Sir, I have epigastric and burning pain in my epigastric region and also in back with bloating. There is always pain and burning in the abdomen. I have taken a lot of medicine but not permanent relief. I am sharing my report that says cholecystitis. Will my gall bladder be removed? I also have grade one fatty liver and some enzymes are a little high like amylase and lipase. Amylase is always under 120 but lipase a little high, first time 64. What happened with me? Is this pancreatitis or cholecystitis? Please help. What will happen in this matter?

Question

Dr. Vasanthasree Nair · Accepted Answer

Your symptoms could be from either chronic cholecystitis or early pancreatitis, especially with fatty liver and mildly raised enzymes. If lipase is only slightly raised and amylase normal, pancreatitis is unlikely. Gallbladder removal may be considered if stones or chronic inflammation is confirmed on ultrasound or symptoms persist despite meds.

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