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 (2,849 Responses)
  1. Deandrea Freer

    I blog often and I seriously thank you for your content. The article has really peaked my interest. I will bookmark your site and keep checking for new details about once per week. I subscribed to your RSS feed as well.|

    https://myanimelist.net/profile/procrackfree1122#lastcomment

    January 28, 2021 at 11:17 | Report abuse | Reply
  2. Brunilda Loving

    Really when someone doesn't be aware of after that its up to other viewers that they will help, so here it takes place.|

    https://musescore.com/freeproversion

    January 28, 2021 at 11:17 | Report abuse | Reply
  3. Vincenza Landron

    This article will assist the internet people for building up new website or even a blog from start to end.|

    https://www.whatdotheyknow.com/user/free_pro_version

    January 28, 2021 at 11:17 | Report abuse | Reply
  4. Elroy Sawtelle

    I'm gone to convey my little brother, that he should also pay a visit this weblog on regular basis to obtain updated from most recent information.|

    https://worldcosplay.net/member/958357

    January 28, 2021 at 13:54 | Report abuse | Reply
  5. Dawn Spiwak

    Way cool! Some very valid points! I appreciate you writing this write-up and also the rest of the site is also very good.|

    https://musescore.com/httplicensekey_net

    January 28, 2021 at 13:54 | Report abuse | Reply
  6. Cody Kelleher

    It's amazing to pay a visit this web site and reading the views of all colleagues on the topic of this piece of writing, while I am also eager of getting knowledge.|

    https://community.windy.com/user/procrackfree1122

    January 28, 2021 at 13:54 | Report abuse | Reply
  7. Franklyn Mistretta

    It is perfect time to make some plans for the future and it's time to be happy. I have read this post and if I may just I wish to counsel you few interesting things or tips. Maybe you can write next articles regarding this article. I wish to learn even more issues about it!|

    https://pbase.com/procrackfree

    January 28, 2021 at 13:55 | Report abuse | Reply
  8. Shelley Rasulo

    Howdy! This post couldn't be written any better! Going through this post reminds me of my previous roommate! He continually kept talking about this. I am going to send this information to him. Pretty sure he's going to have a good read. I appreciate you for sharing!|

    https://www.wantedly.com/id/pro_crack_free

    January 28, 2021 at 13:55 | Report abuse | Reply
  9. Nguyet Shelvey

    With havin so much written content do you ever run into any issues of plagorism or copyright violation? My website has a lot of exclusive content I've either written myself or outsourced but it looks like a lot of it is popping it up all over the internet without my authorization. Do you know any techniques to help prevent content from being ripped off? I'd definitely appreciate it.|

    https://peatix.com/user/7330767/view

    January 28, 2021 at 13:56 | Report abuse | Reply
  10. Christopher Malay

    Some genuinely nice and useful info on this web site, likewise I conceive the design and style has great features.

    https://www.electricpercolatorcoffeepot.com/10-top-coffee-bloggers/

    January 28, 2021 at 21:59 | Report abuse | Reply
  11. Reginald Sammon

    Thank you a lot for sharing this with all people you really know what you're talking about! Bookmarked. Kindly additionally discuss with my site =). We may have a link alternate agreement among us|

    https://www.starnow.co.uk/freeprocrack1122/

    January 28, 2021 at 22:11 | Report abuse | Reply
  12. Johnathon Leshure

    I am regular visitor, how are you everybody? This paragraph posted at this web site is really good.|

    https://visual.ly/users/johhnkenyyon8465/portfolio

    January 28, 2021 at 22:11 | Report abuse | Reply
  13. Gertude Mcgarity

    It's hard to find educated people in this particular subject, but you sound like you know what you're talking about! Thanks|

    https://codecanyon.net/user/procrackfree1122

    January 28, 2021 at 22:13 | Report abuse | Reply
  14. Chester Engelbert

    Very nice post. I just stumbled upon your blog and wanted to say that I've really enjoyed surfing around your blog posts. After all I'll be subscribing to your feed and I hope you write again very soon!|

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

    January 28, 2021 at 22:13 | Report abuse | Reply
  15. Robert Vandygriff

    Quality content is the secret to be a focus for the users to pay a quick visit the web site, that's what this web page is providing.|

    https://codecanyon.net/user/procrackfree1122

    January 28, 2021 at 22:14 | Report abuse | Reply
  16. RhebaYMatsko

    Hello, just wished to say, I enjoyed this post. It absolutely was funny.
    Carry on posting!

