Doctor insights on:
Alkaline Phosphatase Levels In Children
Not really: It can be increased in severe hyperthyroid disease ...Read more
Replace vitamin d: Vitamin d deficiency is very common. You need vitamin d to absorb calcium from the intestines. When you don't have enough vitamin d, in order to keep your blood calcium levels normal, your make more PTH to pull calcium from the bones and that raises the alkaline phosphatase. Replacing vitamin d should normalize all the tests. ...Read more
Wrong approach: Alkaline phosphatase is a lab value to tell a physician what is happening, not a medical problem to treat. It can be high just because you're growing (teens tend to be maybe 5x the upper limit of the reference range). About 5% of older folks have a high alk phos for "no reason", presumably paget's of the bone that never becomes evident; nonfasting samples may have it from the intestine. ...Read more
5 year old with high levels of bilirubin and alkaline phosphatase, high bun/creatinine ratio and high MCV and mch. Low levels of co2 and creatine?
Not enough info: Unfortunately, other than bloodwork results, no more information is provided. That's not enough to tell what's going on. Either try to provide more info or better off consult with a physician locally. ...Read more
Upper end of normal: The level is above the upper limit for normal but not by much. All lab results need to be interpreted in the clinical context and you should discuss it with your doctor and see this site for info. http://www.nlm.nih.gov/medlineplus/ency/article/003470.htm. ...Read more
Inorgan.Phosphate0.77, serum total protein63, serum globulin14, all slightly low. Norm. Calcium &albumin.Tsh9.25, known hypothyroidism. Further tests?
No reason.: There are ranges of "normal" for each blood test done. These may be different from one lab to other, depending on the type testing done and reliability of lab. Also, if a specific test is very abnormal and doesn't make sense clinically to the doc, it's probably lab error: just repeat it. That being said, low levels on many tests are not a problem: alk phosphatase is one. 'fagetabatit'-:). ...Read more
Are Anion gap and Alk Phos levels inversely proportional, since one indicates alkaline and the other acid?My panel: Alk Phos Jan 32/Jun 39, Anion 5/7.
Non specific: It is 1of the tests done 4 liver function. Also present in kidneys placenta and bone. So as a stand alone test it is not real helpful. In combination with other tests it can b more specific 4 the liver. As a stand alone it could b related 2 bone tumor, paget's disease of bone or renal disease .If elevated and the liver=cause. Hepatitis bile duct obstruction drug toxicity as tylenol (acetaminophen) or etoh abuse. ...Read more
Not always seen: More often i will see low or normal levels of B12 unless there is supplementation. This vitamin has a fairly complicated absorption process and is not efficient in some. If there is gut inflammation or infection or if there is an autoimmune process oral intake is not effective and you have to move to sublingual or injections. B12 works closely with folate (folic acid) and b6 and very often all need to be used. ...Read moreSee 2 more doctor answers
Several conditions: You could have the condition called paget's disease, however they are some other diseases that could produce elevated alkaline phosphatase such as liver cirrhosis of obstruction of the biliary tract, some medications and some type of cancers.Proper testing is necessary for proper diagnosis. ...Read more
ALT low 30's thru 10-yr illness. Chronic dehydration, low phosphorus, low WBC, high alk phos, L sodium, unstable glucose, H creatinine, L protein?
Not the key: I appreciate your interest in labs. Your ALT is in what most labs count as normal range. You haven't provided actually numbers for any lab, and for those you cite, only very markedly out-of-range values are helpful. No responsible physician would even direct you based on these labs, though it would surprise me if a nephrologist found you to have a mild interstitial nephritis. ...Read more
In metabolic alkalosis which one investigation help most in management serum NA,serum chloride,serum K,urine NA,urine chloride ?
Don't treat labs: Omega-3's have been a massive disappointment in most areas when subjected to scientific testing. Most important is finding WHY these liver tests are up. If it's chronic hepatitis B or C, hemochromatosis, Wilson's, or autoimmune hepatitis, you're going to die if you're not diagnosed & Rx'd. If this is non-alcoholic steatohepatitis, nothing will help as much as getting aerobically fit. ...Read more
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