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Test showed high lipase value. What could be the reason?

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Practicing since : 2008
Answered : 1197 Questions
Hello Doctor,

I've underwent a comprehensive medical test and the medical report containing my test results are attached herewith. The report says my LIPASE value is high. I DO NOT drink and DO NOT smoke. Please give me detailed suggestions and recommendations for each and every test I've taken by looking into my report.

Thanks !!
Posted Tue, 12 Nov 2013 in Digestion and Bowels
Answered by Dr. Anjana Rao Kavoor 1 hour later
Brief Answer:
Please find detailed answer below

Detailed Answer:
Thanks for writing in to us.

I will explain report findings and their meaning.

Page 1

Amylase is normal. This means you do not have any pancreas related significant problems.

Page 2

Serum chloride levels are normal. This means your chloride level is normal.

Page 3

Serum iron, total iron binding capacity and % transferrin saturation are normal.
This shows you do not have iron deficiency and associated problems.

Page 4

Calcium, Sodium, uric acid and kidney function tests are normal.

Page 5

Lipase is mildly raised. Lipase levels may be at abnormally high levels if a patient is experiencing:
acute pancreatitis (a sudden inflammation of the pancreas)
•chronic pancreatitis (long term inflammation of the pancreas)
•pancreatic cancer
•severe gastroenteritis (or “stomach flu”)
cholecystitis (inflammation of the gallbladder)
celiac disease (allergy to gluten)

This may be discussed with your doctor. An elevated lipase should not be equated with evidence for pancreatitis if the amylase is normal. You can have a high lipase level even when you do not have any problems with your pancreas. A test for amylase, another enzyme produced by the pancreas, is often done at the same time as a test for lipase.

Page 6

Lipid profile (cholesterol numbers) are normal. This means you have no significant increased risk of heart disease.

Page 7

Liver function tests are almost all normal.

Page 8

Thyroid function tests are normal. You have no thyroid related problems.

I hope this helps.
Do write back in case of doubts.

Dr.A.Rao Kavoor
Above answer was peer-reviewed by
Follow-up: Test showed high lipase value. What could be the reason? 27 minutes later
Thanks Dr.A. XXXXXXX for your answers.

I have another clarification. Though I am on insulin and tablets my recent and latest medical report states that my sugar tests are , FBS : 145 and PPS : 209 respectively. Kindly suggest that whether this is abnormal and too high and also suggest me a good diet plan for this.

Thanks and Regards,
Answered by Dr. Anjana Rao Kavoor 5 hours later
Brief Answer:
Please find detailed answer below

Detailed Answer:
You are welcome and thanks for writing in with an update.

The normal range of blood sugar is. RBS - 70-130mg/dl; FBS - 70-115mg/dl; PPBS-70-140mg/dl. Your FBS and PPBS looks slightly above normal range. Please get glycosylated hemoglobin (HbA1C) test as this gives sugar control for last 3 months and is more reliable indicator for diabetes control.

A sample diabetic diet recommended for Indians may include the following

Fenugreek seeds with 1 cup of water     
Tea (without sugar)     1 cup      XXXXXXX Biscuits     2

Stuffed methi/palak /lauki paratha     2 small

Curd     50 gm (1 cup)     
Egg white / Paneer Bhurji     1 medium bowl
Plain roti (no oil )     2 small
Vegetable poha/upama/oats/daliya     1 soup bowl

MID MORNING XXXXXXX /guava/orange     1

Salad (10 mins before lunch)     1 Medium bowl
Capsicum + gobhi veg     1 medium bowl
Dal     1 soup bowl
Phulka (no ghee)     2

Milk / green tea / herbal tea / lemon water     1 cup
Roasted chana + Puffed rice     1 cup

Salad (10 mins before dinner)               
Phulka (no ghee)     2
Lauki veg     1 cup     
Curd     1 cup

Skim Milk (no sugar)     1 glass

I hope this helps.
Do write back in case of doubts.

Dr.A.Rao Kavoor
Above answer was peer-reviewed by
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