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 (2,378 Responses)
  1. DungFSwirsky

    Magnificent beat ! I wish to apprentice whilst you amend your site, how could
    i subscribe for the weblog website? The account helped us
    a applicable deal. I have been a little bit acquainted with this your broadcast
    provided brilliant transparent idea

    Also visit my website: DungFSwirsky

    March 7, 2021 at 01:35 | Report abuse | Reply
  2. bakery stickers labels

    Does your site possess a contact page? I'm having trouble locating
    it but, I'd love to shoot an e-mail. I've got some ideas for your blog you may well be
    thinking about hearing. Either way, great site and I look forward to seeing it grow as time passes.

    Here is my site: bakery stickers labels

    March 7, 2021 at 07:42 | Report abuse | Reply
  3. filofax notebook

    Very nice post. I absolutely love this page. Thanks!

    My blog :: filofax notebook

    March 8, 2021 at 13:06 | Report abuse | Reply
  4. https://shiatsu-web.com

    Best view i have ever seen !

    https://images.google.com.ar/url?q=https://shiatsu-web.com

    March 8, 2021 at 20:26 | Report abuse | Reply
  5. Carmon Siker

    magnificent issues altogether, you just received a logo new reader. What could you suggest in regards to your post that you made some days in the past? Any certain?|

    https://doodleordie.com/profile/davidsendenni

    March 8, 2021 at 22:35 | Report abuse | Reply
  6. Harriette Okuna

    Aw, this was a really good post. Taking the time and actual effort to create a top notch article… but what can I say… I put things off a whole lot and don't manage to get nearly anything done.|

    https://www.treasury.gov/cgi-bin/redirect.cgi/?https://installegg.com/laser-photo-wizard-crack-download/

    March 8, 2021 at 22:36 | Report abuse | Reply
  7. Alejandro Hinley

    Hey! This is my first visit to your blog! We are a team of volunteers and starting a new project in a community in the same niche. Your blog provided us valuable information to work on. You have done a extraordinary job!|

    http://shaboxes.com/author/abramsandresen55/

    March 8, 2021 at 22:36 | Report abuse | Reply
  8. Palmer Siva

    Very energetic post, I enjoyed that bit. Will there be a part 2?|

    http://www.presepepiumazzo.it/index.php?option=com_k2&view=itemlist&task=user&id=1493894

    March 8, 2021 at 22:37 | Report abuse | Reply
  9. Thaddeus Tressler

    Hey there, I think your blog might be having browser compatibility issues. When I look at your blog in Ie, it looks fine but when opening in Internet Explorer, it has some overlapping. I just wanted to give you a quick heads up! Other then that, awesome blog!|

    http://www.dellemimose.it/index.php?option=com_k2&view=itemlist&task=user&id=753998

    March 8, 2021 at 22:37 | Report abuse | Reply
  10. Amberly Brau

    Woah! I'm really loving the template/theme of this blog. It's simple, yet effective. A lot of times it's very difficult to get that "perfect balance" between user friendliness and visual appeal. I must say that you've done a fantastic job with this. In addition, the blog loads extremely quick for me on Internet explorer. Outstanding Blog!|

    http://playonly.me/user/moralesfranck5/

    March 8, 2021 at 22:38 | Report abuse | Reply
  11. zipper pocket insert

    What's up, just desired to mention, I liked this article.
    It was actually helpful. Keep on posting!

    Feel free to visit my blog ... zipper pocket insert

    March 9, 2021 at 01:09 | Report abuse | Reply
  12. Deangelo Rullo

    What's up to all, it's genuinely a pleasant for me to pay a quick visit this web site, it contains precious Information.|

    https://www.misterpoll.com/users/iqbalprince591

    March 9, 2021 at 01:14 | Report abuse | Reply
  13. Tricia Gianopulos

    I’m not that much of a online reader to be honest but your sites really nice, keep it up! I'll go ahead and bookmark your website to come back in the future. Many thanks|

    https://s.id/

    March 9, 2021 at 01:15 | Report abuse | Reply
  14. Mel Rebich

    My spouse and I stumbled over here by a different website and thought I may as well check things out. I like what I see so now i am following you. Look forward to going over your web page again.|

    http://jorconsulate.com/newen/index.php?option=com_k2&view=itemlist&task=user&id=450339

