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Suggest Treatment For Elevated Alkaline Phosphatase Count

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Posted on Sat, 20 Sep 2014
Question: Hi Doc,
During 35 weeks of pregnancy, I was diagonosed with obstetric cholestasis and underwent c-section. As part of routine checkup, Today I did LFT and found that my alkaline phosphatase count is 156.. Is it a case of concern ? I have attached the report. please advise...
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Answered by Dr. Vaddadi Suresh (24 minutes later)
Brief Answer:
No need to concern.

Detailed Answer:
Hi,
Welcome to HCM. The possible explanations for elevated alkaline phosphatase in your blood include:
Benign cholestasis of pregnancy usually resolves with delivery of the baby. However, some markers might stay in the blood for some days.
Alkaline phosphatase is also secreted by bone and intestines. Hence it need not always represent liver disease, especially because other markers are normal.
I would recommend you to repeat testing after lactation period is over. If you see persistent elevation, you can undergo ALP electrophoresis to identify the origin of the enzyme.
Hope I am clear.
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Dr. Vaddadi Suresh

Internal Medicine Specialist

Practicing since :2003

Answered : 963 Questions

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Suggest Treatment For Elevated Alkaline Phosphatase Count

Brief Answer: No need to concern. Detailed Answer: Hi, Welcome to HCM. The possible explanations for elevated alkaline phosphatase in your blood include: Benign cholestasis of pregnancy usually resolves with delivery of the baby. However, some markers might stay in the blood for some days. Alkaline phosphatase is also secreted by bone and intestines. Hence it need not always represent liver disease, especially because other markers are normal. I would recommend you to repeat testing after lactation period is over. If you see persistent elevation, you can undergo ALP electrophoresis to identify the origin of the enzyme. Hope I am clear.