Your elevated amylase and lipase confirm active pancreatitis attacks, even though your scans are normal. This is often classified as 'idiopathic' pancreatitis. For treatment, you should discuss the following with your doctor: Pancreatic Enzyme Replacement Therapy (PERT): Medications like Creon help digest food, rest your pancreas and reduce pain. Pain Management: Tailored analgesics prescribed by your physician. Lifestyle Changes: Adopting a strict low-fat diet, staying highly hydrated, and absolutely avoiding alcohol and smoking. Since initial scans are clear, ask your doctor about further testing for genetic mutations, autoimmune pancreatitis (IgG4 blood test), or microscopic gallstones.