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 (2,459 Responses)
  1. Hilton Jorn

    Saved as a favorite, I love your web site!|

    https://musicbrainz.org/user/shoaibali

    January 24, 2021 at 17:46 | Report abuse | Reply
  2. Britt Shurtliff

    Hiya very cool web site!! Man .. Excellent .. Amazing .. I will bookmark your web site and take the feeds also? I am glad to seek out so many useful information here within the post, we need develop more techniques in this regard, thank you for sharing. . . . . .|

    https://www.smashwords.com/profile/view/rafayqureshi2019

    January 24, 2021 at 17:47 | Report abuse | Reply
  3. Sabina Blemel

    Why visitors still make use of to read news papers when in this technological world all is presented on web?|

    https://forums.oneplus.com/members/carol-abbott.3936636/

    January 24, 2021 at 17:47 | Report abuse | Reply
  4. Carolann Brew

    Hello mates, how is the whole thing, and what you want to say concerning this post, in my view its in fact amazing designed for me.|

    https://www.rolepages.com/characters/afzalkamran/

    January 24, 2021 at 17:48 | Report abuse | Reply
  5. Victor Hyatte

    Remarkable! Its actually amazing piece of writing, I have got much clear idea regarding from this paragraph.|

    https://8stem.com/krisstevens941

    January 24, 2021 at 17:48 | Report abuse | Reply
  6. Jenifer Morais

    You are so cool! I don't believe I've truly read through something like that before. So great to find another person with some unique thoughts on this topic. Really.. thanks for starting this up. This web site is something that is needed on the web, someone with some originality!|

    https://ko-fi.com/ameerkhan0449

    January 24, 2021 at 17:49 | Report abuse | Reply
  7. Sherita Herson

    What's up colleagues, how is the whole thing, and what you would like to say regarding this paragraph, in my view its in fact amazing in support of me.|

    https://devpost.com/12asgharfiaz80?ref_content=user-portfolio&ref_feature=portfolio&ref_medium=global-nav

    January 24, 2021 at 20:24 | Report abuse | Reply
  8. Ray Hochstetter

    What a data of un-ambiguity and preserveness of valuable know-how concerning unpredicted emotions.|

    https://www.snupps.com/asghar448

    January 24, 2021 at 20:24 | Report abuse | Reply
  9. Lindsey Servey

    After looking at a handful of the blog articles on your site, I seriously like your technique of blogging. I added it to my bookmark website list and will be checking back in the near future. Please visit my web site too and tell me how you feel.|

    https://www.feedsfloor.com/profile/dany-bond

    January 24, 2021 at 20:24 | Report abuse | Reply
  10. Kory Foore

    Heya! I understand this is somewhat off-topic however I had to ask. Does running a well-established blog like yours take a massive amount work? I'm brand new to operating a blog however I do write in my journal every day. I'd like to start a blog so I can share my experience and views online. Please let me know if you have any kind of recommendations or tips for new aspiring bloggers. Appreciate it!|

    https://www.producthunt.com/@muhammad_junaid2

    January 24, 2021 at 20:26 | Report abuse | Reply
  11. Halley Baklund

    Appreciating the hard work you put into your blog and in depth information you present. It's nice to come across a blog every once in a while that isn't the same out of date rehashed information. Wonderful read! I've bookmarked your site and I'm including your RSS feeds to my Google account.|

    http://www.authorstream.com/junaidamin/

    January 24, 2021 at 20:26 | Report abuse | Reply
  12. Alberto Scharler

    Thanks for a marvelous posting! I quite enjoyed reading it, you are a great author.I will make certain to bookmark your blog and may come back in the foreseeable future. I want to encourage you to continue your great posts, have a nice afternoon!|

    https://www.hackster.io/qosain82asghar

    January 24, 2021 at 20:26 | Report abuse | Reply
  13. Wally Cercone

    I have been surfing on-line greater than 3 hours lately, but I by no means found any interesting article like yours. It's pretty value sufficient for me. In my opinion, if all webmasters and bloggers made good content as you did, the net will likely be a lot more helpful than ever before.|