    Review my site; RhebaYMatsko

    January 29, 2021 at 10:03 | Report abuse | Reply
  17. ConnieYViale

    Cool blog! Will be your theme customized or do you download it from somewhere?
    A design like yours with just a few simple adjustements would actually
    make my blog jump out. Please tell me where you got
    your theme. Thanks a great deal

    Visit my website :: ConnieYViale

    January 29, 2021 at 12:34 | Report abuse | Reply
  18. LeotaSStassi

    Your thing is absolutely unique compared to
    other individuals We have read stuff from. Thanks a lot for
    posting when you've got an opportunity, Guess I'll just book mark
    this blog.

    Feel free to surf to my page: LeotaSStassi

    January 29, 2021 at 15:10 | Report abuse | Reply
  19. LadyFDewindt

    Good day! Would you mind if I share your blog with my
    myspace group? There's a lot of people that I think would really enjoy your content.
    Please let me know. Many thanks

    Have a look at my web-site :: LadyFDewindt

    January 29, 2021 at 16:38 | Report abuse | Reply
  20. Elton Lahman

    Hello there, I discovered your web site by the use of Google even as searching for a related matter, your web site came up, it seems to be great. I have bookmarked it in my google bookmarks.

    https://www.artfire.com/ext/people/johhnkenyyon846531662140

    January 29, 2021 at 19:16 | Report abuse | Reply
  21. Rex Krabbenhoft

    Ahaa, its fastidious conversation on the topic of this article here at this web site, I have read all that, so at this time me also commenting at this place.|

    https://www.producthunt.com/@activationkeys1122

    January 29, 2021 at 19:17 | Report abuse | Reply
  22. Earlie Lamonda

    Hi there, just wanted to tell you, I enjoyed this blog post. It was inspiring. Keep on posting!|

    https://pinshape.com/users/1104643-procrackfree1122#designs-tab-open

    January 29, 2021 at 19:17 | Report abuse | Reply
  23. Jon Zamorano

    I feel that is among the such a lot vital information for me. And i'm satisfied studying your article. However want to statement on some normal issues, The website taste is wonderful, the articles is really great : D. Just right process, cheers|

    https://www.scoop.it/u/zain-shakoor-faiz-bakhs

    January 29, 2021 at 19:18 | Report abuse | Reply
  24. Morton Beydoun

    Piece of writing writing is also a excitement, if you be familiar with then you can write otherwise it is complicated to write.|

    https://www.wattpad.com/user/licensekey121

    January 29, 2021 at 19:18 | Report abuse | Reply
  25. Salena Eskin

    Currently it looks like Drupal is the best blogging platform available right now. (from what I've read) Is that what you are using on your blog?|

    https://www.hitsconnect.com/members.php?mf=upd

    January 29, 2021 at 19:19 | Report abuse | Reply
  26. Steven Raterman

    Write more, thats all I have to say. Literally, it seems as though you relied on the video to make your point. You clearly know what youre talking about, why waste your intelligence on just posting videos to your blog when you could be giving us something enlightening to read?|

    https://start.me/p/1kxDND/httpactivationkeysorg

    January 29, 2021 at 21:59 | Report abuse | Reply
  27. Emeline Vilcan

    Attractive section of content. I just stumbled upon your website and in accession capital to assert that I acquire actually enjoyed account your blog posts. Any way I will be subscribing to your feeds and even I achievement you access consistently quickly.|

