Lipase Test Price in Pakistan: Rs 1,050 at Marham Lab

Lipase is a digestive enzyme that helps your body digest fats. MedlinePlus explains that most of your lipase is made in your pancreas, an organ behind the lower part of your stomach, with smaller amounts made in the salivary glands and the stomach. It is normal to have a small amount in your blood, though if the cells of your pancreas are damaged they release larger amounts. At Marham Lab a lipase test costs Rs 1,050, reduced from Rs 1,500.

Severe Belly Pain Spreading to Your Back Needs a Hospital

Read this first, because for the condition this test is best at finding, waiting for a report is the wrong move.

MedlinePlus lists the symptoms that prompt a lipase test.

• Pain in your abdomen that may spread to your lower back
• Nausea and vomiting
• Diarrhoea
• Swollen or tender belly
• Fever
• Fast heartbeat
• Jaundice, or yellowing of the skin and eyes

MedlinePlus states that a very high level of lipase is usually a sign of acute pancreatitis, which it describes as a sudden, short-term condition. Severe upper abdominal pain boring through to the back, with vomiting and fever, is how acute pancreatitis presents, and it is managed in hospital rather than at home.

If that is your situation, go to an emergency department. The blood test will be done there, faster, alongside the examination and imaging that actually decide treatment.

Lipase or Amylase

Both appear on prescriptions for abdominal pain and they cost almost the same here.

MedlinePlus describes the lipase test as used to help diagnose diseases of the pancreas, especially acute pancreatitis, and notes that a lipase test is commonly used to diagnose pancreatitis. Lipase is the more pancreas-specific of the two, since amylase is also produced in significant amounts by the salivary glands.

Doctors frequently order both together. Book what your prescription lists rather than choosing the cheaper line, because the pair is read against each other.

What Else the Test Is Used For

MedlinePlus lists the other uses beyond acute pancreatitis.

• Checking whether treatment for pancreatic disease is working
• Helping diagnose and monitor chronic diseases affecting the pancreas, including cystic fibrosis, Crohn's disease and coeliac disease
• Helping diagnose injury or blockage of the intestines
• Helping diagnose peritonitis, inflammation of the tissue lining the abdominal wall
• Helping diagnose pancreatic cysts

If coeliac disease is the question rather than the pancreas, the [tissue transglutaminase test](/labs/tests/celiac-test-price) is the one that addresses it directly. If long running diarrhoea is the problem, [stool calprotectin](/labs/tests/calprotectin-test-price) separates inflammatory bowel disease from irritable bowel syndrome.

What a High Result Can Mean

MedlinePlus separates a very high level from a moderately raised one.

A very high level is usually a sign of acute pancreatitis.

Higher than normal levels may be caused by the following.

Low levels of lipase may be a sign of permanent damage to the pancreatic cells that make it. MedlinePlus notes this may happen in certain long lasting diseases such as cystic fibrosis and chronic pancreatitis.

An Abnormal Result Is Not Automatically a Disease

MedlinePlus is clear that if your lipase levels are not normal, it does not always mean you have a condition needing treatment, and that many medicines can affect your lipase levels. It names codeine, diuretics which are often called water pills, certain cholesterol medicines, and birth control pills.

Codeine appears in common cough syrups and painkillers sold here, and diuretics are widely prescribed for blood pressure. Both are worth declaring.

Acute and Chronic Pancreatitis Are Different Problems

MedlinePlus draws the distinction clearly, and it changes what happens next.

Acute pancreatitis is a sudden, short-term condition that can usually be cured with treatment.

Chronic pancreatitis is a long-lasting condition that gets worse over time, though MedlinePlus notes it can be managed with medicine and lifestyle changes, specifically naming not drinking alcohol, not smoking, and being at a healthy weight. It adds that in certain cases a provider may recommend surgery if other treatments do not help enough.

So a first severe attack and a years-long pattern of pain are handled differently, and the lipase result is read in that context.

