Doctor insights on:
Alp And Crp
Arthritis, lupus ruled out. Joint pain, migraines, kidney stones, recent sinus & Eustachian tube problems, + ANA, elevated CRP & ALP, ALT, AST. Ideas?
Continuous temperature 99 max 100 timings evening or night ESR is 77, CBC (MPV is 11.9), CRP IS 14.6mg/L, ANA, RA, ANF, HBs Ag, Anti HCV, ALP test normal?
Fever?: A temperature of 99F is normal depending upon the time of day. If in a 24 hr period your temp does not get as low as 98.6F then you have fever. If you have had fever for more than a week you should be seen and evaluated by an infectious diseases expert. These labs have little meaning without a full history and physical exam. Go and be seen and good luck. ...Read more
Continuous temp 99 since three months, ESR 77, CBC (MPV 11.9), CRP 14.6mg/L, ANA, RA, ANF, HBs Ag, Anti HCV, City scan of abdominal region, ALP, all are normal?
Wbc 14.1 neutrophils 13.1 lymphocytes 0.7 high alkaline phosphatase high crp. Is this cancer? I'm 26 year old female
Probably not: There is no diagnosis from a few blood tests. Has it occurred to you to ask the Dr who ordered the tests? ...Read more
Alkaline Phosphatase 129 / C-Reactive Protein 13.2 / Ebv Nuclear Antigen Ab & Ebv Ab Vca, Igg >600 / Dr. Says no worries but should I be concerned?
Depends: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, your C-reactive protein is elevated suggesting inflammation. you may wish to repeat the test in 6 months or so. Your doctor knows more about your health and you should follow his/her advice. ...Read more
What can cause elevated C3 (171) C4 (58) C reactive protein (8) and alkaline phosphatase (129). SED rate - Quantity was not sufficient for analysis.
Need more info: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests. Having said that, what were the units of measure for CRP? Why were these tests done? Do you have any symptoms? ...Read more
50 year-old woman, still has high cortisol levels, despite a pituitary hypophysectomy last year that resulted from evaluation of her high BP.....?
Cushings: Cushings is a complicated problem. You have had excellent care, but it does appear that the hypophysectomy was not totally successful. Consult your endocrinoligist. You will need repeat ACTH levels and another suppression test to decide on further possible therapy ...Read more
35 year-old woman with abdominal discomfort, bloating, nausea and gas associated with starchy foods.....?
Relax: First, food choices are almost never the key to getting well. This is rubbish. Second, labs reference ranges are set so that a few percent of healthies fall outside on either end. Third, if the specimen is non-fasting, elevated alk phos means nothing. Fourth, isolated elevated alk phos is not an indicator of any treatable illness. Stop worrying, stay physically fit, and be glad for good health. ...Read more
For 20 yrs my alp is very high in every blood test. Latest is 716 u/l. What other symptoms should I look for to narrow down the cause?
Alk Phos: High alp levels may suggest bile ducts are obstructed, there could be active bone formation occurring from osteoblast activity (paget's disease). Levels may be elevated in untreated coeliac disease. If you have had this for 20+ years, imagine that this has been assessed by several physicians. If not, find a good internist and investigate. Best wishes. ...Read more
Us showed sludge in gb but hida scan was 40%. Also ALT is 69 and alp is 157. Have had pain that comes and goes for 4 years. What is going?
Difficult to say...: This still could be a gallbladder problem just with sludge on us. However, it's important to rule out other problems before removing the gallbladder. Other issues could be reflux, stomach ulcer, gastritis, pancreatitis, small pancreatic duct, bile reflux. I would ask your doctor about these. ...Read more
What does it mean if your alp levels have been increasing with each blood work done? In 3/13 was 97, 7/13 111, 10/13 138 and this month was 154?
It depends,,,: It depends on a few factors. First, it's not very high if high at all as the usual range is about 20-140 iu/l, though the last value was above this. Next is that it can be from bone or liver, like in bile duct obstruction. If it's bone involvement it might mean a bone lesion, like possibly a tumor. It'd be wise to see your dr. For tests like a heat stable alp to see if it's liver or bone. ...Read more
Hello sir, 51 yrs old lady blood report showing ALP increases 179mg/dl and Hb lower 8.9, all other values are normal what is the diagnosis of this?
Need to know more: Alk phos may be high for "no reason" or subclinical Paget's or the circumstances of testing especially if nonfasting. However, Hgb 8.9 is anemia, this is serious and it needs to be worked up properly. I am dismayed that her physician did not address her concerns and explain directly the appropriate follow-up, and I trust she will be proactive in pursuing the cause. ...Read more