Doctor insights on:
What Does Elevated Pancreatic Enzymes Mean
Short answer: No:
Most often if a malignant mass presses on the ductal system of liver or panc. (see picture), it can cause abn. Blood enzymes. If the mass is small and ducts drain, routine enzymes are usually normal.
Gilbert Syndrome, a genetic abn. Of up to 7% of folks, has the significance like your fingerprints, and is discussed nicely in: http://ghr. Nlm. Nih. Gov/condition/gilbert-syndrome ...Read more
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
Had. Mri of liver and pancreas because of elevated liver enzymes, healthy female not ill, what may the results be?
Anything: Your MRI may be normal or may be abnormal depending on what the findings are. If your liver enzymes are caused by some sort of blockage in the bile pathways, MRI might be able to reveal that. However, if your liver enzymes are caused by a hepatitis or increase fat contents, MRI may be negative. ...Read more
I had elevated pancreatic enzyme levels at a doc visit a week ago. My ultrasound isn't until two weeks from now, will whatever is wrong still show up?
Maybe not: Are you symptomatic at this time, that may warrant a more expedient and aggressive evaluation? ...Read more
Are pancreatic enzymes (amylase and lipase) always elevated if pancreatic cancer is present?? What about insulin blood level?
I've had a CT scan, ultra sound, and xray of my stomach area with all results negative; however one of my pancreas enzymes is elevated. Other causes?
Need more informatio:
We need more information as to what your symptoms are, why the cat scan and ultrasound was ordered, whether you drink alcohol and how much, any meds you are taking and which enzyme is elevated and the exact numbers. Than only I will be able to comment on your case
it is best you dicuss with the doctor who examined you and ordered the tests. ...Read more
Elevated liver enzymes (ALT- 85, AST- 75). Normal liver/gall bladder ultrasound. Amylase was elevated but has normalised. Pain on LEFT side. Pancreas?
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, if you drink alcohol, stop entirely, if you are even slightly overweight, lose weight and discuss any medications, including over the counter ones, with your doctor.
For good health - Have a diet rich in fresh vegetables, fruits, whole grains, milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Drink enough water daily, so that your urine is mostly colorless. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form.
Practice safe sex, if you have sex. ...Read more
Mom has jaundice w elevated liver enzymes, and elevated amylase and lipase. Ct w contrast was done, no tumors seen. Could this be pancreatic cancer?
It is unclear: Hi kitten40047. The jaundice and elevated enzymes are concerning. It is reassuring to hear that the ct was negative. There may be other reasons for her symptoms. However, in the absence of any other explanation for the symptoms she has, you may want to have mom undergo additional tests, including perhaps MRI or endoscopy, which may shed more light on the pancreatic and liver areas. ...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
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 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
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
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?
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 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
Pancreas: Nope. Not often tested unless there is a reason. ...Read more
There are some: Digestive enzymes which are not pancreatic enzymes. ...Read more
Chronic pancreatitis are there any known drugs that can stop the enzymes from destroying the pancreas? In trials?
Haven't heard of...: Haven't heard of a successful treatment to block the secretion or damaging effect of the pancreatic enzymes (the G.I. Specialists have tried some meds to decrease secretion on enzymes). ...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
Does the pancreas treat olestra fatty acids similar to traditional fats/oils? Is the amount of enzymes produced the same in both cases?
No.: Lipase is the pancreatic enzyme that splits (hydrolyzes) triglycerides in oils into fatty acids and monoglycerides. Lipase does not act on olestra, so olestra leaves the digestive tract undigested. This is why olestra has no usable calories. I do not know the answer to the question about degree of stimulation of lipase secretion by olestra vs. Other fats/oils. ...Read more
Acute necrotiz pancreatitis led to chronic 5 yrs. Now daily problems. Started enzymes, helping. Never drank, healthy. Long term pancreas outlook?
Unknown: I would follow up with Gerontologist. There is a chance of chronic pancreas problems and malabsorbtion ...Read more
Yes for some...: Virtually all supplements have possible side effects. Most people tolerate pancreatic enzymes well but people with gastritis/ sensitive stomachs often will experience stomach pain/irritation from taking protease enzymes that are included in most enzyme supplements. Some people may get loose stools from enzymes. It is also possible to react to fillers/binders/additives in any med or supplement. ...Read more
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