Amylase, Lipase & Scans – How Pancreatitis Is Diagnosed ft- Vaidya Shikha Prakash
Автор: Vaidya Balendu Prakash
Загружено: 2025-04-18
Просмотров: 1123
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Harsh, a former pancreatitis patient treated at Padaav, sits down with Vaidya Shikha Prakash to answer some of the most common questions people have about pancreatitis—its symptoms, diagnosis, and complications. The conversation begins by addressing a simple yet crucial question: how to differentiate between normal stomach pain and pancreatitis pain. Shikha explains that pancreatitis pain is significantly more intense, typically starts in the upper abdomen, radiates to the back, and worsens with food intake.
They then explore how doctors diagnose pancreatitis. Initially, an emergency visit leads to blood tests where two key enzymes—amylase and lipase—are checked. If these are elevated during the time of pain, pancreatitis is likely. An ultrasound is often the first imaging test, but due to gas or positioning, it may not always give a clear view of the pancreas. That’s where a CT scan or MRI helps in assessing the severity and detecting complications. MRCP (Magnetic Resonance Cholangiopancreatography) is also used to get a detailed look at the pancreatic and bile ducts.
The discussion then shifts to ERCP—a test that’s diagnostic, therapeutic, and sometimes a trigger. ERCP is done when there's suspicion of ductal blockage or the need for stent placement, but in rare cases, it can itself lead to acute pancreatitis due to its invasive nature.
One of the most asked questions Harsh encountered on his YouTube video was whether high triglyceride levels can cause pancreatitis. Shikha confirms that elevated triglycerides—especially above 500 or 1000 mg/dL—are a known trigger for acute pancreatitis. This condition, called hypertriglyceridemia-induced pancreatitis, is increasingly being seen even in younger patients and can be caused by diet, poor sleep, genetic factors, and other lifestyle issues.
Another important topic discussed is the link between pancreatitis and diabetes. Since the pancreas produces both digestive enzymes and insulin, severe inflammation or necrosis can damage insulin-producing cells, leading to a form of diabetes known as Type 3c or pancreatogenic diabetes. This can be temporary or permanent depending on the severity of the disease and other risk factors like genetics or obesity.
Harsh also brings up a concern many have today—whether COVID-19 could be a trigger for pancreatitis. Shikha explains that while COVID is not a direct cause, several research papers indicate that viral infections, including COVID, can aggravate or trigger pancreatic inflammation, especially in those already prone to it.
They also discuss the need for repeated tests. Many patients, out of anxiety, keep getting amylase, lipase, CT scans, or MRCPs done even when asymptomatic. Shikha advises against unnecessary testing unless there are new symptoms like significant weight loss, malabsorption, or recurring pain. In some cases of progressive disease, a follow-up scan may be recommended every two years—but only if advised by a doctor.
In conclusion, Harsh reminds viewers that pancreatitis, while painful and sometimes scary, is treatable. The key lies in timely diagnosis, informed decisions, and getting treatment from the right place. With the right knowledge and support, life after pancreatitis is not only possible—it can be healthy and normal again.
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Disclaimer:
The views, information, opinions, and beliefs expressed in this video are personal to the speaker and shared in good faith. It is not meant to replace medical advice or treatment. Viewers are encouraged to consult with a healthcare professional before making any changes to their health regimen. The results shown in this video may vary from person to person.
About the Channel-
Founded by Padmashri Vaidya Balendu Prakash, an acclaimed ayurvedic physician and researcher who is pioneer in introducing "Evidently Effective Protocol based Ayurvedic products treatment” for the patients of - Acute promyelocytic leukemia (APML, APL), Chronic Pancreatitis, Chronic Migraine, Childhood Asthma, Allergic Rhinitis and Nutritional Anaemia.
He was assigned honorary physician to the tenth President of India Shri Kocheril Raman Narayanan. He is also a recipient of Padmashree (1999) the fourth highest civilian award in the Republic of India.

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