Amylase Test ( Blood & Urine test )


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Amylase is an enzyme that helps digest carbohydrates. It is made in the pancreas and the glands that make saliva. When the pancreas is diseased or inflamed, amylase releases into the blood.
A test can be done to measure the level of this enzyme in your blood.
Amylase may also be measured with an amylase urine test.
Alternative Names

Amy test, serum amylase
How the Test is Performed

A blood sample is taken from a vein.
How to Prepare for the Test
 
For both a blood test and a urine sample, you should avoid alcohol for 24 hours before the test and for the blood test, you may be instructed not eat or drink anything other than water for two hours before blood is drawn. Certain medications can affect amylase levels, so discuss medications with your doctor before testing is done. DO NOT stop taking any medicines without first talking to your provider.
Drugs that can increase amylase measurements include:
Asparaginase
Aspirin
Birth control pills
Cholinergic medicines
Ethacrynic acid
Methyldopa
Opiates (codeine, meperidine, and morphine)
Thiazide diuretics
How the Test will Feel
You may feel slight pain or a sting when the needle is inserted to draw blood. Afterward, there may be some throbbing.
Why the Test is Performed

This test is most often used to diagnose or monitor problem with pancreas. It may also detect some digestive tract problems. An amylase urine test may be ordered along with or after an amylase blood test. Urine amylase results can help diagnose pancreatic and salivary gland disorders. One or both types of tests may be used to help monitor amylase levels in people who are being treated for pancreatic or other disorders.
The test may also be done for the following conditions:
Chronic pancreatitis
Pancreatic pseudocyst
Normal Results

The normal range is 40 to 140 units per liter (U/L) or 0.38 to 1.42 microkat/L (�µkat/L).
What Abnormal Results Mean

Increased blood amylase levels may occur due to:
Acute pancreatitis
Cancer of the pancreas, ovaries, or lungs
Cholecystitis
Gallbladder attack caused by disease
Gastroenteritis (severe)
Infection of the salivary glands (such as mumps) or a blockage
Intestinal blockage
Macroamylasemia
Pancreatic or bile duct blockage
Perforated ulcer
Tubal pregnancy (may have burst open)
Decreased amylase levels may occur due to:
Cancer of the pancreas
Damage to the pancreas
Kidney disease
Liver disease
Cystic fibrosis
Symptoms that can lead for amylase test

Your health care provider may order an amylase blood and/or urine test if you have symptoms of a pancreatic disorder. These symptoms include:
Nausea and vomiting
Severe abdominal pain
Loss of appetite
Fever
What other tests might I have along with this test?

Your healthcare provider may also order these tests:
Lipase
Tripsinogen
Hematocrit
Liver function tests
Abdominal CT
Amylase — Urine
This is a test that measures the amount of amylase in urine. 
How the Test is Performed

A urine sample is needed. The test may be performed using:
Clean-catch urine test
24-hour urine collection
Normal Results
The normal range is 2.6 to 21.2 international units per hour (IU/h).
What Abnormal Results Mean
An increased amount of amylase in the urine is called amylasuria. 
Increased urine amylase levels may be a sign of:
Acute pancreatitis
Alcohol consumption
Cancer of the pancreas, ovaries, or lungs
Cholecystitis
Ectopic or ruptured tubal pregnancy
Gallbladder disease
Infection of the salivary glands (called sialoadenitis, may be caused by mumps or a blockage)
Intestinal obstruction
Pancreatic duct obstruction
Pelvic inflammatory disease
Perforated ulcer
Decreased amylase levels may be due to:
Damage to the pancreas
Kidney disease
Pancreatic cancer
Toxemia of pregnancy
* Note: Normal value ranges may vary slightly among different laboratories. Talk to your health care provider about the meaning of your specific test results.The examples above show the common measurements for results for these tests. Some laboratories use different measurements or may test different specimens.
Source : https://www.ucsfhealth.org/tests/003464.html
https://www.ucsfhealth.org/tests/003607.html
https://medlineplus.gov/lab-tests/amylase-test/
https://labtestsonline.org/tests/amylase
https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&contentid=amylase_blood

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