<prompt> Serum amylase level is increased in all of the following except: March 2005Intestinal obstructionPerforated ulcerAcute pancreatitisAcute appendicitis  <response>: Ans. D: Acute appendicitis Increased amylase levels may indicate: - Acute pancreatitis - Cancer of the pancreas, ovaries, or lungs - Cholecystitis - Infection of the salivary glands such as mumps or an obstruction - Intestinal obstruction - Macroamylasemia Pancreatic or bile duct obstruction - Perforated ulcer - Tubal pregnancy may be ruptured - Viral gastroenteritis Decreased amylase levels may indicate: - Damage to the pancreas - Kidney disease - Pancreatic cancer - Toxemia of pregnancy Drugs that can increase amylase measurements include: - Asparaginase - Aspirin Bih control pills - Cholinergic medications - Coicosteroids - Indomethacin - Loop and thiazide diuretics - Methyldopa - Opiates codeine, morphine - Pentazocine 