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Suggest Treatment For Diarrhea And Elevated Lipase Level Of 1123
Question: I went to the hospital today for pain in the rear back and side on the right. I did have diarrhea and my stomach felt queezy. The blood work showed an elevated lipase of 1123. The cat scan said there was a probable 7mm cyst on the liver. They discharged me with no medications and just to see my primary doctor. What should I do....
Brief Answer:
You might have chronic pancreatitis
Detailed Answer:
Hello,
1) Serum Lipase of 1123 is a concern.
2) Symptom of pain in abdomen + back, high Lipase level indicate possibility of chronic pancreatitis.
It is a condition of pancreas in which structural changes happen into it in term of fibrosis and this lead to obstruction of pancreatic duct, stone formation in pancreatic duct.
3) Most common cause for it is alcohol, very high level of cholesterol, migrated gall bladder stone in pancreatic duct, structural abnormality in pancreas
4) Cyst of 7mm size in liver is not a concern.
5) You might need further evaluation to find out cause for elevated Lipase value and for that you need CBC, USG abdomen, MRCP or CT scan abdomen.
6) Once chronic pancreatitis would be confirmed then appropriate treatment will be started for pain control, prevention of infection and appropriate treatment towards cause of it.
Dr Happy
You might have chronic pancreatitis
Detailed Answer:
Hello,
1) Serum Lipase of 1123 is a concern.
2) Symptom of pain in abdomen + back, high Lipase level indicate possibility of chronic pancreatitis.
It is a condition of pancreas in which structural changes happen into it in term of fibrosis and this lead to obstruction of pancreatic duct, stone formation in pancreatic duct.
3) Most common cause for it is alcohol, very high level of cholesterol, migrated gall bladder stone in pancreatic duct, structural abnormality in pancreas
4) Cyst of 7mm size in liver is not a concern.
5) You might need further evaluation to find out cause for elevated Lipase value and for that you need CBC, USG abdomen, MRCP or CT scan abdomen.
6) Once chronic pancreatitis would be confirmed then appropriate treatment will be started for pain control, prevention of infection and appropriate treatment towards cause of it.
Dr Happy
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you for your response.....How do you confirm that it may be chrontic pancreatitis and if confirmed what is the appropriate treatment.....
Brief Answer:
Primary treatment is for pain relief
Detailed Answer:
Hello,
I apologize for late reply
1) Chronic pancreatitis is a radiological diagnosis mainly and changes in pancreatic tissue, pancreatic duct are confirmed on MRI abdomen and contrast enhanced CT scan abdomen.
2) Treatment for chronic pancreatitis is mainly for pain relief.
3) If damage to pancreatic tissue and pancreatic duct is severe then surgery is required.
Primary treatment is for pain relief
Detailed Answer:
Hello,
I apologize for late reply
1) Chronic pancreatitis is a radiological diagnosis mainly and changes in pancreatic tissue, pancreatic duct are confirmed on MRI abdomen and contrast enhanced CT scan abdomen.
2) Treatment for chronic pancreatitis is mainly for pain relief.
3) If damage to pancreatic tissue and pancreatic duct is severe then surgery is required.
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Prasad
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