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Doctor insights on: Elevated Alkaline And Phosphatase During Pregnancy

It is normal: The large placenta produces a lot of alkaline phosphatase. I'm surprised you weren't told that. Hoping your labor, delivery and what follows goes well, and that you'll be an effective and fulfilled mother. ...Read more

Diet: Not responsible. It is a nirmal variant in some people. ...Read more

Normal findings: We usually don't check or follow alkaline phosphatase, so I would not be worried if you are otherwise a young and healthy female. In the postpartum period you can be low on estrogen, which can lead to bone resorption and turnover, which is reflected by a elevated alkaline phosphatase, which is also seen during pregnancy. Breastfeeding can also lead to an elevated value. It will normalize, no worry ...Read more

Many causes: Most commonly released from the liver / bile ducts in addition to bone. ...Read more

No: Alkaline phosphatase is known as a "marker" of increased bone (or liver) metabolism. It is contained in bone (and liver) so it will be elevated when bone is being broken down or resorbed as in paget's disease or bone cancer. It doesn't cause bone pain per se, but whatever is causing the bone to break down in the first place (e.g. Paget's disease or bone cancer) is the cause of the pain. ...Read more

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

U R seriously sick: I see you are an 18 year old male taking "provigil", a stimulant prescribed for sleep apnea and narcolepsy and used illicitly to promote wakefulness. It can poison your liver and you need to talk with your physician about this. The fact that you've gotten fat in 3 months is very worrisome. Your doctor must rule hepatitis, hemochromatosis, wilson's, fatty liver and more in or out. ...Read more

Normal range: I think this is a misunderstanding. Your measured value would be a single number, such as103. The numbers you provide are a range of values which are well within normal for alkaline phosphatase. What this means is that we don't know what your ALKPHOS level is. I suggest you contact your health care provider for clarification. Meanwhile, no worries! ...Read more

Mixed bag: ALP is a liver (or bone) enzyme; MCV; MCH and MCHC refer to size and color of red blood cells as in macrocytic (big red cell) anemia - given your conditions and meds, I would ask your doctor if you may have a B12 or Folic Acid deficiency ...Read more

Alkaline phosphatase: Causes for elevated Alk phos: biliary obstruction stone, tumor, stricture; autoimmune biliary cirrhosis; liver infiltrates do to granuloma, fatty liver, amyloidosis, sarcoidosis, malignancy; meds like estrogen, chlorpromazine, erythromycin ; viral hepatitis; bone diseases: Paget's, osteomalacia, mets to bone, PTH disease, vitamin d def, fracture ...Read more

Normal: ALT normal value are 5 to 56 and yours is 57.I will not worry about your blood test report. I don't know if it was on routine blood test or there was a reason to check your Liver Function. Follow up with your Doctor if it was done foe a reason. ...Read more

Depends: This depends on how elevated the levels are and whether you have any associated conditions (for example, pregnancy) which are known to cause elevated levels. Talk to your doctor for more information. ...Read more

Liver bone & GB: Liver disease, bone disease and gallbladder are most common. However an elevated alk phos does not absolutely mean there is a true disease present. ...Read more

Need more info: What are the actual values? Do you drink alcohol? If you do, abstain for three months and redo the tests. Please note that all lab results need to be interpreted in the context of all other health information. ...Read more

How do you FEEL?: Around 5% of older folks always run elevated alk phos and trying to work it up never produces anything helpful; if the specimen is nonfasting and you don't have A antigen on your red cells, it's often high from intestinal alk phos. If all WBC's are normally formed and other cells are normal, I'd worry only if the WBC is very high. Lab "normals" are set so that several % of healthies are outside ...Read more

Depends on the cause: We do not treat the tests but what is the reason for the abnormal tests
it may be due to gall bladder disease, or liver condition and the underlying condition has to be addressed and treated. ...Read more

See below: Alkaline phosphatase and GGT would be elevated, not amylase and lipase. ...Read more

See below: It suggests an obstructive process of the bile ducts. You definitely need further evaluation with mri/mrcp or ercp. ...Read more

Ask your doctor: Sketchy picture, moreover lab results cannot be interpreted out of context, patient need to be evaluated as a whole, your doctor would help you better ...Read more

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

Sort this out: You need to be told straight-up whether you are going to be diagnosed with & treated for primary biliary cirrhosis. If you also have iron deficiency anemia, the cause needs to be found. I hope you are not a non-supplementing vegetarian & that a search for possible sources of blood loss is underway. Be proactive & insist on answers. Good luck. ...Read more

Let's sort out: Your alkaline phosphatase could be elevated due to bone or liver. Therefore preventative meds should be devoid of bad effects to these organs. Some drugs cause osteoporosis, and others are metabolized through liver. Would suggest safest approach using otc preps such as butterbur, feverfew, coq-10, or riboflavin. ...Read more

