Serum alkaline phosphatase is an enzyme present in a person's blood. It helps in breaking proteins and plays an important role in liver function and bone development. An ALP test is a simple blood test done to measure ALP levels present in the blood. The normal range of ALP in the blood is 20 to 140 U/L. High alkaline phosphatase levels usually indicate liver damage or bone marrow disorder.
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My blood smear shows mild anisopoikilocytosis. Should I be concerned?
Query: Hello doctor, I am 39 years old. I got a master health checkup done last week. In the blood report, the RBC smear shows mild anisopoikilocytosis with normochromic red cells mixed with microcytic, hypochromic red cells, and no hemoparasites. I am attaching my test report. What is the treatment for t... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I have gone through your test report (attachment removed to protect patient identity). Your peripheral smear showing mild microcytic RBC (red blood cells) and MCV (mean corpuscular value) are slightly low, but I do not think it needs any further workup as all other sm... Read Full »
Please advise on the exceeded values of the blood report.
Query: Hello doctor, I have attached the PFA and the blood test report of my wife who is 29 years of age. Can you please advice on the reasons and corrective measures to get the exceeded test values in control? Do I need to perform any follow-up tests? She has got the blood test profile checked just as a g... Read Full »
Answer: Hello, Welcome to icliniq.com. I have thoroughly gone through the reports (attachment removed to protect patient identity), and I understand that she did not have any symptoms, but you got the tests done just for the regular checkup. Out of these, there are some red flags which need to be further ... Read Full »
I am a 38-week pregnant woman and have elevated levels of alkaline phosphatase. Will this cause harm to my baby?
Query: Hello doctor, I am 38 weeks pregnant. My doctor advised me to undergo tests to check my alkaline phosphatase levels. My alkaline phosphatase level is 420 IU/L. My gynecologist has prescribed me the tablet Udiliv 300 mg. Will my baby be harmed due to such high alkaline phosphatase levels? Please help... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. I suggest you send me your detailed medical and gynecological history to understand your case better. What is the cause of undergoing a recent liver function test? You are currently 38 weeks pregnant with a matur... Read Full »
My 3-year-old son has been suffering from high alkaline phosphatase level. Please help.
Query: Hi doctor, My three year old son has a high alkaline phosphatase level, but his ALT, AST, and vitamin D are normal. Protein and globulin is low and four weeks ago, he complained of leg pain which led to blood work. In his last blood work, the WBC and lymphocytes were low too, but now it is going up ... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Alkaline phosphatase (ALP) is an enzyme that is found in many tissues throughout the body, including the liver, bones, and intestines. Elevated levels of ALP can indicate a number of conditions, including liver or bone disease, growth spurts ... Read Full »
I do not have any history of cancer, but my alkaline phosphatase levels are mildly elevated. Is it normal?
Query: Hello doctor,During routine screening, my ALP was 163. It was repeated at two weeks and four weeks; both times, it was 137. All other liver enzymes are normal and get normal. Ultrasound of upper right quadrant normal. I have the B blood type, and I am a secretor. I looked back, and I had a kidney st... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hi, Welcome to icliniq.com. I understand your concern. Following is my opinion about your asked question. According to the history, your alkaline phosphatase (ALP) is mildly elevated. Usually, the ALP value is high due to liver, kidney, or bone disease. You mentioned that your liver profile and o... Read Full »
Query: Hello doctor, I have multiple problems with my stomach, it all began two years ago after taking pills which I was allergic to. My stomach became inflamed with a lot of acids, chronic antrum gastritis, and acid reflux. My stool was too soft, and I did not take any pill because my doctor did not give... Read Full »
Answer: Hi, Welcome to icliniq.com. All the problems can be explained by dyspepsia. Although there are certain issues like normal endoscopy and absence of inflammation. And on endoscopy reports (attachment removed to protect patient identity), there is no obvious granulation tissue seen. There may be s... Read Full »
I have ankle and calf muscle pain. Could it be RA?
Query: Hello doctor, I am a 38-year-old male, suffering from RA from the last two years and recently started the treatment with an orthopedic doctor for AVN of the hip. I have been told by my orthopedician at icliniq to consult a rheumatologist for my ankle and calf muscle pain, and for my RA medication an... Read Full »
Answer: Hello, Welcome to icliniq.com. After going through the details of your query, there are a few things to be clarified first. You have not mentioned any involvement of the small joints of hands, wrists or feet. The joints you have mentioned only include large joints. If it is really so, then the li... Read Full »
My 17-year-old son's calcium level has become normal after three months of treatment, but his alkaline phosphatase is still high. Why?
Query: Hello doctor, My son is 17 and a half years old. Six months back, my son developed a very low level of calcium; actually, it was untraceable. He was admitted to the hospital, and calcium gluconate was given through IV. Now, after three months, his calcium level is normal. He has started walking agai... Read Full »
Answer: Hello, Welcome to icliniq.com. I read the reports that you have attached (the attachments have been removed to protect the privacy of the patient). I am sorry for what you went through during your son's illness. Since your son was severely deficient in calcium and vitamin D, his bones are weak. Th... Read Full »
I have chest cold with weight loss, nausea, and dry heaves. Is it multiple myeloma?
Query: Hi doctor, My symptoms include a chest cold for approximately one month, 12 pound weight loss, nausea, dry heaves. Excessive bowel movements. Shortness of breath. Muscle aches. Left side rib pain. Fatigue. I had normal labs except mildly elevated alkaline phosphate. My doctor is now running a ALP i... Read Full »
Answer: Hi, Welcome to icliniq.com. After reviewing your complaints and your blood investigation (attachment removed to protect patient identity), I can draw the following conclusions: 1. It is highly unlikely that you have multiple myeloma, as your globulins (in blood report) are normal. Though it is a... Read Full »
My 8-year-old son has stomach pain, swollen lymph node, and elevated ALP. What to do?
Query: Hi doctor, My 8 years old son complained about stomach pain for more than two weeks. He feels nauseous and has stomach pain right after eating food. The pain is just below the belly button. He is lethargic, and he has lost 2 kgs. He also had a swollen lymph node behind his right ear for three months... Read Full »
Dr. Prakash Chandra Girdhar Lal Nagar
Answer: Hi, Welcome to icliniq.com. As you mentioned, I have gone through the details of the problem and all the reports (attachment removed to protect the patient's identity). His ALP (alkaline phosphatase) is high, and remaining all reports are within normal limits. There are many reasons for isolated h... Read Full »