    March 9, 2021 at 01:15 | Report abuse | Reply
  15. Yahaira Tangert

    What i do not realize is in fact how you're not really much more well-appreciated than you may be right now. You are very intelligent. You recognize therefore significantly on the subject of this subject, made me in my view believe it from a lot of varied angles. Its like women and men are not interested until it is something to accomplish with Woman gaga! Your own stuffs outstanding. At all times deal with it up!|

    http://truckcamvideos.com/index.php?qa=user&qa_1=chasemccray96

    March 9, 2021 at 01:16 | Report abuse | Reply
  16. Clarissa Calamity

    Howdy! This is my 1st comment here so I just wanted to give a quick shout out and tell you I genuinely enjoy reading through your articles. Can you recommend any other blogs/websites/forums that deal with the same subjects? Appreciate it!|

    https://checkpointforarts.com/members/hartvigbradshaw3/activity/234086/

    March 9, 2021 at 01:16 | Report abuse | Reply
  17. Clark Rothbauer

    Howdy, i read your blog occasionally and i own a similar one and i was just wondering if you get a lot of spam responses? If so how do you prevent it, any plugin or anything you can recommend? I get so much lately it's driving me mad so any support is very much appreciated.|

    https://www.pcb.its.dot.gov/PageRedirect.aspx?redirectedurl=https://downloadcrack.info/artlantis-studio-crack-full-license-key-free-download-latest/

    March 9, 2021 at 01:16 | Report abuse | Reply
  18. filofax finsbury

    If you are intending for most excellent contents like myself, simply visit this site constantly because it offers quality contents, thanks

    My web blog :: filofax finsbury

    March 9, 2021 at 06:19 | Report abuse | Reply
  19. Stefan Hromek

    If you are going for finest contents like me, only pay a quick visit this web site all the time as it gives quality contents, thanks|

    http://www.filedropper.com/areviewonemailgogettersystemeggsevlzp

    March 9, 2021 at 09:28 | Report abuse | Reply
  20. Jodie Bilchak

    Heya i'm for the primary time here. I came across this board and I to find It really helpful & it helped me out much. I hope to present something back and aid others like you aided me.|

    http://www.castagneto.eu/index.php?option=com_k2&view=itemlist&task=user&id=1807126

    March 9, 2021 at 09:28 | Report abuse | Reply
  21. Cordie Fama

    I read this paragraph fully on the topic of the difference of newest and earlier technologies, it's amazing article.|

    https://san-servis.com/index.php?option=com_k2&view=itemlist&task=user&id=1343516

    March 9, 2021 at 09:30 | Report abuse | Reply
  22. Reid Pratts

    Whats up this is somewhat of off topic but I was wondering if blogs use WYSIWYG editors or if you have to manually code with HTML. I'm starting a blog soon but have no coding know-how so I wanted to get advice from someone with experience. Any help would be greatly appreciated!|

    http://www.nookl.com/article/1313498/pa-training-10-steps-to-acing-your-physician-assistant-school-interview

    March 9, 2021 at 09:30 | Report abuse | Reply
  23. Travis Boucouvalas

    Today, I went to the beach front with my children. I found a sea shell and gave it to my 4 year old daughter and said "You can hear the ocean if you put this to your ear." She placed the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is completely off topic but I had to tell someone!|

    https://www.pcb.its.dot.gov/PageRedirect.aspx?redirectedurl=https://licensekeycrack.co/cubase-pro-crack-serial-key/

    March 9, 2021 at 09:30 | Report abuse | Reply
  24. victoria hellen

    PLEASE READ MY HERPES CURE. {doctor contact whatsapp/call +2349036036397}, [email herbalcure12@gmail.com]. and facebook page *facebook.com/Herpes-cure-with-herbal-medicine-643324002519440*  Hello Everyone,  I am from Florida USA. I want to share my testimonies to the general public on how this great man called Dr Mohammed cured my herpes. I have been a HERPES patient for over A YEAR AND TWO MONTHS and i have been in pains until i came across this lady when i traveled to Holland  for an interview who happen to once been a herpes patient, i explained everything to her and she told me that there is this Great DOCTOR that help her to cure her herpes and she gave me his email address for me to contact and i did as she instructed. And the  Dr  told me how much to buy the herpes herbal medication and how I will get it, which I did. and he send me the herbal medicine through UPS COURIER SERVICE and i use it according to his  instruction And to my greatest surprise that i took the Herpes herbal medicine for just 2 week and behold i went for a herpes test, for to my greatest surprise for the Doctor confirmed me to herpes free and said that i no longer have herpes in my system and till now i have never felt any pains nor herpes symptoms , so i said i must testify the goodness of this man to the general public for if you are there surfing from this Herpes problems, ALS, CANCER,  or any deadly disease or VIRUS,  i will advise you to contact him on his working email:(herbalcure12@gmail.com) chat or called whatsapp +2349036036397 and i assure you that he will help you just as he  did for me okay.  HIS WEB SIT  (https://www.gleauty.com/NG/Abuja/643324002519440/Herpes-cure-with-herbal-medicine