High level,,,: This is a high level for alkaline phosphatase certainly, but to say it's from primary biliary cirrhosis is harder as there are other things like high bilirubin and symptoms like itching and jaundice (yellow skin) and antibodies like anti-mitochondrial antibodies. It also could be due to Hep B or any increased liver activity or other things and it's not that high so see your Dr. For other tests. ...Read more

Not necessarily live: Alk. Phos. Can be elevated in liver disease, but the enzyme is found in other organs, including bone, biliary tract (gall bladder), intestine and, interesting, the placenta! Certain medications can also cause an elevation.At the very least, a gallbladder ultrasound, a measurement of parathyroid hormone, calcium & phosphate levels and a review of your meds should be done. ...Read more

Low iron: Elevated alk phos is seen with liver and bone disorder. Iron deficiency is suspected, but chronic inflammation may cause most of the lab abnormalities. A hematologist could shed some light on these varied lab abnormalities. Collaboration with a rheumatologist would also be helpful to identify a chronic inflammatory process. ...Read more

Seek cause: Vitamin d deficiency is very common today & may explain the high alk phos in an adult; it's usually due to misguided "healthy" lifestyles avoiding sunlight and vitamin-d enriched dairy products. Anemia is more worrisome and always requires a real medical workup; nutritional iron deficiency is rampant in our world but other causes must be sought as well. Good luck & stay proactive. ...Read more

How elevated?: 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, GI lesions can raise alkaline phosphatase, but more common causes are disease in the liver and bone. It would be helpful for you to discuss it with your doctor. ...Read more

Should not have: menstruation problems with drinking alkaline liquids, though if you continue to have missed periods, you need to check pregnancy tests every 1 week for 3 weeks before convincing yourself that you are not pregnant. Thanks for trusting in HealthTap. ...Read more

Elevated: Alkaline phosphatase can come from liver problems or from bone. Usually, if other liver functions are normal, it means that it is coming from bile cells in the liver, not the liver cells, so you could have gallstones. If it is coming from bone, it could be bone infection or tumor. Best to ask your doctor for opinion. ...Read more

Find the cause: If you're growing or pregnant, your alkaline phosphatase will be way-high. About 5% of older folks have high alkaline phosphatase that never causes trouble. Many folks get a high alk phos just from having eaten. If you are otherwise healthy, stop worrying about it. ...Read more

Bone turnover: It is an enzyme that is active in the process of bone turnover; so it will be elevated in situations in which bone turnover is high, even in conditions where there is metastatic disease to the bone. Patients with pagers disease have a very high bone turnover rate and a markedly elevated alkaline phosphatase. ...Read more

Nothing, on just one: Test. Have it repeated after a couple of weeks. An isolated result like that means very little. However a high result indicate a bone or a liver problem, but, as far as I know, a low result means nothing. ...Read more

Plenty: You describe yourself as a 73 year old lady and I'm betting you feel well but have an alk phos a bit high on your routine chemical profile. Many folks, depending on blood type, shoot the alk phos up after eating. Maybe 5% of folks your age have a high alk phos because of subclinical paget's disease which we aren't going to treat or worry about. "treat the person, not the labs.". ...Read more

No: It is only bad if it is elevated! So you do not need to worry about a low value as it has no medical significance. ...Read more

I doubt it: At age 38? I'd hope not -- you don't want to shop for new clothes. Many folks spike their alk phos after eating, so often it means nothing. If it's real, and it's more than a wee bit above reference range, it may mean anything from pregnancy to space-occupying lesions of the liver to subtle paget's of the bone (very common), but it almost never worth working up by itself. ...Read more

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

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

Yes: Alkaline phosphatase is primarily used to screen for problems with the liver-gallbladder and bone. A high level can indicate problems with either area. You need to discuss this in detail with whatever physician ordered the test. ...Read more

Low alk phos (ALP): Deficiencies in vitamin b6, folic acid, vitamin c, phosphorus, zinc, and protein can lead to low alp as well as an excessive intake of vitamin d. Hypophosphatasia, a rare genetic disorder affecting bone development, can cause low alp. other conditions associated with low alp include cardiac surgery,  hypothyroidism, and pernicious anemia. ...Read more

Alkaline phosphatase: Alkaline phosphatase is a protein found in all body tissues. The normal range varies between laboratories and a mild elevation such as you describe may be of no significance. It can be elevated with bone disease, hyperparathyroidism, liver disease or hepatitis, following the fatty meal, fatty liver, certain bone diseases, and etc... I recommend that you follow up with your primary care physician and askif repeat labs in a few months would be useful. ...Read more