Question: My son has been sick off and on since he was 11 months old. It always presents with the same sx's fever, cough, sores in mouth and now high alp level 1,763. He maybe has a week in a half out of a month where is is well. Im frustrated because doctors tell me its viral everytime. We have previously had my son's bloodwork done before he got sick and he had a normal alp level of 200. If it is just a virus then why is his alp level increasing?

My son is on the 75% range for wt. This is a decrease over the last 6months, he use to be on the 100% range. His physician is not concerned because he is still considered at a healthy wt for his age (21 months and 30 lbs). My concern is he is not gaining though as I beleive he should. 10-12 ozs in 6 months is not much to me. He is not jaundice but has developed dark circles under his eyes. His bili is normal (0.40) ALT is normal (34). He has had a shift in his hemoglobin level in a weeks time it went from 12.0 to 10.6. Why such a shift Im wondering? No stool changes or urine color changes but his urine smells very oderous? We have a strong family hx of leukemia on the materal side. My other son who is 17 now had childhood wheat and egg white allergies. Asthma exacerbations until a few yrs ago, now he is fine. Everything that was elevated on his labs are: AGAP 19, Bun/Creat Ratio 25, WBC 19.89 and protein 8. Low levels include: MCV 76.3, MCHC 26.3, Seg percent man 34, sodium 135 and of course the elevated ALP at 1,763. What additional labs and tests can we do to ease my mind? Something just isn't right. I've never seen a child be so sick and run a 104 temp and no explanation for it?

Everytime he gets sick thats what they do is give him abx's and fluids. He stays healthy for a few weeks then he is sick again. I will requests the above mentioned tests from his physician. Thank you so much :)