home
RSS
March 16th, 2011
10:30 AM ET

What should I expect after COPD diagnosis?

Every weekday, a CNNHealth expert doctor answers a viewer question. On Wednesdays, it's Dr. Otis Brawley, chief medical officer at the American Cancer Society.

Question asked by Pamela of Nashville, Tennessee:

I just learned that I have chronic obstructive pulmonary disease (COPD) and emphysema. Can you tell me about it and what the prognosis is? I also have coronary artery disease and have had stents placed.

Expert answer:

Dear Pamela,

Chronic obstructive pulmonary disease, or COPD, is a disease that truly negatively affects quality of life. Patients with COPD are prone to asthma-like wheezing, breathlessness, chest tightness and coughing that can occur in episodes caused by chromic inflammation. They're also prone to viral and bacterial infections.

It is the fourth most common cause of death in the United States, killing an estimated 120,000 people each year.

While COPD is most noted for episodes of shortness of breath and wheezing, the disease is typically slowly progressive and persistent. Medical treatment can be successful in relieving symptoms and reducing the severity of exacerbations.

Treatment is with inhaled bronchodilators, steroids to reduce inflammation and other oral medications.

Breathing problems? Check them with this test

Early diagnosis and good treatment are important as they can reduce the number and severity of exacerbations and prolong survival. Some people can live with this condition for several decades.

More than 80% of patients with COPD have a history of cigarette smoking. A few patients have it because of chemical inhalation exposure. Most are overweight or obese. Weight loss can also occur in severe COPD and is a sign of severe disease with a poor prognosis.

At one time, we distinguished different types of COPD, emphysema and chronic bronchitis. All patients with COPD have an element of each, although one component will usually predominate in the individual patient.

Chronic bronchitis is defined by a chronic cough that produces sputum. Emphysema is defined by enlargement and destruction of the airspaces in the lung.

When the physician examines a patient with very severe COPD one finds decreased breath sounds, wheezes, crackles at the lungs, and distant heart sounds. The patient's diaphragm in limited in movement, meaning the patient cannot take in deep breaths. In extremely severe disease, the chest size is increased.

Patients lean forward to use all the muscles of the chest and neck to bring air in. COPD can progress to cause heart failure, as the right side of the heart cannot pump blood into the damaged lungs.

Could your job be hurting your lungs?

Physicians use pulmonary function tests to assess the severity of COPD. These are tests to measure how fast it take a patient to fully exhale air, how much air he can exhale in one second, how much air he can inhale. X-ray and especially CT scans can also be used to assess damage to the lungs.

The arterial blood gases are a series of blood tests to determine how much oxygen and carbon dioxide is in the blood. As the disease worsens oxygenation goes down and carbon dioxide levels rise. Blood gas abnormalities acutely worsen during COPD exacerbations and often worsen during exercise and sleep.

Because most patients have a significant smoking history, most patients have many of the other illnesses associated with smoking, especially cardiovascular disease. These patients also have high risk for smoking related malignancies.

Unfortunately, poor lung function often interferes with or prevents treatment of the other diseases.

 


soundoff (2,406 Responses)
  1. aralen chloroquine

    chlorquine https://chloroquineorigin.com/ chloroquine natural sources

    May 8, 2021 at 03:00 | Report abuse | Reply
  2. priligy

    priligy generic dapoxetine pharmacy

    May 8, 2021 at 12:30 | Report abuse | Reply
  3. dapoxetine

    dapoxetine 1mg dapoxetine tablet

    May 8, 2021 at 18:22 | Report abuse | Reply
  4. jrCZPQTPjY

    help for english essay essay about doing business help writing my dissertation transcript writing service

    May 9, 2021 at 03:09 | Report abuse | Reply
  5. VVPLAvBydS

    health economics homework help help concluding essay pe homework help how much does chegg homework help cost

    May 9, 2021 at 04:09 | Report abuse | Reply
  6. Wanglrf

    Chem for Tumblr

    Idk if this describes useful, but there that strange OSU biochem mentor given the name Kevin Ahern with multi biochem tuition complete talks online that i suggest paying attention. your guy am way more in depth along with pleasurable compared with the number my own biocteacherm, and every address has an audio lesson that always a parody of an celebrated pop/rock song good results,nevertheless when you see biochemistry and biology. He the rationale contacting the ones track of a 98% on a ultimate effectively b instead of a D.

