Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I am writing regarding my 11yr old nephew who has had elevated alkaline phosphatase (1203), AST (85), ALT (74), LDH (299) for about a year now. He is also very sensitive to smell (vomits right after eating most of the time when we go out to eat). I don t know if this is related. Please help!
[|AI|]  Thank you for using Chat Doctor. Elevated alkaline phosphatase is a marker of rickets, so I would advise you get his vitamin D levels checked. His liver enzymes are only mildly elevated and are not a cause for concern. Is he on any medication like for seizures or anti-tubercular Chat Doctor? The vomiting only when going out to eat seems to be more of a social anxiety situation, the stress of which makes him vomit. If he is not vomiting when eating at home, and happens only on going out, that is the most likely cause. Not likely to be related to the elevated alkaline phosphatase let me know his hemoglobin and medication history, and we can narrow down the causes for his elevated ALP levels. Meanwhile, get his calcium, phosphorous and vitamin D levels done please. Thank you