LIVING WITH LUNG DISEASE

Chronic obstructive pulmonary disease (COPD) is a term used to describe prolonged irreversible airflow obstruction that is mainly associated with emphysema and chronic bronchitis. COPD is a leading global health problem causing significant worldwide disability. COPD is the 4th leading cause of death and unfortunately, its prevalence continues to rise. Early on, it does not always produce symptoms and causes only minimal disability in many patients.

Predisposing factors to COPD include:

• Cigarette smoking
• Recurrent or chronic respiratory infections
• Air pollution
• Allergies

Smoking is by far the biggest cause of COPD. Smoking increases secretions and impairs their removal from the airways. The typical COPD patient is a long-term smoker who has no symptoms until middle age, when his or her ability to exercise or do strenuous work starts to decline and a productive cough begins. Symptoms can be subtle at first; these problems worsen as the patient ages and the disease progresses. Eventually, it becomes difficult to breath even with minimal exertion. Frequent respiratory infections, oxygen deficiency in the blood, and abnormalities in pulmonary function are also common findings.

Tests used to determine a diagnosis of COPD may include: chest x-rays, pulmonary function tests, blood gas analysis, and EKG.

Treatment of COPD is directed at relieving symptoms and preventing complications. Talking with your doctor about shortness of breath is very important, along with participation in a pulmonary rehabilitation program. These programs improve quality of life, strength, endurance and a sense of well-being. Talk with your physician today.