What does it mean when alkaline phosphatase is 132 U/L, and what should I do?

Sep 04, 2023 Source: Cainiu Health
Dr. Yang Ziqi
Introduction
In general, an alkaline phosphatase level of 132 U/L is considered relatively high. An alkaline phosphatase level of 132 U/L may be associated with physiological factors, obstructive jaundice, hepatitis, common bile duct stones, rickets, and other conditions. It is recommended that patients seek medical evaluation at a正规 hospital and receive appropriate treatment as directed by a physician. If patients experience any discomfort or symptoms, they should promptly visit the hospital to avoid delaying diagnosis and treatment.

Under normal circumstances, an alkaline phosphatase level of 132 U/L is considered relatively high. An alkaline phosphatase level of 132 U/L may be associated with physiological factors, obstructive jaundice, hepatitis, common bile duct stones, rickets, and other conditions. It is recommended that patients seek medical evaluation at a正规 hospital and receive symptomatic treatment as directed by a physician. Specific analyses are as follows:

1. Physiological Causes

If the patient is pregnant, a child in the developmental stage, or has recently consumed high-fat or high-sugar foods, these factors can lead to a physiological increase in alkaline phosphatase levels. This is a normal phenomenon and usually resolves spontaneously.

2. Obstructive Jaundice

Common clinical symptoms include clay-colored stools, bleeding, jaundice, osteoporosis, fever, biliary colic, abdominal distension, and abdominal pain. Under medical guidance, medications such as levofloxacin tablets, ceftriaxone sodium for injection, and ademetionine disulfate tosylate enteric-coated tablets may be used to treat the underlying cause.

3. Hepatitis

Symptoms include general malaise, such as fatigue, poor appetite, and weakness, as well as gastrointestinal symptoms like nausea, vomiting, loss of appetite for oily foods. Some patients may also exhibit elevated alkaline phosphatase levels (e.g., 132 U/L). As prescribed by a doctor, medications such as bifendate tablets, silibinin meglumine tablets, and polyene phosphatidylcholine capsules can help control hepatic inflammation and necrosis.

4. Common Bile Duct Stones

Often asymptomatic or causing only mild upper abdominal discomfort, these stones are frequently discovered incidentally during routine examinations. When stones cause bile duct obstruction, recurrent abdominal pain, nausea, and vomiting may occur. Treatment typically involves surgical intervention at a正规 hospital, such as open or laparoscopic common bile duct exploration, choledochoscopy for stone removal, and T-tube drainage.

5. Rickets

Rickets is a metabolic bone disorder occurring during childhood growth, potentially related to familial genetics or immune system abnormalities. Patients may experience bone deformities and bone pain, and may also develop elevated liver function markers including alkaline phosphatase. Under medical supervision, treatment may include vitamin D drops, vitamin AD drops, and calcium gluconate tablets.

If patients experience any discomfort, they should promptly seek medical attention to avoid delays in diagnosis and treatment.


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