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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Abdomen Pain And Elevated Lipase Levels

I am 43 years old and have classic gallbladder pains and symptoms, HOWEVER, I had and ultra sound and Ct scan and they are negative.
My blood alt and ast and lipase are elevated.
I have pain in my upper right abdomen and need to know what my next step is. can you help or suggest what I should do?
Mon, 12 May 2014
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General Surgeon 's  Response
HI.
The enzymes are elevated , means there can be a problem with the head of the pancreas. This is as per your symptoms.
You need a MRI for the area to get a proper diagnosis, and also an ERCP ( endoscopy )...
Get a proper diagnosis under the care of a Gastroenterologist.
Till then stop fatty foods.
take plenty of oral fluids if tolerated.
If not possible to take orally, you may need an admission and further management.
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Suggest Treatment For Abdomen Pain And Elevated Lipase Levels

HI. The enzymes are elevated , means there can be a problem with the head of the pancreas. This is as per your symptoms. You need a MRI for the area to get a proper diagnosis, and also an ERCP ( endoscopy )... Get a proper diagnosis under the care of a Gastroenterologist. Till then stop fatty foods. take plenty of oral fluids if tolerated. If not possible to take orally, you may need an admission and further management.