Urinary amylase 600 IU/L in the elderly requires fasting and rehydration and suppression of pancreatic secretion if it is pancreatitis. If it is caused by other reasons, symptomatic treatment is needed.
If the elderly urine amylase is 600 IU / L, indicating the existence of the possibility of pancreatitis, should be related to the examination, while checking the blood lipid enzymes. The clinical manifestation of pancreatitis is epigastric pain, which is persistent and severe epigastric pain accompanied by nausea and vomiting. Abdominal ultrasound can detect pancreatic enlargement, and enhanced CT and nuclear magnetic can make precise judgment.
The treatment of pancreatitis includes fasting, rehydration, and inhibition of pancreatic fluid secretion. Clinically, mild pancreatitis can be cured within a week, while severe pancreatitis has a high mortality rate.
Elevated urinary amylase is also not necessarily caused by pancreatic inflammation, but can also be caused by intestinal obstruction, gallbladder stones, mumps, acute abdomen, gastroenteritis, cholecystitis and other diseases. Combined with imaging tests such as ultrasound or CT, the cause can be further clarified. If it is intestinal obstruction, surgery can be chosen to release the intestinal obstruction. If it is gastroenteritis then antibiotic treatment is needed, along with replenishment of body fluids.
Urinary amylase 600IU/L in the elderly, need to be developed by the doctor according to the specific disease treatment plan and standardized treatment.