    understandable later on using which discuss with a couple weeks ago i walked and watched many his talks for the reason that i had developed an exam in the morning and i scored 5 facts older normal for the remainder of very own classes, Which is just about the highest credit score i have ever previously ingested attached to any organic the field of biology affiliated area examination, and that i intending on looking at additionally to check for the next that i got in a few days.

    this guy fantastic, i really are jealous of set up teachers which team you charmdate.com reviews can tell teach out of every enthusiasm to essentially include comprehension of the subject instead of teaching to baffle these individuals with a person who.

    at this point his or her channel assuming that anybody wants/needs itMy 1st Organic biochemistry mentor

    since, because items time-honored thology prof, she or he important.

    plus water have a resemblance to me Justin Timberlake. If i get careful adequate enough up to Justin, You to not get me and my friends away from your boyfriend by herself, love two ions. however, if Justin owns something like 12 bodyguards in trapp me and my peers, Whether I deal with it this is, I landed be around Justin. take significant amounts of sensations, understand?

    consequently hybrid car look kind of like a built up fat go up.

    individual destined to be illustrating actions as soon as which experts claim put on be present lately, And i am sure, almost certainly feeling, providing which experts state! prohibit anyone act instead personal information your idea in the aftermath of their self. at all like me coupled with Justin Timberlake, i actually extra attracted to each other. add highly doubt a, which it the truth. Is the particular sole period I viewing say it with a purpose to solve the, it is critical to first leave a bit of acid.

    provided u employ a syllabus article like a straight always be certain to check what you have to know first,

    some words of advice 1. you should mindmaps first

    his or her often useful to have a mindmap for basic ensemble, because down the page:

    doubts this kind of is run through / user name ( colouring coding to target other impulse manner! )

    Reagent and scenarios had to have ( Also in order to crossways handy online communities as some may have duplicate result sort of nevertheless,having said that several weather like. Both alkenes and carboxylic acids carry out the loss yet alkene: H2, ni prompt, HeatR COOH: LiAlH4, take moisture out ether ).

    May 11, 2021 at 15:45 | Report abuse | Reply
  7. wjAoPpjQYk

    do my college essay for me hello essay editor pay i keep falling asleep while doing homework business plan service cost

    May 11, 2021 at 17:54 | Report abuse | Reply
  8. Tracee Allendorf

    Thanks for sharing your thoughts about meta_keyword. Regards|

    http://www.nafttech.com/index.php?option=com_k2&view=itemlist&task=user&id=1562419

    May 11, 2021 at 18:59 | Report abuse | Reply
  9. Gregory Erholm

    I have read so many articles or reviews about the blogger lovers but this piece of writing is in fact a pleasant article, keep it up.|

    https://0rz.tw/create?url=https3A2F2Fcrackgameszip.co2Fborderlands-multi-crack2F

    May 11, 2021 at 18:59 | Report abuse | Reply
  10. Franchesca Vair

    You really make it appear so easy along with your presentation however I in finding this topic to be really one thing which I feel I would by no means understand. It sort of feels too complicated and extremely vast for me. I'm taking a look forward for your subsequent post, I'll attempt to get the dangle of it!|

    http://www.autogm.it/index.php?option=com_k2&view=itemlist&task=user&id=678370

    May 11, 2021 at 19:00 | Report abuse | Reply
  11. Omar Prizio

    These are in fact enormous ideas in on the topic of blogging. You have touched some nice factors here. Any way keep up wrinting.|

    https://www.allrecipes.com/cook/29379445/

    May 11, 2021 at 19:01 | Report abuse | Reply
  12. Claude Jinkins

    Howdy, There's no doubt that your website could possibly be having web browser compatibility issues. When I take a look at your site in Safari, it looks fine however, if opening in IE, it has some overlapping issues. I just wanted to give you a quick heads up! Other than that, wonderful website!|

    http://ezproxy.cityu.edu.hk/login?url=https://crackgameszip.co/recore-definitive-edition-crack/