    https://msfn.org/board/profile/431766-unlimited-mac/?tab=field_core_pfield_18

    January 25, 2021 at 04:37 | Report abuse | Reply
  14. Stuart Rijos

    Have you ever thought about including a little bit more than just your articles? I mean, what you say is fundamental and everything. Nevertheless think about if you added some great photos or video clips to give your posts more, "pop"! Your content is excellent but with images and video clips, this blog could certainly be one of the greatest in its field. Good blog!|

    https://www.qutee.com/m/dennybondd/profile/

    January 25, 2021 at 04:37 | Report abuse | Reply
  15. Damien Beckler

    Hi to every body, it's my first pay a visit of this webpage; this web site carries awesome and actually fine information for visitors.|

    https://vocal.media/authors/zavir-poole

    January 25, 2021 at 04:37 | Report abuse | Reply
  16. Willard Simerly

    Hi there, always i used to check website posts here in the early hours in the break of day, for the reason that i enjoy to find out more and more.|

    https://www.spreaker.com/user/turgutkhan

    January 25, 2021 at 04:39 | Report abuse | Reply
  17. Marcie Chasnoff

    With havin so much written content do you ever run into any issues of plagorism or copyright infringement? My blog has a lot of unique content I've either written myself or outsourced but it appears a lot of it is popping it up all over the web without my agreement. Do you know any methods to help stop content from being ripped off? I'd truly appreciate it.|

    https://independent.academia.edu/KrisStevens4

    January 25, 2021 at 04:39 | Report abuse | Reply
  18. Annie Newhart

    Great post. I will be going through many of these issues as well..|

    https://stocktwits.com/asghar33

    January 25, 2021 at 04:40 | Report abuse | Reply
  19. Steven Sachar

    Why people still make use of to read news papers when in this technological globe everything is existing on net?|

    https://crackpropc.com/bulk-image-downloader-crack/

    January 25, 2021 at 15:30 | Report abuse | Reply
  20. Morris Lafrate

    I visited many sites however the audio quality for audio songs current at this web page is in fact excellent.|

    https://crackpropc.com/movavi-video-converter-crack/

    January 25, 2021 at 15:31 | Report abuse | Reply
  21. Philip Groberg

    Hello my loved one! I wish to say that this post is awesome, great written and come with almost all important infos. I would like to see more posts like this .|

    https://crackpropc.com/autodesk-revit-crack/

    January 25, 2021 at 15:31 | Report abuse | Reply
  22. Svetlana Kincey

    Hello there! Do you use Twitter? I'd like to follow you if that would be okay. I'm absolutely enjoying your blog and look forward to new posts.|

    https://crackpropc.com/wondershare-fotophire-crack/

    January 25, 2021 at 15:33 | Report abuse | Reply
  23. Broderick Fetzer

    Do you have a spam issue on this site; I also am a blogger, and I was curious about your situation; we have developed some nice methods and we are looking to trade techniques with others, please shoot me an e-mail if interested.|

    https://crackpropc.com/nova-launcher-prime-crack/

    January 25, 2021 at 18:32 | Report abuse | Reply
  24. Elden Pomeranz

    Hello to every body, it's my first pay a quick visit of this blog; this website carries amazing and actually good material designed for visitors.|

    https://crackpropc.com/ableton-live-crack/

    January 25, 2021 at 18:33 | Report abuse | Reply
  25. Gertude Goehring

    Wow, marvelous blog layout! How long have you been blogging for? you made blogging look easy. The overall look of your web site is fantastic, let alone the content!|

    https://crackpropc.com/smadav-pro-crack/

    January 25, 2021 at 19:57 | Report abuse | Reply
  26. Caron Beyea

    Thank you, I've recently been looking for information about this subject for a long time and yours is the greatest I have came upon so far. But, what in regards to the bottom line? Are you certain in regards to the source?|