    March 9, 2021 at 09:47 | Report abuse | Reply
  25. Nilsa Dozer

    Pretty nice post. I simply stumbled upon your weblog and wished to say that I have really loved browsing your weblog posts. In any case I will be subscribing for your rss feed and I'm hoping you write once more very soon!|

    http://pandora.nla.gov.au/external.html?link=https://crackoffice.com/superantispyware-crack/

    March 9, 2021 at 18:29 | Report abuse | Reply
  26. Tom Kubick

    I was curious if you ever thought of changing the layout of your blog? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having 1 or 2 images. Maybe you could space it out better?|

    http://www.johnsonclassifieds.com/user/profile/3621799

    March 9, 2021 at 18:30 | Report abuse | Reply
  27. Carmelo Siver

    Hi mates, its wonderful piece of writing about cultureand fully defined, keep it up all the time.|

    http://www.petralene.com/index.php?option=com_k2&view=itemlist&task=user&id=988735

    March 9, 2021 at 18:30 | Report abuse | Reply
  28. Lauretta Pini

    Hello there, You have done an incredible job. I'll definitely digg it and personally suggest to my friends. I'm confident they will be benefited from this site.|

    http://uaeartnews.com/new/index.php?option=com_k2&view=itemlist&task=user&id=357147

    March 9, 2021 at 18:31 | Report abuse | Reply
  29. Peter Gauci

    I know this if off topic but I'm looking into starting my own weblog and was curious what all is needed to get set up? I'm assuming having a blog like yours would cost a pretty penny? I'm not very web savvy so I'm not 100 sure. Any tips or advice would be greatly appreciated. Cheers|

    http://www.sicipiscine.it/index.php?option=com_k2&view=itemlist&task=user&id=933528

    March 9, 2021 at 18:31 | Report abuse | Reply
  30. Paris Dyrstad

    This is very interesting, You are a very professional blogger. I have joined your feed and sit up for in the hunt for extra of your great post. Additionally, I have shared your web site in my social networks|

    https://0rz.tw/create?url=https3A2F2Fprolicensekey.co2Ftotal-video-converter-crack-with-registration-key2F

    March 9, 2021 at 18:32 | Report abuse | Reply
  31. Clarisa Geigel

    Hey! I'm at work browsing your blog from my new iphone 4! Just wanted to say I love reading through your blog and look forward to all your posts! Keep up the outstanding work!|

    http://www.sviluppoperleuropa.it/sve/index.php?option=com_k2&view=itemlist&task=user&id=1306984

    March 9, 2021 at 21:13 | Report abuse | Reply
  32. Gilberto Washpun

    I've been exploring for a little bit for any high quality articles or weblog posts on this kind of space . Exploring in Yahoo I finally stumbled upon this website. Reading this info So i'm satisfied to express that I've an incredibly excellent uncanny feeling I discovered exactly what I needed. I so much certainly will make certain to don?t overlook this site and provides it a glance regularly.|

    http://philhopkinsltd.com/members/singerrankin45/activity/130832/

    March 9, 2021 at 21:13 | Report abuse | Reply
  33. Regina Pursley

    You're so interesting! I don't believe I've read through something like that before. So good to find someone with a few original thoughts on this subject. Really.. thanks for starting this up. This website is something that's needed on the web, someone with a bit of originality!|

    http://playonly.me/user/cunninghamamstrup5/

    March 9, 2021 at 21:13 | Report abuse | Reply
  34. Lakendra Hoving

    Can you tell us more about this? I'd like to find out more details.|

    http://www.jessicaferrari.it/index.php?option=com_k2&view=itemlist&task=user&id=1857411

    March 9, 2021 at 21:15 | Report abuse | Reply
  35. Twanna Genz

    What's Going down i am new to this, I stumbled upon this I have discovered It positively useful and it has helped me out loads. I hope to give a contribution & help different customers like its aided me. Great job.|

    http://www.biagiodanielloflash.com/home/index.php?option=com_k2&view=itemlist&task=user&id=517426

    March 9, 2021 at 21:15 | Report abuse | Reply
  36. Armand Faure

    Hello there, simply turned into alert to your blog via Google, and located that it is truly informative. I'm gonna watch out for brussels. I will be grateful if you continue this in future. Numerous other people will probably be benefited from your writing. Cheers!|

    https://dospuntoseventos.cl/index.php?option=com_k2&view=itemlist&task=user&id=8816929

    March 9, 2021 at 21:15 | Report abuse | Reply
  37. wallet notebook pen

    Good day very cool website!! Guy .. Beautiful ..
    Superb .. I will bookmark your web site and take the feeds additionally?
    I am satisfied to find numerous useful info right here within the
    submit, we need develop more strategies on this regard, thank you for sharing.
    . . . . .

