Thank you for your query.
I can understand your concern. However liver and spleen
enlargement with increased serum alkaline phosphatase
do not help me in coming to a conclusion as there a number of causes for them. I would like to have more details/investigation reports:
2. Peripheral smear
3. Liver function test
5. Urine routine
report of whole abdomen
7. Subsequent investigations shall depend on the initial reports.
I hope I have answered your query to your satisfaction.