Pancreatic disease, particularly acute pancreatitis, is often associated with elevations in amylase and lipase. Table 15-7 lists common causes of elevated amylase and lipase. Lipase levels have greater sensitivity and specificity for pancreatic disease than amylase levels. Because there are many different assays for amylase and lipase, with different reference ranges, physicians should consult their laboratory's reference range to determine their upper limits of normal. Amylase and lipase values increase 3 to 6 hours after the onset of acute pancreatitis, both peaking at approximately 24 hours. Amylase levels fall to normal in 3 to 5 days; lipase levels return to normal in 8 to 14 days. Because of exocrine insufficiency caused by recurrent pancreatitis, amylase levels tend to be lower when alcohol is the cause of pancreatitis, as opposed to gallstone or drug-induced pancreatitis. Pancreatitis is likely when the amylase is elevated to three times the upper limit of normal. When lipase levels are more than five times normal, pancreatitis is virtually always present. A normal amylase value, however, does not exclude pancreatitis, especially when induced by hypertriglyceridemia.
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One of the main home remedies that you need to follow to prevent gallstones is a healthy lifestyle. You need to maintain a healthy body weight to prevent gallstones. The following are the best home remedies that will help you to treat and prevent gallstones.