Doctor insights on:
Over The Counter Pancreatic Enzymes
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
Trypsin: Protease is a general term of any enzyme that breaks down proteins and includes, trypsin, and chymotrypsin. ...Read more
Can biliary reflux from the small intestine into the stomach cause slightly elevated liver enzymes?
No, get checked: Your transaminitis (elevated liver enzymes) indicates, albeit non-specifically, a sick liver. Whether this is transient (related to medication, alcohol ingestion, a passed gallstone, etc.), or is indeed of concern (e.g. Hepatitis of any cause, fatty liver secondary to diabetes, etc.) you deserve evaluation or at least a lab recheck to assess trends or resolution. ...Read more
See A Doctor Too: Topical Salicylic Acid for the treatment of Acne can be found over the counter as Neutrogena acne products, also Clean and Clear products. Each brand makes several types including face wash, moisturizers, and astringents so do read the labels to confirm ingredients. Successful Acne treatment typically requires long term management and best outcomes are achieved under regular care of a doctor. ...Read more
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 moreSee 1 more doctor answer
Chronic pancreatitis are there any known drugs that can stop the enzymes from destroying the pancreas? In trials?
Not needed usually: Assuming you have a normal functioning pancreas (that makes bicarbonate, (sodium bicarbonate) digestive enzymes, & insulin) then you don't need to supplement pancreatic products. Otc "enzymes" are often inadequately regulated as to amount & efficacy, & can actually hurt the intestines when taken in high dose unnecessarily for a prolonged time. Instead, see your doctor to address if you are maldigesting your food. ...Read more
I have fatty infiltration of the liver substance the pancreas appers unremarkable and the liver gallb;adder and biliary appears normal.?
Many possible causes: "fatty liver" can be seen in many situations such as obesity, alcohol use, diabetes, metabolic syndrome, problems with high triglycerides. However, it can eventually lead to problem called nash and ultimately to cirrhosis of the liver if not treated. Treatment usually involves identifying the reason for the problem and treating accordingly. ...Read more
Yeast treatments: You must mean which yeast cream, right? All OTC "azole" treatments are equally effective: clotrimazole, miconazole, terconazole, and several others, including single dose fluconazole (Diflucan) by mouth. If you're sure you have a vaginal yeast infection, choose whichever product is cheapest and/or most convenient for you. ...Read more
What could be the cause of elevated liver enzymes other than drugs or alcohol. Hep c+ no viral load in over 10 years?
Many things: In general, if hep c viral loads have been negative for 2 years it is considered a cure (or sustained viral response or svr). However, re-infection with another strain of hep c is possible, as well as acquiring some other form of viral hepatitis (a, b, e, g and others). Weight gain can cause non-alcoholic fatty liver disease. Are you drinking alcohol to excess? Your doctor can test for these. ...Read moreSee 1 more doctor answer
Be aware: Do not take any medication unless there is a valid need or reason. Always follow the doctor's or manufacturer's directions. ...Read more
Digestive enzymes.: The islets of langerhans in the pancreas contain its endocrine cells that produce hormones that help control blood glucose levels: Alpha cells - glucagon, beta cells - Insulin and amylin, delta cells - somatostatin, pp cells - pancreatic polypeptide, epsilon cells -ghrelin. The exocrine cells make digestive enzymes, like trypsinogen and chymotrypsinogen, to break down lipids and carbohydrates. ...Read more
Not overproducing: Hi. When your pancreatic enzymes (amylase and lipase) are high in your blood, it's NOT from the pancreas overproducing them, it's from pancreatic inflammation that leaks them out. Causes of pancraetic inflammation (aka pancreatitis) are many. Some of the more common causes are gallstones, alcoholism, very high serum triglycerides, various medications, cystic fibrosis, etc. Good luck! ...Read more
Pancreatitis: Inlammation of the pancreas, pancreatitis, is most commonly caused by a gallstone blocking the entrance of the pancreatic duct into the intestine, or alcoholism. Less common causes include side-effects of certain drugs, very high triglyceride levels, and anatomical abnormalities of the pancreas. ...Read more
The duct in my pancreas has closed almost completely off. Why does it cause so much pain if my enzymes are normal?
Lipase in blood: The pancrease (pancrelipase) secretes lipase into our duodenum to metabolize fats that we eat. We absorb fats as fatty acids --small portions of large fat molecules. Similarly, the pancreas secretes amylase into the duodenum to break complex carbs into absorbable sugars. However higher than normal blood concentrations DO occur when the pancreas is inflamed, (alcohol), or its duct is blocked (gall stone). ...Read moreSee 1 more doctor answer
Trick question!: Hi. Just kidding about trick question. Not possible to have too many panc. enz., BUT if they're in the wrong PLACE, then you've got pancreatitis. Panc. enz. belong in the gut lumen, where are essential for digestion. Elevated pancreatic enzymes in the BLOOD mean pancreatic inflammation (pancreatitis) has released the enz. where they don't belong. These enz. digest fats, proteins, carbs; do havoc! ...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
Pancreas: Nope. Not often tested unless there is a reason. ...Read more
There are some: digestive enzymes which are not pancreatic enzymes. ...Read more
Yes: Elevated lfts with a predominant rise in alp is suggestive of damage or obstruction of the biliary tree (which disrupts the flow of bile out of the liver, called cholestasis). There are a number of conditions that can cause this, including a stone in the common bile duct (choledocholithiasis), cancer of the head of the pancreas, primary sclerosing cholangitis, primary biliary cirrhosis. ...Read more
How does one become lactose intolerant? Is it healthy to take pancreatic enzymes even if there's no prob with the pancreas?
Lactose : Lactose intolerance can develop when the enzyme lactase in the lining of the small intestine has decreased to a point where digestion is effected. It's not clear why this happens, sometimes genetics. Pancreatic enzymes are not likely to help in the absence of pancreatic insufficiency. Lactaid pills may help you. ...Read more
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