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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Does Stomach Cramps Along With Low Liver Enzymes Indicate?

Hi, I have pancolitis and am having bad stomach cramping, bloating in the abdomen, nausea, vomiting, extreme fatigue, and loss of appetite. Had an ultrasound and it was unremarkable but my blood work showed a lipase of 230 and low liver enzymes. I m not sure what this means and was informed my liver and or pancreas could be having problems because of the pancolitis. What s your opinion and what could this mean for me?
Tue, 29 Mar 2016
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General & Family Physician,  's  Response
Hi thanks for asking question

Noted you have raised serum lipase.So yes liver and pancreatic disease has to be investigated.

Simply first you can do your USG abdomen.
It might show findings related to pancreatitis.It can also reveal any liver pathology if present.LFT also can be done if needed.it will rule out Possibility of hepatitis.
Meanwhile here you have to rest your GI tract if pancreatitis.Otherwise semisolid diet can be taken.with more fruits.Drin enough water with maintainance of hydration.
Excess fatty food avoided.Avoid smoking.

Antibiotic can be taken.

If still no benefit colonoscopy done for pancolitis with subsequent biopsy for further work up.

Take care.

Dr.Parth Goswami

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What Does Stomach Cramps Along With Low Liver Enzymes Indicate?

Hi thanks for asking question Noted you have raised serum lipase.So yes liver and pancreatic disease has to be investigated. Simply first you can do your USG abdomen. It might show findings related to pancreatitis.It can also reveal any liver pathology if present.LFT also can be done if needed.it will rule out Possibility of hepatitis. Meanwhile here you have to rest your GI tract if pancreatitis.Otherwise semisolid diet can be taken.with more fruits.Drin enough water with maintainance of hydration. Excess fatty food avoided.Avoid smoking. Antibiotic can be taken. If still no benefit colonoscopy done for pancolitis with subsequent biopsy for further work up. Take care. Dr.Parth Goswami