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Pregnant, high level of alkaline phosphate - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
User :   Hello
Doctor :   Hi
Doctor :   Good evening
Doctor :   How can I help you?
User :   Good Evening
Doctor :   Ok
User :   This is in regard with my wife she is nine months pregnant
Doctor :   Ok
User :   she has been detected with high level of Alkaline phosphatase: User :   171
Doctor :   May I know the reason why this test was done?
User :   just want to know and urderstand the reasons behind and does this have any impact on mother as well as the baby
User :   she has got rashes as well as small red spots all over the body starting from abdomen and now onto thighs and hands
User :   which itches a lot
Doctor :   Alkaline phosphatase is a test which is part of liver function tests, may I know the values of the other parameters performed in the liver function test?
User :   there was one other test which he performed which was Urine bilosalt which was negetive
Doctor :   Is her blood pressures normal?
User :   other than that he has not done any other test
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Alkaline phosphatase is an enzyme.
User :   yes 110/70
Doctor :   They are secreted by various organs primarily the liver.
Doctor :   They are also secreted by bones and placenta.
Doctor :   Levels are definitely above normal.
Doctor :   However, it is difficult to ascertain the cause without other liver function tests and physical examination.
Doctor :   It seem that you have moved out of the chat window.
Doctor :   Please relogin if you have any more medical queries.
Doctor :   Welcome back.
User :   i am still there
User :   so does this have any impact on mother or child
Doctor :   I would like to rule out all other causes such as infection before I can answer this.
Doctor :   She may need few more tests which includes liver function tests, complete blood counts and others.
User :   ok
Doctor :   Yes, these test may be needed.
User :   so you would like us to go through some other test as well
Doctor :   Consult obstetrician with your wife and the reports.
Doctor :   The test can be done under their guidance.
User :   ok
User :   can you name the test for me
User :   ok
Doctor :   The initial test may include complete blood counts, liver function test.
User :   k
Doctor :   Depending on the clinical signs and the reports of the these tests, need for further testing will be decided.
User :   k
Doctor :   Urine bile salts negative
Doctor :   is one good and positive report.
Doctor :   I hope other tests also come negative.
User :   ok
User :   yes
User :   it is negetive
Doctor :   In such instant, her symptoms could just be simple stasis of blood with local hemolysis.
User :   ok
Doctor :   which is not expected to impair pregnancy.
Doctor :   The symptoms and the ALP will improve after delivery.
User :   if we assume that other tests are negative then it wont have any issues on mother and the child
Doctor :   Hope I have answered your query.
Doctor :   Do you have any other query?
User :   ok thanks
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   ok thanks
Doctor :   Good night.
User :   no thanks a lot
User :   will get the tests done by tommorow
User :   bye good night
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