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Doctor insights on: Pancreatic Elastase 1

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I had a stool test that included pancreatic elastase 1 test, it came back low at 102 vs 201 mcg/g normal. I have crohn's. Is this normally associated? How can this be tested further and treated?

I had a stool test that included pancreatic elastase 1 test, it came back low at 102 vs 201 mcg/g normal. I have crohn's. Is this normally associated? How can this be tested further and treated?

Pancreas: The test is meant to test for exocrine pancreatic insufficiency and, with that result, would mean that you have this. You need enzymes from the pancreas to properly digest food. The most common cause would be chronic pancreatitis and it is not related to crohn's. If i were you, i would ask my dr. Why this test was ordered, what the thought process was in ordering it, and what is next. ...Read more

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Dr. Brad Goldenberg
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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I had a stool test that included pancreatic elastase 1 test, it came back low at 102 vs 201 mcg/g normal. I have crohn's. Is this normally associated? How can this be tested further and treated?

Pancreas: The test is meant to test for exocrine pancreatic insufficiency and, with that result, would mean that you have this. You need enzymes from the pancreas to properly digest food. The most common cause would be chronic pancreatitis and it is not related to crohn's. If i were you, i would ask my dr. Why this test was ordered, what the thought process was in ordering it, and what is next. ...Read more

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Caring for an Elderly Loved One (Checklist)

Check your loved one's balance
once
Remove obstructions that could cause falls
once
Organize medications
monthly
Add railings for support
once
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If the pancreatic elastase test of my stool was in normal range- what exactly does this mean? Are my intestines functioning normally then?

If the pancreatic elastase test of my stool was in normal range- what exactly does this mean? Are my intestines functioning normally then?

It means you are OK: Pancreatic Elastase is an enzyme produced in the pancreas. Its purpose is to help digest food, specifically proteins. It is not broken down during the trip from the pancreas to the stool. If you have a normal pancreatic elastase, then it means that the digestive function of the pancreas (exocrine pancreas) is working well. The endocrine pancreas makes insulin and this is not addressed by that test ...Read more

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10 year old daughter failure to thrive on high caloric diet 136 pancreatic elastase sweat test negative what else could be wrong to cause this?

10 year old daughter failure to thrive on high caloric diet 136 pancreatic elastase sweat test negative what else could be wrong to cause this?

Many things: This needs EXPERT Pediatric help...from physical to psychological expertise....but fortunately its not Cystic Fibrosis!!!! Hope this helps.. Dr Z I wish you/and your child ,,Good Luck! ...Read more

Dr. Jeffrey Unger Dr. Unger
<b>2</b> doctors agreed:
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Living with Type 1 Diabetes (Checklist)

Hypoglycemia is common with type 1 diabetes
once
Check your blood glucose before and after 2 hours after eating
once
Hypoglycemia is likely if the post meal glucose is lower than premeal
once
If you do not feel hypo symptoms, consider use of a continuous sensor
once
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Panc elastase test shows insufficiency. Have fatty liver. Is pei cause of fatty liver? Is there connection between fatty liver and pancreatic cancer?

Panc elastase test shows insufficiency. Have fatty liver. Is pei cause of fatty liver? Is there connection between fatty liver and pancreatic cancer?

No, just description: Like most dx, just a label for a pattern, as judged by whatever metrics. Yes, there is observed relation between fatty liver ; developing liver cancer. Fatty liver most commonly due to persistent low-fat, hi-carb (i.e. All sugars, simple ; complex) foods. Liver, to protect rest of body from ?sugar (toxic), converts sugars into triglyceride fats. If can't export into external fat, then fatty liver. ...Read more

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Had ULQ pains 7months. ct, bile duct eus & Mrcp done 6 months apart all fine.Amalyase , faecal elastase fine. Rule out pancreas problem?

Had ULQ pains 7months. ct, bile duct eus & Mrcp done 6 months apart all fine.Amalyase , faecal elastase fine. Rule out pancreas problem?

Yes: I would think that excludes pancreas problems. Left upper quadrant pain is usually related to stomach, spleen, or very commonly-difficulty with stool getting around the splenic flexure of the colon. Lookup "splenic flexure syndrome" on the internet ...Read more

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Are pancreas elastase stool results affected by pancreatic enzyme replacement therapy, such as Creon? If so, how long to stop Creon before test?

Are pancreas elastase stool results affected by pancreatic enzyme replacement therapy, such as Creon? If so, how long to stop Creon before test?

Pancreatic elastase: https://www.gdx.net/core/one-page-test-descriptions/Pancreatic-Elastase-Test-Description.pdf it appears pancreatic elastase is not affected by exogenous pancreatic enzymes replacement. ...Read more