HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

What Do The Following Blood Test Reports Indicate?

default
Posted on Fri, 16 Dec 2016
Question: Blood tests show amy1 at 103 (normal range 7 - 59). What does this mean?

BUN is 28 normal range is 7.o to20.1

What is BUN? Is it a problem for it to be high?

creat1 is 2.13 normal range is .57 to 1.11

What is creat1? Is this important?

Lipase1 is 21. Normal range is 30 - 120

What is lipase? What could be the reason it's low?
doctor
Answered by Dr. Panagiotis Zografakis (1 hour later)
Brief Answer:
renal insufficieny is likely...

Detailed Answer:
Hello,

let me start from BUN (blood urea nitrogen). BUN is a byproduct of protein metabolism. It is a rough index of renal function. When it's elevated more than 20:1 in relation to creatinine it indicates dehydration. Otherwise it may mean renal insufficiency.

Creatinine is definitely high and indicates renal insufficiency. Since the BUN/creatinine ration is lower than 20:1 dehydration is not likely, so either acute or chronic renal failure is the diagnosis.

Amylase is an enzyme produced in the salivary glands and the pancreas. Elevated amylase raises concern for pancreatic injury (pancreatitis) but in your case it may mean that the kidneys cannot handle amylase well and its levels are raised somewhat.

Low lipase does not mean anything useful. Elevated lipase can be an indicator of pancreatitis. Both amylase and lipase are also markers of gastrointestinal injury. For example a high amylase may occur in perforations of various parts of the gastrointestinal tract.

So in conclusion, although you haven't provided any clinical information which is crucial for lab test interpretation, the most likely cause of these values is renal failure (chronic sounds more likely than acute). You'd better talk to a nephrologist for further assessment.

I hope it helps!
Please contact me again, if you'd like any clarification or more information.

Kind Regards!
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3810 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Do The Following Blood Test Reports Indicate?

Brief Answer: renal insufficieny is likely... Detailed Answer: Hello, let me start from BUN (blood urea nitrogen). BUN is a byproduct of protein metabolism. It is a rough index of renal function. When it's elevated more than 20:1 in relation to creatinine it indicates dehydration. Otherwise it may mean renal insufficiency. Creatinine is definitely high and indicates renal insufficiency. Since the BUN/creatinine ration is lower than 20:1 dehydration is not likely, so either acute or chronic renal failure is the diagnosis. Amylase is an enzyme produced in the salivary glands and the pancreas. Elevated amylase raises concern for pancreatic injury (pancreatitis) but in your case it may mean that the kidneys cannot handle amylase well and its levels are raised somewhat. Low lipase does not mean anything useful. Elevated lipase can be an indicator of pancreatitis. Both amylase and lipase are also markers of gastrointestinal injury. For example a high amylase may occur in perforations of various parts of the gastrointestinal tract. So in conclusion, although you haven't provided any clinical information which is crucial for lab test interpretation, the most likely cause of these values is renal failure (chronic sounds more likely than acute). You'd better talk to a nephrologist for further assessment. I hope it helps! Please contact me again, if you'd like any clarification or more information. Kind Regards!