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Op because of the narrowing in the pulmonary artery, and the presence of infections or other problems related to poor nutrition. Many adults with alagille syndrome lead normal lives. natural herbs act like viagra Treatment is primarily medical and not surgical. cheap cialis online Patients generally have a much better outcome than children with some of the other liver diseases that may present at the same age. buy cialis alpha-1-antitrypsin deficiency disease condition alpha-1 - antitrypsin deficiency is a hereditary disease that may lead to hepatitis and cirrhosis. It is the most common genetic cause of liver disease in children. sample cialis Adults are also affected and may have lung involvement with emphysema as well as liver disease. The protein alpha-1 - antitrypsin is a substance made in the liver. It plays an important role preventing the breakdown of enzymes in various organs of the body. do boots sell viagra over the counter Disease etiology a child must inherit the tendency from both parents to develop the disease, alpha-1 -antitrypsin deficiency. The incidence of the disease in the united states is approximately 1:2000 live births. Fortunately, for reasons that are not understood, only 10-20 percent of the babies born with the deficiency will have liver disease. Decreased levels of the serum protein, alpha-1 - antitrypsin, lead to liver damage with scarring and abnormal liver function. discount cialis Symptoms the disease most often appears in the newborn period with jaundice, swelling of the abdomen, and poor feeding. buy cialis It may also appear in late childhood or adulthood and be detected because of fatigue, poor appetite, swelling of the abdomen and legs or abnormal liver tests. 75 mg of viagra Patients who develop cirrhosis (scarring of the liver) have changes in blood flow through the liver which produce other complications: nosebleeds, bruising, excess body fluid, enlarged veins in the inside of the stomach and esophagus (varices). do boots sell viagra over the counter Occasionally, increases in pressure in these veins make them leak, and internal bleeding may result. viagra for sale glasgow Increased sleepiness after eating protein (due to increased blood ammonia levels) and increased risk of infection may be late complications. Diagnosis the diagnosis is made by blood tests when the serum level of alpha-1 - antitrypsin is low and standard liver function tests are abnormal. Other tests such as urine collection, ultrasound examination, or tests using specialized x-ray techniques may be necessary. A biopsy of the liver (sampling liver tissue with a needle or by operation) is usually performed to look for liver injury. what is cialis Relatives who are carriers but do not have the disease can also be diagnosed by blood tests. The diagnosis of alpha 1 - antitrypsin deficiency is also carried out by using arterial blood. can you get viagra over the counter in australia