Serum Alkaline Phosphatase Levels

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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Based on my liver function test reports and ultrasound, please let me know the cause of my rib pain.

Query: Hello doctor, I am sharing my variable alkaline phosphatase, total and direct bilirubin level along with upper right quadrant ultrasound which states no findings. I am also sharing report of my liver isoenzymes. Kindly share your advise.  Read Full »

Dr. Noushif. M

Answer: Hello, Welcome to The report does not look worrying and most findings are normal (attachment remove to protect the patient's identity). Kindly answer the below-mentioned questions so that I could guide you better. 1. What are your symptoms currently and why were these tests done? 2. Do...  Read Full »

Please advice about the bilirubin and sodium alkaline phosphate ranges.

Query: Hello doctor,I wanted to understand the bilirubin and sodium alkaline phosphate ranges. I got LFT done for my mother, in that case, itself I want to understand the range. Please advice.  Read Full »

Dr. Anshul Varshney

Answer: Hello, Welcome to Her indirect bilirubin is slightly high (attachment removed to protect patient identity). And this can happen due to numerous reasons. Most common being anemia, dehydration, mild jaundice, and gilbert syndrome. Further evaluation is required. I would recommend her fo...  Read Full »

What does my ALP isoenzyme test report signify?

Query: Hello doctor,I need your help reading an ALP isoenzyme test report. What does it mean by percentage and fraction? Is it possible for the percentage to be normal and the fraction abnormal?Please help.  Read Full »

Dr. Basuki Nath Bhagat

Answer: Hello, Welcome to I have read your query and can understand it. ALP (Alkaline phosphatases) are a group of isoenzymes located on the outer layer of the cell membrane. The normal serum alkaline phosphatase consists of many distinct isoenzymes found in the liver, bone, placent...  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 month...  Read Full »

Dr. Prakash Chandra Girdhar Lal Nagar

Answer: Hi, Welcome to 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 isolat...  Read Full »

Is my partner's anxiety related to his elevated ALP and phosphate levels?

Query: Hi doctor, My partner recently had a blood test that showed a high ALP (167) and raised phosphates (1.45) in his bone profile. All other levels in his kidneys and liver were fine, as well as his thyroid. He has another blood test, but we were wondering what could be causing the high levels? He has ...  Read Full »

Dr. Pawar Satyajit Jalinder

Answer: Hi, Welcome to I have gone through your query and have looked at the reports you have provided (attachments removed to protect the patient's identity). The only abnormal report is a slightly high phosphate level - 1.45 mmol/L (0.81 mmol/L - 1.5 mmol/L) and alkaline phosphatase -167 IU...  Read Full »

What does polymorphonuclear leukocytosis in the blood indicate?

Query: Hi doctor, My grandfather is an 80-year-old male and is suffering from fever for the past eight days. Fever is nearing 100°F and usually occurs during night hours. He has taken tablet Doxycycline one time a day for two days and tablet Azithromycin once on the third day. Also, he is not taking m...  Read Full »

Dr. Pawar Satyajit Jalinder

Answer: Hello, Welcome to I have gone through your query, and I would like to know few details to decide on what to do next. 1) Does he have any other illnesses like diabetes or blood pressure or asthma? 2) Is he on any other medication? 3) Any other symptoms than fever like urinary compla...  Read Full »

What causes high alkaline phosphatase in children?

Query: Hi doctor, My 3-year-old daughter has recently been in hospital with a large lump on her jaw where her neck meets her ear. She had some blood works done and was treated with IV antibiotics for 24 hours, then given oral antibiotics for seven days. She went for the follow-up to the general physician,...  Read Full »

Dr. Sumeet Sharma

Answer: Hello, Welcome to Neck swelling can be due to parotitis, or it can be lymph node swelling. Iron deficiency anemia is a very common problem in growing infants. The reason is usually nutritional, either decreased oral intake or deceased absorption of iron from the gut. From your query, ...  Read Full »

Should I be worried about the side effects of diuretics on kidneys?

Query: Hi doctor, Three months ago, I had a heart attack. Then, I went through angioplasty with stenting. Post heart attack, I was diagnosed with moderate systolic HF with EF at 35%. Currently, I am on Clavix, Rozucor 10 mg, Tide 5 mg, Metocard-XL, Planep 25 mg and Telma 20 mg. I am improving well. My EF ...  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to I appreciate your concerns. After thorough review of your health query, I want to answer those questions. Do not be overconscious regarding the issue of the lipid profile. It seems to be fine to go with this. Keep taking healthy diet. Your profile is not too low to worry...  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 »

Dr. Arvind Guru

Answer: Hi, Welcome to 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 »

Can PPI cause stomach pain?

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 »

Dr. Babu Lal Meena

Answer: Hi, Welcome to 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 some n...  Read Full »

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