    https://crackpropc.com/roguekiller-crack/

    January 25, 2021 at 19:57 | Report abuse | Reply
  27. Stephanie Lobendahn

    I've been surfing online more than 2 hours today, yet I never found any interesting article like yours. It's pretty worth enough for me. In my opinion, if all website owners and bloggers made good content as you did, the internet will be a lot more useful than ever before.|

    https://crackpropc.com/avast-secureline-vpn-crack/

    January 25, 2021 at 19:58 | Report abuse | Reply
  28. Freeda Buttray

    Hello, I read your blogs daily. Your humoristic style is awesome, keep it up!|

    https://crackpropc.com/hitfilm-pro-crack/

    January 25, 2021 at 19:59 | Report abuse | Reply
  29. Stephen Schaecher

    Everything is very open with a very clear clarification of the challenges. It was truly informative. Your website is useful. Thank you for sharing!|

    https://crackpropc.com/avid-media-composer-crack/

    January 25, 2021 at 19:59 | Report abuse | Reply
  30. windows loader 3.1.1

    I was able to find good advice from your articles.|

    https://www.pexels.com/@asghar-fiaz-18648623

    January 25, 2021 at 23:27 | Report abuse | Reply
  31. windows loader 8.1 pro build 9600

    Wow, fantastic blog layout! How long have you been blogging for? you make blogging look easy. The overall look of your web site is excellent, as well as the content!|

    https://quesanswer.com/user/asghar447/

    January 25, 2021 at 23:27 | Report abuse | Reply
  32. windows activator for 8.1

    You really make it seem really easy together with your presentation but I find this topic to be actually one thing that I believe I'd by no means understand. It kind of feels too complicated and very broad for me. I am taking a look forward on your next submit, I will attempt to get the grasp of it!|

    https://www.f6s.com/asgharfiaz1

    January 25, 2021 at 23:27 | Report abuse | Reply
  33. all windows activator cmd file

    It's hard to find well-informed people about this topic, however, you seem like you know what you're talking about! Thanks|

    https://www.bitrated.com/asghar12

    January 25, 2021 at 23:29 | Report abuse | Reply
  34. windows activator and office

    Excellent post but I was wondering if you could write a litte more on this subject? I'd be very grateful if you could elaborate a little bit further. Thank you!|

    https://linustechtips.com/profile/785900-asghar11/

    January 25, 2021 at 23:29 | Report abuse | Reply
  35. windows loader password

    Unquestionably believe that which you said. Your favourite reason appeared to be on the internet the easiest thing to be mindful of. I say to you, I definitely get annoyed whilst folks consider worries that they plainly don't recognise about. You managed to hit the nail upon the top and also defined out the whole thing without having side effect , other folks can take a signal. Will likely be again to get more. Thanks|

    https://profile.hatena.ne.jp/asghar442/

    January 25, 2021 at 23:30 | Report abuse | Reply
  36. windows 7 activator 32 bit

    Amazing! Its in fact awesome post, I have got much clear idea regarding from this article.|

    https://guides.co/p/asghar-fiaz-60692

    January 26, 2021 at 02:01 | Report abuse | Reply
  37. windows loader 7 64

    This design is wicked! You obviously know how to keep a reader entertained. Between your wit and your videos, I was almost moved to start my own blog (well, almost...HaHa!) Excellent job. I really enjoyed what you had to say, and more than that, how you presented it. Too cool!|

    https://creator.wonderhowto.com/asgharfiaz/

    January 26, 2021 at 02:01 | Report abuse | Reply
  38. windows loader program

    Helpful information. Fortunate me I found your website unintentionally, and I am shocked why this twist of fate did not happened earlier! I bookmarked it.|

    https://hubpages.com/@asgharfiaz

    January 26, 2021 at 02:01 | Report abuse | Reply
  39. windows loader daz

    Your style is very unique compared to other folks I've read stuff from. Thank you for posting when you have the opportunity, Guess I'll just book mark this blog.|

    https://www.houzz.com/pro/webuser-571204788/asghar731#Projects

    January 26, 2021 at 02:03 | Report abuse | Reply
  40. windows 10 activator 32 bit