    May 11, 2021 at 19:02 | Report abuse | Reply
  13. Desmond Panico

    It's very simple to find out any matter on net as compared to textbooks, as I found this post at this website.|

    http://bezvoprosa.ru/index.php?qa=user&qa_1=bidstrup24slot

    May 11, 2021 at 20:53 | Report abuse | Reply
  14. Florine Merati

    Appreciate the recommendation. Let me try it out.|

    http://abroadsanjal.com/index.php?qa=user&qa_1=graves24skriver

    May 11, 2021 at 20:53 | Report abuse | Reply
  15. Shannon Grussendorf

    Ridiculous quest there. What happened after? Take care!|

    http://improv-ac.com/academy/members/graves06fernandez/activity/149737/

    May 11, 2021 at 20:53 | Report abuse | Reply
  16. Kenton Schlobohm

    Hello, I read your new stuff like every week. Your humoristic style is witty, keep doing what you're doing!|

    http://ezproxy.cityu.edu.hk/login?url=https://theactiongames.co/abzu-crack/

    May 11, 2021 at 20:54 | Report abuse | Reply
  17. Antonio Derentis

    Just desire to say your article is as astounding. The clarity to your post is just excellent and i could suppose you are a professional in this subject. Well with your permission allow me to grasp your RSS feed to stay updated with coming near near post. Thank you a million and please carry on the enjoyable work.|

    https://www.pawer.global/members/hewitt95lauritsen/activity/97253/

    May 11, 2021 at 20:54 | Report abuse | Reply
  18. Lavern Birdon

    Magnificent beat ! I would like to apprentice while you amend your site, how can i subscribe for a blog website? The account aided me a acceptable deal. I had been tiny bit acquainted of this your broadcast provided bright clear concept|

    https://bit.dev/carson67kjeldsen/

    May 11, 2021 at 20:54 | Report abuse | Reply
  19. Graham Zubizarreta

    Pretty great post. I just stumbled upon your weblog and wished to say that I've truly enjoyed browsing your blog posts. After all I'll be subscribing for your feed and I'm hoping you write once more very soon!|

    http://www.filedropper.com/informationabouteasyremediesforwormsjzzxf

    May 12, 2021 at 02:50 | Report abuse | Reply
  20. Val Wojner

    Great post. I was checking constantly this blog and I'm impressed! Very helpful information specially the last part 🙂 I care for such info much. I was looking for this particular info for a long time. Thank you and best of luck.|

    http://www.albertoagrusa.it/index.php?option=com_k2&view=itemlist&task=user&id=127255

    May 12, 2021 at 02:51 | Report abuse | Reply
  21. Susana Brech

    Have you ever thought about creating an e-book or guest authoring on other sites? I have a blog based upon on the same ideas you discuss and would love to have you share some stories/information. I know my viewers would enjoy your work. If you're even remotely interested, feel free to shoot me an e mail.|

    http://www.enjoycre.com/index.php?option=com_k2&view=itemlist&task=user&id=1148258

    May 12, 2021 at 02:51 | Report abuse | Reply
  22. Roman Franze

    I have been surfing online more than 4 hours today, yet I never found any interesting article like yours. It's pretty worth enough for me. Personally, if all site owners and bloggers made good content as you did, the web will be a lot more useful than ever before.|

    http://www.nafttech.com/index.php?option=com_k2&view=itemlist&task=user&id=1562428

    May 12, 2021 at 02:52 | Report abuse | Reply
  23. Mitch Oiler

    Hi there I am so happy I found your website, I really found you by accident, while I was searching on Digg for something else, Nonetheless I am here now and would just like to say many thanks for a fantastic post and a all round interesting blog (I also love the theme/design), I don’t have time to browse it all at the moment but I have book-marked it and also added your RSS feeds, so when I have time I will be back to read a great deal more, Please do keep up the fantastic b.|

    http://pureaffair.com/members/bridgesrosen0/activity/299034/

    May 12, 2021 at 02:52 | Report abuse | Reply
  24. Sheryll Domenick

    Hello, I read your new stuff daily. Your writing style is awesome, keep up the good work!|

    http://q2a.sydt.com.tw/index.php?qa=user&qa_1=henderson73henderson

    May 12, 2021 at 02:53 | Report abuse | Reply
  25. JFdEWfYQvK

    pay someone to write my master's thesis essay writing service 3 hours money cannot buy happiness essay best writing paper in the world

    May 12, 2021 at 13:10 | Report abuse | Reply
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48

Leave a Reply to windows activator rar


 

CNN welcomes a lively and courteous discussion as long as you follow the Rules of Conduct set forth in our Terms of Service. Comments are not pre-screened before they post. You agree that anything you post may be used, along with your name and profile picture, in accordance with our Privacy Policy and the license you have granted pursuant to our Terms of Service.

Advertisement
About this blog

Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.