Discussions By Condition: Gastrointestinal conditions

Is this Acute Pancreatitis? Please help!!!

Posted In: Gastrointestinal conditions 1 Replies
  • Posted By: sam2008
  • May 25, 2008
  • 06:02 AM

For the last 6 weeks, my mother (63) is suffering from several digestive problems.

She has been on BP controlling drugs and cholesterol (statins) for ~10 years. Since last year, she has been taking Risofos to control her osteoporosis.

In April 08, she had a bout of vomiting for several days. She kept complaining about a mild discomfort (no severe pain though) in epigastric area. After vomiting for several days, she has dehydrated and had to be hospitalized. Spent 3 days in ICU with low levels of Sodium (102) and potassium (2.5). After a week when electrolytes were stable, she was discharged.

At the time of admission she had the following report:
- serum amylase 68
- serum lipase 73.
- bilurubin/uric acid - within range (don't the exact number)
- serum calcium 8.6 mg/dl
- abdomen ultrasound - no gallstones

The report also shows that she had mild tenderness in supra periumbilical region.

Since she has been discharged (> 3 weeks ago), the discomfort in epigastric area has not subsided. She also cannot eat anything heavy. She feels full after a small diet and the discomfort increases after meals (lasts for several hours throughout the day).

The Dr. has asked for MRCP test (followed by ERCP) suspecting it is acute pancreatitis (AP). Her current serum amylase is 68 and serum lipase is 96 (normal <60).

Could this be acute pancreatitis or something else? Most medical literature cite that amylase/lipase level over >3x is considered acute pancreatitis.

Although she seems to have some symptoms of AP, the amylase/lipase levels are nowhere near the level where it should be diagnosed as AP.

Any help on this matter is highly appreciated.

Thanks a lot.
Sam

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1 Replies:

  • Hello, so sorry your mother is going through this. I am NOT a doctor and would never try and diagnose anyone. With that being said. I would definately consider that but, with esopigeal pain you may want to consider the posibility of heart issues. As crazy as that sounds the two can be related.
    zephyr 10 Replies Flag this Response
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