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Treatment for alpha 1 (zz) - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Asthma and Allergy
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   Hi, I have alpha 1 ( ZZ ). I work outdoors walking 5 hours a day. I am very fatigued after and breath in exhaust fumes, smoke. Walk in cold weather and hot humid days. I don't know what to do. If i should seek a healthier work environment?
Doctor :   hi
User :   Hi
User :   hello
Doctor :   let me read ur query
Doctor :   what do u mean by alpha 1 ?
User :   Alpha 1 antitrypsin
Doctor :   ok
Doctor :   In that case, u need a change of place as well
User :   place as in?
Doctor :   do u tae any replacement medicatons ?
User :   no
Doctor :   i meant change of place of work
User :   my lung function is 82%
User :   I get ultra sounds on my liver once a year and blood tests.
Doctor :   ok
User :   One of my brothers dies of liver cancer at 38.
User :   my older brother 51 is a ZZ and starting to get shortness of breath.
User :   I'm 43
Doctor :   there are medications available for replacing alpha 1 antitrypsin, the enzyme that u are lacking
User :   Is that walking I'm doing doing more harm then good?
Doctor :   u can ask ur doctor and he can provide such medications , available as a inhaler as well
Doctor :   no , waking is fine
User :   but is 5 hours of walking a day through winters and humid hot summers good though?
Doctor :   yOU CAN REDUCE THE duration that u walk
User :   well, that's my job, I'm a mail man so, i can't just reduce my walk.
Doctor :   or u can walk on a treadmill, if u choose
Doctor :   oh ok
User :   So, maybe seek an indoor job with the post office?
Doctor :   in that case, u need to change ur job and try a job that s less demanding
User :   Ok, do i see a family doctor or a specialist?
Doctor :   A pulmonologst will be fine
User :   Ok, I'll do that, thanks for your help!
Doctor :   u r welcome
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