### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
sir,i m 32/m/india.i m obase.wt 95 kg ht 175cms.having a male baby aged 6 months.i m suffering from dermatitis herpitoformis last 2.5 yrs & having no reliefe with different treatments.recently i m having multiple boils in my scalp.with antibiotics i got reliefe.gone through routin test...total count is higher which is 12.6 serum alkaline phosphate is higher,i.e.164.s.triglicerides,cholestrole all r bit higher then normal.urine is clear.in ct head having frontal maxillary spenoid sinusitis bilat.the biggest worry is cardiomegally in x-ray chest.s.alkaline is increased due to cardiomegally?or dermatitis?or early arthritis?or some amylodisis?please give me direction to follow.i hate to excercise.i love gambling.i daily play i.e.gamble.love to get excited.but last few weeks i noticed i get very nervous & feel palpitation while gambling.i m heavy smoker.i drink casually.

### output:

Hi, Your raised alkaline phosphatase is most likely because of your recent pregnancy. This enzyme grossly raises during pregnancy and may remain elevated for a year or more after delivery. So your level is high most probably for this reason.  Other causes of elevated ALP are liver diseases or bone disease which is unlikely in your case. It's not related to cardiomegaly, or arthritis, or amyloses. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. 