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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Upper Abdominal Swelling, High Lipase. Calorie Restricted Diet. Is It Pancreatitis?

I have upper abdominal swelling and have put on about 9 pounds in two months with no change in diet. I have tried calorie restricted but the pounds won't budge. I was recently diagnosed with high lipase. I believe the number was around 90 or 900 but was told for pancreatitis it would need to be in the 10,000s. What else could it be?
Mon, 23 Sep 2013
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Gastroenterologist,  's  Response
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).

Elevation of lipase more than three times the normal limit level is cosidered to be significant. So level of 900 is significant and suggestive of pancreatitis or pseudocyst formation as you have swelling in upper abdomen. So I will advise you to get an ultrasound abdomen to see for the pancreas and manage accordingly

I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
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Upper Abdominal Swelling, High Lipase. Calorie Restricted Diet. Is It Pancreatitis?

Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM). Elevation of lipase more than three times the normal limit level is cosidered to be significant. So level of 900 is significant and suggestive of pancreatitis or pseudocyst formation as you have swelling in upper abdomen. So I will advise you to get an ultrasound abdomen to see for the pancreas and manage accordingly I hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.