 [ Symptoms ] should i be worried if my 5 yr old has possibly swallowed a coin or is his gi tract large enough for it to just pass [ Disease ] there is something called as ig m if ig g and ig m are both elevated along with deranged levels of alkaline phosphatase sgot and sgpt then they signify some active infection at present before jumping to conclusion i would suggest you to get these tests done to see if these elevated levels have any clinical significance in your age thanks