Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
194 Doctors are Online

Having fever and weakness. Blood test showed elevated alkaline phosphatase. Any thoughts?

User rating for this question
Very Good
Answered by

General Surgeon
Practicing since : 2008
Answered : 5372 Questions
Hi, my wife aged 27 has been having fever and weekness for the last 3 days. After consultation they have asked us to do lft and bilerubin test. The results serum bilerubin 1.8mg% , sgpt :235, sgot 306 u/l. Serum alkaline phosphate :321 u/l. Total protein 6.2 gms%, serum albumin 4.6, serum globulin 1.6 gms. Is this jaundice. If it is what test are required to confirm what hepatitis it is. A,b,c,e....isthis level alarming.
Posted Sat, 23 Mar 2013 in X-ray, Lab tests and Scans
Answered by Dr. Grzegorz Stanko 7 minutes later

Thank you for the query.

Your wife results indicate that she has jaundice indeed. However, as alkaline phosphatase is elevated as well as bilirubin, most likely the reason of such results is bile ducts obstruction due to gallstones. The other symptoms of this conditions are upper right abdominal pain radiating to the back, nausea, vomiting, dark urine, whitish stool. If this fits to your wife, she should have abdominal ultrasound performed to see if bile ducts are widen, and if so, ERCP procedure should be done.
If no findings in ultrasound, she may have be tested for hepatitis viruses. To do that HbSAg and Anti-HCV antibodies should be checked.

Hope this will help. Feel free to ask further questions.
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask a Radiologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor