An isolated elevated serum ALP level is usually because of increased osteoblast activity. ALP is certainly elevated in several bone conditions. If an increased total ALP can be accompanied by an elevated gamma glutamyl transpeptidase level then your cause is most probably of liver origin.. Alkaline phosphatase: when to measure it and how to proceed next Alkaline phosphatase measurement is among the most widely used and simple biochemical tests, and an useful marker of bone and liver disease extremely. Isolated elevation suggests bone disease, and persistent elevation in an adult requires investigation. Total serum ALP ought to be measured in an individual who provides symptoms of cholestatic liver disease, bone pain, low bone mineral density , or general debility.A severe reaction is a medical crisis. Do not try to deal with or wait out serious reactions at home. Go to a hospital emergency section immediately.Call an ambulance pertaining to emergency medical transport.Use an epinephrine auto-injector if one has been prescribed by a doctor due to previous allergies .Slight reactions with mild symptoms usually respond to non-prescription allergy medications. Oral antihistamines Loratadine , cetirizine , and fexofenadine are nonsedating antihistamines which can be taken over the future.Diphenhydramine can also be taken but may make someone too drowsy to operate a vehicle or operate machinery safely.