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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Left Sided Facial And Hand Swelling Related To Elevated Level Of Liver And Pancreatic Enzymes?

hello, I had an ERCP done about 3 weeks ago... liver enzymes where in the 1000s... I am 27 years... I then got pancreatitis lipase was in the 1000's also, i had a pancrease stent put in and it made my levels drop down... and I am still having diarreha and pain, I also woke up last night with left side facial and hand swelling... could this be related??
Mon, 22 Feb 2016
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General & Family Physician 's  Response
Hi thanks for asking question.
If you have chronic or very severe liver disease then liver is affected and it is unable to function properly.
Liver cannot produce albumin which is necessary to maintain oncotic pressure in blood.So defective albumin production lead to decreased oncotic pressure and patient suffer edema.
The effective blood volume decreased in cirrhosis , so compensatory increased ADH also lead to sodium and water retention to produce edema.
In systemic vein pressure also increased.
If edema increasing with ascites diuretic can be given.
For pancreatitis symptomatic management done.Rest your Gastrointestinal tract with not taking solid food for few days.
So yes this swelling can be because of liver problem.
I hope i have solve your query.
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Is Left Sided Facial And Hand Swelling Related To Elevated Level Of Liver And Pancreatic Enzymes?

Hi thanks for asking question. If you have chronic or very severe liver disease then liver is affected and it is unable to function properly. Liver cannot produce albumin which is necessary to maintain oncotic pressure in blood.So defective albumin production lead to decreased oncotic pressure and patient suffer edema. The effective blood volume decreased in cirrhosis , so compensatory increased ADH also lead to sodium and water retention to produce edema. In systemic vein pressure also increased. If edema increasing with ascites diuretic can be given. For pancreatitis symptomatic management done.Rest your Gastrointestinal tract with not taking solid food for few days. So yes this swelling can be because of liver problem. I hope i have solve your query.