    https://www.pearltrees.com/freeproversion1122

    January 29, 2021 at 21:59 | Report abuse | Reply
  28. Steven Barncastle

    Magnificent items from you, man. I have remember your stuff previous to and you're simply too fantastic. I really like what you've got right here, really like what you're stating and the best way in which you say it. You make it entertaining and you still care for to keep it smart. I can not wait to learn far more from you. This is really a wonderful website.|

    https://independent.academia.edu/Boydlucci

    January 29, 2021 at 21:59 | Report abuse | Reply
  29. Abdul Tresselt

    Awesome article.|

    https://www.debate.org/procrackfree1122/

    January 29, 2021 at 22:01 | Report abuse | Reply
  30. Jarrod Hahnert

    A person necessarily assist to make significantly articles I would state. This is the first time I frequented your website page and so far? I amazed with the research you made to create this particular publish extraordinary. Magnificent activity!|

    https://www.threadless.com/@freeproversion/activity

    January 29, 2021 at 22:01 | Report abuse | Reply
  31. Armandina Kenoyer

    Pretty! This was an extremely wonderful article. Thank you for providing this information.|

    https://mix.com/procrackfree1122

    January 29, 2021 at 22:01 | Report abuse | Reply
  32. 온라인 블랙잭

    This is something New !

    https://blackjack88.pro

    January 30, 2021 at 04:46 | Report abuse | Reply
  33. Verlie Bielser

    In fact when someone doesn't be aware of then its up to other people that they will help, so here it happens.|

    https://genius.com/procrackfree1122

    January 30, 2021 at 06:33 | Report abuse | Reply
  34. Trinidad Parrot

    I really love your site.. Excellent colors & theme. Did you create this web site yourself? Please reply back as I'm wanting to create my very own blog and want to learn where you got this from or what the theme is called. Appreciate it!|

    https://browser.geekbench.com/user/procrackfree1122

    January 30, 2021 at 06:34 | Report abuse | Reply
  35. Jarrod Franc

    Does your blog have a contact page? I'm having a tough time locating it but, I'd like to shoot you an email. I've got some ideas for your blog you might be interested in hearing. Either way, great website and I look forward to seeing it improve over time.|

    https://www.skillshare.com/profile/Myson-Boss/589768785

    January 30, 2021 at 06:35 | Report abuse | Reply
  36. Charles Zerby

    For newest news you have to go to see internet and on the web I found this web page as a finest website for most up-to-date updates.|

    https://moz.com/community/users/16901439

    January 30, 2021 at 06:35 | Report abuse | Reply
  37. Albert Heafey

    Hi there, You have done a great job. I will certainly digg it and personally suggest to my friends. I am sure they will be benefited from this site.|

    https://github.com/settings/connections/applications/059f6310a5ffd6327e36

    January 30, 2021 at 06:36 | Report abuse | Reply
  38. Tammi Afan

    With havin so much content and articles do you ever run into any problems of plagorism or copyright infringement? My blog has a lot of unique content I've either created myself or outsourced but it appears a lot of it is popping it up all over the internet without my authorization. Do you know any ways to help stop content from being ripped off? I'd genuinely appreciate it.

    https://extraproxies.com/buy-proxies/100-proxy-pack/

    January 30, 2021 at 21:59 | Report abuse | Reply
  39. Fransisca Tordsen

    Hi, I do believe this is an excellent site. I stumbledupon it 😉 I'm going to come back once again since I bookmarked it. Money and freedom is the best way to change, may you be rich and continue to help other people.|

    https://www.proz.com/profile/3154556

    January 30, 2021 at 23:47 | Report abuse | Reply
  40. Steve Bachelor

    I have read so many articles concerning the blogger lovers except this post is actually a pleasant paragraph, keep it up.|

    https://www.reddit.com/user/licensekey121

    January 30, 2021 at 23:47 | Report abuse | Reply
  41. Jesusa Savell

    Wow, superb weblog structure! How long have you been running a blog for? you made blogging glance easy. The full look of your website is fantastic, as neatly as the content material!