    We're a group of volunteers and opening a new scheme in our community. Your site provided us with valuable information to work on. You have done a formidable job and our whole community will be grateful to you.|

    https://www.thetoptens.com/m/asghar005/

    January 26, 2021 at 02:03 | Report abuse | Reply
  41. windows xp activator genuine

    Good post. I'm going through many of these issues as well..|

    https://www.mytradezone.com/profile/httpwindowsactivatorinfo

    January 26, 2021 at 02:03 | Report abuse | Reply
  42. vickyadams

    I would like to thank WORLDHERBSCLINIC for reversing my father's Chronic obstructive pulmonary disease (COPD). My father was deteriorating on his COPD for Eleven years before he started on WORLDHERBSCLINIC herbal medicine treatment. He was on it for just THREE months,and we never thought my father will recover so soon. Has gained three kilos and can sleep all night without experiencing shortness of breath. I'm very happy to tell the world about this great COPD herbal medicine.

    January 26, 2021 at 05:39 | Report abuse | Reply
  43. windows loader to activate windows 7 ultimate

    You have made some really good points there. I looked on the web for more info about the issue and found most individuals will go along with your views on this web site.|

    http://wfmu.org/profile/753934033/asghar112

    January 26, 2021 at 11:36 | Report abuse | Reply
  44. windows 95 activation key

    First off I want to say awesome blog! I had a quick question that I'd like to ask if you do not mind. I was curious to find out how you center yourself and clear your mind before writing. I've had a tough time clearing my thoughts in getting my ideas out. I truly do take pleasure in writing however it just seems like the first 10 to 15 minutes are generally lost simply just trying to figure out how to begin. Any recommendations or tips? Many thanks!|

    http://www.authorstream.com/asghar443/

    January 26, 2021 at 11:37 | Report abuse | Reply
  45. windows loader xp sp3

    First off I would like to say great blog! I had a quick question which I'd like to ask if you don't mind. I was curious to find out how you center yourself and clear your mind before writing. I've had a tough time clearing my thoughts in getting my ideas out. I do take pleasure in writing but it just seems like the first 10 to 15 minutes tend to be lost just trying to figure out how to begin. Any suggestions or hints? Many thanks!|

    http://dreevoo.com/profile.php?pid=176321

    January 26, 2021 at 11:37 | Report abuse | Reply
  46. windows loader v2.2.2-daz.zip

    Right now it sounds like Movable Type is the best blogging platform out there right now. (from what I've read) Is that what you are using on your blog?|

    https://www.lonelyplanet.com/profile/12asgharfiaz80188604

    January 26, 2021 at 11:38 | Report abuse | Reply
  47. windows loader certificate wasn't successfully installed

    I like the helpful info you provide in your articles. I will bookmark your blog and check again here frequently. I'm quite certain I will learn many new stuff right here! Best of luck for the next!|

    http://hiphopinferno.com/user/asghar112

    January 26, 2021 at 11:38 | Report abuse | Reply
  48. windows activator google drive

    Pretty nice post. I just stumbled upon your weblog and wanted to say that I have truly enjoyed browsing your blog posts. In any case I'll be subscribing to your rss feed and I hope you write again soon!|

    https://www.spreaker.com/user/asghar21

    January 26, 2021 at 11:39 | Report abuse | Reply
  49. windows activate guest user

    I visit everyday some blogs and sites to read articles or reviews, however this weblog provides quality based content.|

    https://www.tetongravity.com/community/profile/m0d2fb/

    January 26, 2021 at 14:10 | Report abuse | Reply
  50. windows loader v1 .9.5.rar

    Hey there! I know this is kinda off topic nevertheless I'd figured I'd ask. Would you be interested in trading links or maybe guest authoring a blog post or vice-versa? My website addresses a lot of the same subjects as yours and I believe we could greatly benefit from each other. If you are interested feel free to send me an e-mail. I look forward to hearing from you! Great blog by the way!|

    https://quicklinkr.com/asghar443/public

    January 26, 2021 at 14:11 | 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 49

Leave a Reply to Pam Outland


 

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.