Dr. Noushif. M
Surgical Gastroenterology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's 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.
Hello,
Welcome to icliniq.com.
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 you have any prior medical issues?
3. Are you on any medicines now?
Please revert with details so that I can explain.
Patient's Query
Hello doctor,
The problem started during my yearly exam. I was having rib pain at that time which turned out to be an impingement of thoracic region (T8). He suggested to undergo alkaline phosphatase which was repeated after sometime. I am not experiencing any symptoms. But my doctor suggested to meet a hepatologist. He also suggested to get MRI done.
Kindly share your opinion.
Hello,
Welcome back to icliniq.com.
It does not look concerning, as you are asymptomatic and the level is more or less static overtime. MRI (magnetic resonance imaging) is not mandatory. Also other causes related to bone and hematology related to ALP (alkaline phophatase) should be checked.
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Surgical Gastroenterology
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