    https://independent.academia.edu/Laszlofreeman

    January 30, 2021 at 23:47 | Report abuse | Reply
  42. Demarcus Cotler

    Hey! I know this is somewhat off topic but I was wondering which blog platform are you using for this website? I'm getting fed up of WordPress because I've had problems with hackers and I'm looking at options for another platform. I would be fantastic if you could point me in the direction of a good platform.|

    http://www.castingcall.club/m/procrackfree1122

    January 30, 2021 at 23:49 | Report abuse | Reply
  43. Isaias Walston

    Hey I am so excited I found your site, I really found you by error, while I was researching on Yahoo for something else, Anyways I am here now and would just like to say many thanks for a tremendous post and a all round entertaining blog (I also love the theme/design), I don't have time to read through it all at the moment but I have bookmarked it and also added your RSS feeds, so when I have time I will be back to read more, Please do keep up the awesome work.|

    https://www.spreaker.com/user/licensekey1122

    January 30, 2021 at 23:49 | Report abuse | Reply
  44. Jessica Decasanova

    Can you tell us more about this? I'd want to find out some additional information.|

    https://hypixel.net/members/activationkeys1.4546070/#about

    January 30, 2021 at 23:50 | Report abuse | Reply
  45. Jacquie Barriga

    I loved as much as you'll receive carried out right here. The sketch is tasteful, your authored material stylish. nonetheless, you command get bought an edginess over that you wish be delivering the following. unwell unquestionably come further formerly again as exactly the same nearly very often inside case you shield this increase.|

    http://www.onfeetnation.com/profile/FreeProVersion

    January 31, 2021 at 02:35 | Report abuse | Reply
  46. Jim Stafiej

    Hey There. I found your weblog the use of msn. This is a very well written article. I will be sure to bookmark it and return to read extra of your helpful information. Thanks for the post. I will definitely comeback.|

    https://www.bonanza.com/users/47502631/profile?preview=true

    January 31, 2021 at 02:35 | Report abuse | Reply
  47. Soila Hemphill

    Sweet blog! I found it while browsing on Yahoo News. Do you have any tips on how to get listed in Yahoo News? I've been trying for a while but I never seem to get there! Many thanks|

    https://1000kitap.com/licensekey232

    January 31, 2021 at 02:36 | Report abuse | Reply
  48. Aurelio Brimmage

    You can certainly see your enthusiasm in the article you write. The sector hopes for more passionate writers like you who aren't afraid to mention how they believe. Always follow your heart.|

    http://appsplit.com/users/activationkeys1122

    January 31, 2021 at 02:36 | Report abuse | Reply
  49. Jamison Synnott

    Thank you for every other great post. Where else may just anyone get that kind of info in such an ideal means of writing? I've a presentation next week, and I am at the search for such information.|

    https://freeproversion111.tumblr.com/

    January 31, 2021 at 02:37 | Report abuse | Reply
  50. Chi Kennerly

    “I couldn’t believe how she lost her double chin.” When my sister, Susan opened the door, I was not ready for what I was about to see... The first thing I noticed was her face…how much slimmer it was… And how she’d lost her double chin. In fact, Susan had already lost 24 pounds in just a few weeks and I could hardly recognize her. Her husband Mark then appeared behind her… Also looking leaner, stronger and more confident than ever after using the exact same solution... And he couldn’t keep his hands off his gorgeous, toned wife. I hadn’t seen my sister this happy for years. I was astounded by the transformation in her body. Learn more by clicking here ==> https://tinyurl.com/y6hzj4t7

    https://tinyurl.com/y6hzj4t7

    January 31, 2021 at 03:44 | 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 50 51 52 53 54 55 56 57

Leave a Reply to windows activator 7


 

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.