Patient's question:
Here is the English translation of the provided text, with line breaks preserved as instructed and all Chinese content translated into English:Health check-up on March 24th; Alanine aminotransferase (ALT) level was 4000 U/L (ate 5 times of milk at night), and other tests were normal (Hepatitis B 6-item test negative, albumin, bilirubin, various transaminases, etc., all normal).
On March 27th, the child was taken to another hospital for liver function tests again; other tests were normal, but alkaline phosphatase (ALP) remained elevated at 2990 U/L (ate 2 times of milk at night).
On March 28th, the child was taken to yet another hospital for liver and kidney function tests, calcium, phosphorus, magnesium, vitamin D, and joint reflex tests; liver and kidney function were normal, but ALP remained elevated at 2800 U/L (ate 1 time of milk at night). Calcium was normal, phosphorus was slightly elevated, magnesium was normal, vitamin D-45 (reference range: 49-150), bilateral knee X-rays, hand joint reflexes, and ultrasound were all normal.
No discomfort or symptoms were reported. The child has fair skin, is active and energetic, with a good appetite and large appetite.
Currently, the child has 11 teeth. The doctor mentioned rib flaring (no). In the past 3 months, the child has grown 7-8 cm in height.
Previous treatment history and outcomes: None; the child has always been very healthy.
What kind of assistance is needed: Why is this particular test result so high? How can it be reduced?
Doctor's answer:
Alkaline phosphatase is mainly used for the examination of obstructive jaundice, primary liver cancer, secondary liver cancer, cholestatic hepatitis, and muscle dystrophy, etc. Currently, the specific cause cannot be determined. It is recommended to undergo further examination and continue to monitor closely.Medical Advice: Alkaline phosphatase is mainly used for the examination of obstructive jaundice, primary liver cancer, secondary liver cancer, cholestatic hepatitis, and muscle dystrophy, etc. Currently, the specific cause cannot be determined. It is recommended to undergo further examination and continue to monitor closely.
The above advice is for the question "Baby's alkaline phosphatase is 10 times higher than normal." It is hoped to be helpful to you. Wishing you good health!