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What Do My Lab Test Results Indicate?

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Posted on Fri, 19 Aug 2016
Question: A 28 Years male patient hospitalizaed with complaints of severe pain in abdomen with irregular Bowels since 2 days and diagnosed to have? Acute pancreatitis with Fatty Liver. As per Investigations – Serum Urea 20 mg/dl, Serum Bilirubin – 2.93 mg/dl, Serum Direct Bili – 1.02, Serum Indirect Bili – 1.91 mg/dl, SGPT 44 U/L, SGOT – 66 U/L, as per USG Pancreas is inflamed shows Acute Pancreatitis with Hepatomegaly with Fatty Changes. GB distended, no calculus seen. Walls are normal. Amylase / Lipase test not done.
Liver is enlarged and shows fatty changes.

Patient was treated with IV antibiotics, antacids, Tab Livadal 300, Cardace 10, Tab Ifapride, Dytor 5.

On discharge advice avoid Alcohol, spicy food.

Patient is having history of occasional alcoholism.

We request you to please opine the probable cause of pancreatitis, whether it is related to Alcohol or any pathological condition. If not becouse of Alcohol then what might be the other cause for pancreatitis in this case.
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Answered by Dr. Anshul Varshney (1 hour later)
Brief Answer:
Acute Pancreatitis is the probable diagnosis

Detailed Answer:
Welcome to Healthcaremagic.
Hi, I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.

Acute hepatitis is commonly associated with Acute Pancreatitis and Alcohol is the most common cause behind it.

However, there are many other causes too. Common ones are Gall bladder stones, High Triglyceride levels, Viral infections, Carcinoma head of pancreas, many drugs like Gliptins, antibiotics.

Even occasional alcohol consumption can be associated with Acute Pancreatitis, so that is kept as the first possibility in a person with acute pancreatitis with history of alcohol consumption.

Cysts , Psuedocysts can be ruled out on CT Scan of abdomen, that must have been performed and have been detected if any.

So, i would recommend you to get his Lipid profile done, and if any deranged levels of triglycerides found, should be treated.

This is my personal opinion based on details available here. If you still have any other query, you may please ask me.
Stay Healthy.
Dr Anshul Varshney , MD
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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What Do My Lab Test Results Indicate?

Brief Answer: Acute Pancreatitis is the probable diagnosis Detailed Answer: Welcome to Healthcaremagic. Hi, I am Dr Anshul Varshney , I have read your query in detail , I understand your concern. Acute hepatitis is commonly associated with Acute Pancreatitis and Alcohol is the most common cause behind it. However, there are many other causes too. Common ones are Gall bladder stones, High Triglyceride levels, Viral infections, Carcinoma head of pancreas, many drugs like Gliptins, antibiotics. Even occasional alcohol consumption can be associated with Acute Pancreatitis, so that is kept as the first possibility in a person with acute pancreatitis with history of alcohol consumption. Cysts , Psuedocysts can be ruled out on CT Scan of abdomen, that must have been performed and have been detected if any. So, i would recommend you to get his Lipid profile done, and if any deranged levels of triglycerides found, should be treated. This is my personal opinion based on details available here. If you still have any other query, you may please ask me. Stay Healthy. Dr Anshul Varshney , MD