine that's wrong for you, have hepatitis B / C / hemochromatosis / Wilson's / autoimmune hepatitis (all of which are treatable, life-or-death illnesses) or just need to get back into physical fitness. ...Read more
Find the cause: Probably one of the following -- alcohol, some medication you're allergic to, hepatitis B or C, hemochromatosis, Wilson's, autoimmune hepatitis, antitrypsin deficiency, being overweight / not exercising. All are manageable, and all are danger to your life. Don't 'treat a lab value'. Get to the cause. This would be a great time to get trim & fit regardless. ...Read more
Yes: Liver function tests include ast, alt, alkaline phosphotase (alkp), and bilirubin.Acute inflammation of the gallbladder can secondarily inflame the liver, typically causing a elevation of ast and alt.A stone in the common bile duct (cbd) may block the liver and lead to abnormalities of all these labs. If a stone is in the cbd, endoscopic removal (ERCP) is usually necessary, in addition to chole-x. ...Read more
Hepatitis: Hi, liver inflammation is a very common term. Depending upon the underlying cause of this inflammation treatment can be directed. Most common causes are alcoholic, viral inflammation( hepatitis a/b/c), drug related( acetaminophen, etc). Abstinence in the case of alcoholic ; appropriate treatment for the viral causes can treat the inflammation depending upon the stage of the inflammation. ...Read more
Oral dissolution: for gallstones is not very successful in general. This medication is only effective for gallstones with specific composition and size. It can cause liver damage. It also takes a long time for stones to dissolve. And they can re-form even after complete dissolution. For these reasons, preferred treatment for symptomatic gallstones is surgical cholecystectomy. ...Read more
Yes: 1. Poor control causes abnormal lipid/cholesterol pattern 2. Diabetes associated with genetic abnormalities in cholesterol combination increase risk of fatty liver, hepatitis, even liver failure must treat diabetes and cholesterol agresssively and it can all be prevented. ...Read moreSee 1 more doctor answer
Inflammation: Elevated liver enzymes usually refer to increase in ast and alt (lab value > 30 in men and >18 in female are "elevated"). This inflammation can be from different causes like fatty liver disease (very common now a days) or viral hepatitis, alcohol, autoiummune, metabolic, drugs, etc. Discuss with your pcp or a liver specialist what the next steps are. ...Read more
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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