Alex works at his computer for several hours a day. He is careful to sit up straight at the computer with his feet on the floor to keep his muscles relax and stay off the computer after 6 PM or what kind of computer related health problems is Alex still at risk.

While Alex's efforts to maintain good posture and take breaks after 6 PM are commendable, he may still be at risk for several computer-related health problems. These can include:

1. Eye strain: Continuous exposure to the computer screen can cause eye strain, leading to symptoms like dry eyes, blurred vision, headaches, and fatigue. Taking regular breaks, using proper lighting, and adjusting the display settings can help reduce this risk.

2. Carpal tunnel syndrome: If Alex spends long hours typing or using a mouse, he may be at risk of developing carpal tunnel syndrome. This condition affects the wrist and can cause pain, tingling, and numbness. Using an ergonomic keyboard and mouse, taking frequent breaks, and practicing wrist and hand exercises can help prevent this.

3. Neck and back pain: Sitting for prolonged periods in an incorrect posture can lead to poor spine alignment, causing neck and back pain. Despite sitting up straight, Alex may still be at risk if his chair or desk setup is not ergonomically designed. Using an adjustable chair, maintaining proper monitor height and distance, and incorporating regular stretching can help minimize the risk.

4. Sedentary lifestyle-related issues: Spending several hours a day at the computer can lead to a sedentary lifestyle, which is associated with numerous health problems such as obesity, diabetes, and cardiovascular issues. It is essential for Alex to incorporate regular exercise, ideally before or after work, to combat these risks.

Therefore, to further reduce the risk of computer-related health problems, Alex should consider implementing additional measures such as taking microbreaks every 30 minutes, using adjustable standing desks, practicing exercises specifically designed for computer users, and ensuring a well-ventilated work environment.