    Also visit my site: wallet notebook pen

    March 10, 2021 at 03:35 | Report abuse | Reply
  38. Florentino Concepcion

    Thanks on your marvelous posting! I certainly enjoyed reading it, you could be a great author. I will remember to bookmark your blog and will come back down the road. I want to encourage you to continue your great posts, have a nice day!|

    http://www.nofundme.net/members/buskharrison35/activity/148186/

    March 10, 2021 at 05:38 | Report abuse | Reply
  39. Lovella Knack

    Howdy! This is my first comment here so I just wanted to give a quick shout out and tell you I truly enjoy reading your blog posts. Can you suggest any other blogs/websites/forums that deal with the same subjects? Thanks a lot!|

    http://www.drugoffice.gov.hk/gb/unigb/downloadcrack.info/tuneskit-spotify-converter-crack-registration-code-free-full/

    March 10, 2021 at 05:38 | Report abuse | Reply
  40. Rex Papiernik

    Hi this is somewhat of off topic but I was wondering if blogs use WYSIWYG editors or if you have to manually code with HTML. I'm starting a blog soon but have no coding skills so I wanted to get guidance from someone with experience. Any help would be enormously appreciated!|

    http://americanhomeandgardenexchange.com/members/justburnham3/activity/491242/

    March 10, 2021 at 05:38 | Report abuse | Reply
  41. Herbert Vankleeck

    I am really impressed with your writing skills and also with the layout on your weblog. Is this a paid theme or did you customize it yourself? Anyway keep up the excellent quality writing, it's rare to see a nice blog like this one nowadays.|

    https://doodleordie.com/profile/lykkegaarderi

    March 10, 2021 at 05:40 | Report abuse | Reply
  42. Antonio Mango

    Thank you for another great post. The place else may just anyone get that kind of info in such a perfect approach of writing? I've a presentation subsequent week, and I'm on the search for such information.|

    http://rectherapywebinars.com/members/karlsen76winters/activity/549131/

    March 10, 2021 at 05:41 | Report abuse | Reply
  43. Salena Caborn

    i have bought this amazing calendar, it aww

    https://bit.ly/2FVEBHq

    March 10, 2021 at 10:29 | Report abuse | Reply
  44. happy planner

    Really good write-up. I definitely love this amazing
    site. Keep writing!

    my web site; happy planner

    March 10, 2021 at 12:18 | Report abuse | Reply
  45. SuzieBRengel

    This info is worth everyone's attention. Where
    can I find out more?

    My web-site – SuzieBRengel

    March 10, 2021 at 14:09 | Report abuse | Reply
  46. Jeremy Fiorini

    Great article.|

    https://www.pinterest.com/lyonshaas325271/

    March 11, 2021 at 12:24 | Report abuse | Reply
  47. Beverlee Walston

    Attractive part of content. I simply stumbled upon your blog and in accession capital to claim that I get in fact enjoyed account your weblog posts. Anyway I will be subscribing in your augment or even I fulfillment you get admission to constantly quickly.|

    https://bit.dev/weber30kejser/

    March 11, 2021 at 12:25 | Report abuse | Reply
  48. Wilmer Tiberi

    I have been exploring for a bit for any high-quality articles or blog posts in this sort of house . Exploring in Yahoo I eventually stumbled upon this site. Studying this information So i'm satisfied to convey that I have an incredibly good uncanny feeling I discovered just what I needed. I most for sure will make sure to do not overlook this website and give it a glance regularly.|

    http://ostack.cn/index.php?qa=user&qa_1=gyllingwyatt3

    March 11, 2021 at 12:26 | Report abuse | Reply
  49. Brande Snelgrove

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

    http://ge.tt/5gnW7xA3/v/0

    March 11, 2021 at 12:26 | Report abuse | Reply
  50. Don Zierenberg

    Hi, its fastidious paragraph concerning media print, we all understand media is a wonderful source of facts.|

    https://www.allrecipes.com/cook/29008601/

    March 11, 2021 at 12:27 | 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

Leave a Reply to productivity sticker


 

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.