HomeAnswersPulmonology (Asthma Doctors)alpha-1 antitrypsin deficiency

Do my symptoms suggest a genetic lung disease?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 40-year-old male who has been running marathons for years. Lately, I have noticed some shortness of breath that is not improving with conditioning. I recently did a health screen for a new job and found mildly elevated liver enzymes. My father died of emphysema, even though he never smoked. Please tell me:

  1. Could this be alpha-1 antitrypsin deficiency?
  2. Should I ask for genetic testing or a blood test, even though I am very active?

Please help.

Thank you.

Answered by Dr. Sally Attalah

Education:

BDS

Professional Bio:

Dr. Sally Attalah is an experienced Dental Surgeon with a Bachelor of Dental Surgery earned in 2007, followed by her internship in 2008. She has been an affiliate member of the American Dental Association since 2015, reflecting her commitment to maintaining global standards in dental care. Dr. Sally is dedicated to providing high-quality oral healthcare with a patient-focused approach.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I can understand your concern.

I am truly sorry to hear about your struggles. Your complaints are most likely to be related to alpha 1 antitrypsin deficiency. Alpha-1 antitrypsin deficiency is a genetic disorder that may result in lung disease or liver disease. The onset of lung problems is typically between 20 and 50 years of age.

This may result in shortness of breath, wheezing, or an increased risk of lung infections. Blood test to check the level of alpha-1 antitrypsin protein in your body. If your levels are low, genetic testing with another blood test may be used to identify any abnormal genes. Lung function tests, like a spirometry test, cannot diagnose AAT deficiency, but they can tell how well a person's lungs are working.

I hope this information will help you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At July 7, 2025
Reviewed At April 1, 2026

Education:

BDS

Professional Bio:

Dr. Sally Attalah is an experienced Dental Surgeon with a Bachelor of Dental Surgery earned in 2007, followed by her internship in 2008. She has been an affiliate member of the American Dental Association since 2015, reflecting her commitment to maintaining global standards in dental care. Dr. Sally is dedicated to providing high-quality oral healthcare with a patient-focused approach.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

BDS

Professional Bio:

Dr. Sally Attalah is an experienced Dental Surgeon with a Bachelor of Dental Surgery earned in 2007, followed by her internship in 2008. She has been an affiliate member of the American Dental Association since 2015, reflecting her commitment to maintaining global standards in dental care. Dr. Sally is dedicated to providing high-quality oral healthcare with a patient-focused approach.

This doctor is not available for online consultations on the platform anymore.

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