Wow what was the diagnosis for the Readmission? Was it Peritonitis? Did you have to have an exploratory Lap? You mentioned internal bleeding? Did they find where that was coming from? Was it corrected? Did you ask for details after the Readmission? You didn’t give details. All said, in your case since your gallbladder was removed and now your stable(?), bleeding resolved, blockage resolved etc you would think the Alk Phos would steadily decrease. There may be another stone that was missed in a bile duct causing blockage from your liver?? Watch for signs and symptoms of infection. Hope you don’t have to have a third hospitalization! Lots of reasons to stay high and not go down. You may have to get an abdominal CT and more labs. The Alk phos should trend down if the causative reason was a blockage(may take a while),and if your other problems during the surgery were corrected surgically etc and there is no infection and your liver is healthy and it’s ducts are able to drain into the duct to the small intestine it would be reasonable to think your Alk Phos would gradually come down, but you need to keep a keen eye on it. If Continued abdominal pain, nausea, vomiting or you develope jaundice or fever you really need to revisit your surgeon asap and he/she should treat you accordingly.. You have been through a lot. Glad your PCP is aware of this also. Ask questions, be educated on what was done to you and the causes and treatment. Your issues may resolve with time but listen to your body; you are your best advocate.