How to Prepare

This test does need preparation, unlike most on our list.

MedlinePlus states you may need to fast for 8 to 12 hours before a lipase blood test. An early morning appointment is easiest, since most of the fast passes while you sleep. Water is fine.

It also notes certain medicines and supplements can affect results, and that your provider will tell you whether to stop any beforehand. Do not stop any medicine unless your provider tells you to.

What Happens During the Test

A trained phlebotomist takes a small blood sample from a vein in your arm using a small needle. MedlinePlus notes it usually takes less than five minutes and that you may feel a little sting as the needle goes in or out. There is very little risk beyond slight pain or bruising, which settles quickly. In Lahore the sample can be collected at your home at no extra cost, which also makes the overnight fast easier to manage.

اردو میں

لائپیز ایک ہاضمے کا انزائم ہے جو چکنائی ہضم کرنے میں مدد دیتا ہے۔ یہ زیادہ تر لبلبے یعنی پینکریاز میں بنتا ہے۔ خون میں اس کی تھوڑی مقدار ہونا نارمل ہے، لیکن اگر لبلبے کے خلیوں کو نقصان پہنچے تو یہ زیادہ مقدار میں خون میں آ جاتا ہے۔

سب سے پہلے ایک ضروری بات۔ اگر پیٹ کے اوپری حصے میں شدید درد ہو جو کمر تک جائے، ساتھ قے، بخار اور دل کی دھڑکن تیز ہو، تو یہ لبلبے کی شدید سوزش کی علامت ہو سکتی ہے۔ ایسی صورت میں ٹیسٹ کروا کے رپورٹ کا انتظار نہ کریں، فوراً ہسپتال جائیں۔ یہ بیماری ہسپتال میں ہی سنبھالی جاتی ہے۔

لائپیز اور ایمائلیز دونوں پیٹ کے درد میں تجویز کیے جاتے ہیں اور ان کی قیمت تقریباً ایک جیسی ہے۔ لائپیز لبلبے کے بارے میں زیادہ درست معلومات دیتا ہے، کیونکہ ایمائلیز لعاب کے غدود میں بھی بنتا ہے۔ ڈاکٹر اکثر دونوں ساتھ کرواتے ہیں، اس لیے نسخے کے مطابق ہی کروائیں۔

مقدار بہت زیادہ ہونے کا مطلب عام طور پر لبلبے کی شدید سوزش ہوتا ہے۔ تھوڑی زیادہ ہونے کی وجوہات میں گردوں کی پرانی بیماری، معدے کا السر، پتے کی بیماری، آنتوں کی رکاوٹ، ذیابیطس، لعاب کے غدود کی بیماری، اور شراب نوشی شامل ہیں۔

ایک اور ضروری بات۔ رپورٹ غیر معمولی آنے کا مطلب ہمیشہ بیماری نہیں۔ کئی دوائیں لائپیز پر اثر ڈالتی ہیں، جیسے کوڈین والی دوائیں، پیشاب بڑھانے والی دوائیں، کولیسٹرول کی کچھ دوائیں، اور مانع حمل گولیاں۔ یہ سب ڈاکٹر کو بتائیں۔

اس ٹیسٹ سے پہلے آٹھ سے بارہ گھنٹے بھوکا رہنا پڑتا ہے، اس لیے صبح کا وقت لینا آسان رہتا ہے۔ پانی پی سکتے ہیں۔ مرہم لیب میں اس ٹیسٹ کی قیمت ایک ہزار پچاس روپے ہے اور لاہور میں گھر سے نمونہ لینے کی سہولت مفت ہے۔

Final Thoughts

Lipase is the better of the two pancreas enzymes and the one worth booking if a doctor has written only one. Three things make it useful. Fast properly for 8 to 12 hours, because this is one of the few tests on our list where that is required rather than optional. Declare codeine, water pills and the contraceptive pill, since all of them move the result. And if the pain is severe and reaching your back right now, the destination is an emergency department rather than a collection point.