I have been feeling very sick for about 2 months and with my blood tests have recently been given a diagnosis of pancreatitis. About a month ago my ALT and AST were 2-3 x normal and the last few times they have been normal but my lipase has been slightly elevated, usually about 20-30 over the norm. I have gotten extremely nauseous, have horrible indigestion, and got really low blood pressure; I have been on Florinef and it has helped me with the blood pressure and Prilosec is helping me a little with indigestion, but in the last few days I can barely eat. I have already lost weight and am thin as it is. All the dr does is keep repeating the blood tests. I also have chest pains pretty much every day that come and go for the last month. What should the next step be? I have a dr appt on Monday and if all there going to do is another blood test that makes no sense to me b/c I'm in pain and extremely nauseous. Shouldn't they start to do some kind of CT scans or U/S? The first time I went to ER for the pain they did a U/S for gallstones and I didn't have any. What other ways do they have of diagnosing pancreatitis? Also, is it likely I have it if my lipase is not that high?