How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 31049
Experience:  Experienced Physician trained in New York City. I'm ready to help.
41363181
Type Your Medical Question Here...
Dr. David is online now
A new question is answered every 9 seconds

How can you reduce Lipase level? It is 614. Is there medication

Resolved Question:

How can you reduce Lipase level? It is 614. Is there medication available. Amalase is within the normal range.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
Hello, this is Dr. David. I have read your question and am ready to help.

no, there are no mediations to decrease lipase.

the only treatment is to resolve the issue which elevated the lipase. lipase can be elevated becaue of many issues. was your lipase elevated because of pancreas inflammation and alcohol use? how much alcohol were you drinking before? if you have reduced your alcohol intake, this will eventually calm down the pancreatic inflammation if it is pancreatitis.
Customer: replied 2 years ago.
Dr. David.

I originally sought medical help because I lost about 10 pounds over the course of nine months. All blood work and resulting tests were normal, including liver enzymes, etc., except for the lipase, which has steadily increased despite only limited alcohol intake. And I mean very limited. Prior to that, I would drink moderately only.

There are no symptoms associated with pancreatitis, no blood in stool, no nausea, no trouble eating or digesting, no abdominal pain. Nothing. I don't know the issue that elevated the lipase.

I have gained eight pounds in the last few months and still gaining, so I'm searching for any answers that might explain the elevated lipase.

Are there any other issues that I should check? After the colonoscopy, the doctor who performed the procedure asked why I had it done, and I explained the weight loss issue and possible pacreatitis and he told me to keep looking. Combine this with the CT being normal, and after the endoscopy, the same doc said there was a minor stomach irritation and I was prescribed omeprazole (40 mg 1x)and still on it.

Your advice is very much appreciated.

Mark

Mark

Expert:  Dr. David replied 2 years ago.
sometimes we don't find the reason for the elevated lipase.

if you pass a small gall stone this can elevate lipase. if you have a small bit of pancreas inflammation, you can have elevated lipase.

if your lipase is coming down, whatever caused it is resolving so that is good.

I wouldn't sweat the lipase too much. if all the testing is normal, that is fine.

good luck
Customer: replied 2 years ago.
Actually, the lipase went up, from 541 to 614 in the last three months. All the other testing is normal, and I am told to test it again in the next three months.

So just wait it out and not to sweat it?

Mark



Expert:  Dr. David replied 2 years ago.
541 up to 614 is not a huge jump. if you are asymptomatc that is good. you have had a colonoscopy and CT scan and lab work already.

yes, I would agree with your doctors and get repeat testing and just keep watching and try not to stress too much about it.
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 31049
Experience: Experienced Physician trained in New York City. I'm ready to help.
Dr. David and 3 other Medical Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions