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.
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.
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.
Great post. I was checking continuously this blog and I am inspired! Extremely useful information particularly the final part 🙂 I care for such info much. I was seeking this particular information for a long time. Thank you and good luck. |
I love it when individuals get together and share views. Great website, continue the good work!|
Hey There. I found your weblog the usage of msn. That is a really well written article. I'll make sure to bookmark it and return to read extra of your useful information. Thanks for the post. I will certainly comeback.|
Do you have any video of that? I'd love to find out some additional information.|
Why visitors still make use of to read news papers when in this technological world everything is existing on net?|
It's a shame you don't have a donate button! I'd most certainly donate to this outstanding blog! I guess for now i'll settle for book-marking and adding your RSS feed to my Google account. I look forward to fresh updates and will share this website with my Facebook group. Talk soon!|
Magnificent goods from you, man. I've understand your stuff previous to and you're just extremely wonderful. I really like what you have acquired here, certainly like what you are stating and the way in which you say it. You make it enjoyable and you still take care of to keep it smart. I can't wait to read much more from you. This is actually a terrific website.|
Its like you read my mind! You appear to know so much about this, like you wrote the book in it or something. I think that you could do with a few pics to drive the message home a bit, but other than that, this is wonderful blog. An excellent read. I'll certainly be back.|
Outstanding story there. What happened after? Good luck!|
how much is viagra in canada https://canadaviagrastore.com/ canada online viagra
statistics help for dissertation uk time order expository essay primary homework help co uk romans resume writing service cincinnati
cheap viagra from canada https://canadaviagrastore.com/ generic viagra cost walmart canada
Great post. I will be experiencing some of these issues as well..|
I think this is among the most important information for me. And i'm glad reading your article. But should remark on some general things, The website style is perfect, the articles is really great : D. Good job, cheers|
Hello there! I could have sworn I've been to this site before but after reading through some of the post I realized it's new to me. Anyhow, I'm definitely glad I found it and I'll be bookmarking and checking back frequently!|
Hello, i read your blog occasionally and i own a similar one and i was just curious if you get a lot of spam comments? If so how do you stop it, any plugin or anything you can recommend? I get so much lately it's driving me mad so any assistance is very much appreciated.|
Superb site you have here but I was wanting to know if you knew of any community forums that cover the same topics discussed in this article? I'd really like to be a part of online community where I can get opinions from other knowledgeable people that share the same interest. If you have any suggestions, please let me know. Thanks!|
canadian generic pills https://canadapillstorex.com/ canadian pills online
vardenafil levitra https://vegavardenafil.com/ generic vardenafil 20mg
chegg homework help search college dropout essay western essay help pay to do your math homework
tadalafil generic https://elitadalafill.com/ buy tadalafil
canadian pills online https://canadapillstorex.com/ canadian pills pharmacy
canadian pharmacies ed pills https://canadapillstorex.com/ canadian generic pills
partner with erectile dysfunction https://canadaerectiledysfunctionpills.com/ does erectile dysfunction ever go away
tadalafil online https://elitadalafill.com/ tadalafil 40 mg daily
zithromax perscription https://zithromaxes.com/ z pak indications
cialis canadian pharmacy https://canadacialisstore.com/ is it safe to order cialis from canadian pharmacy
essay on how i help my mother in kitchen help me write an essay ap biology homework help primary homework help greece today
cialis, sale, canadian pharm. https://canadacialisstore.com/ cialis canadian discounts
canadian pharmacy tadalafil viagara cialis https://canadacialisstore.com/ cialis on line purches canadian pharmacy
When I originally left a comment I appear to have clicked on the -Notify me when new comments are added- checkbox and now every time a comment is added I recieve 4 emails with the same comment. There has to be a means you are able to remove me from that service? Cheers!|
I seriously love your blog.. Very nice colors & theme. Did you build this site yourself? Please reply back as I'm wanting to create my very own blog and would like to learn where you got this from or what the theme is named. Thanks!|
My partner and I stumbled over here coming from a different web address and thought I might check things out. I like what I see so now i am following you. Look forward to looking into your web page again.|
Thanks for the marvelous posting! I actually enjoyed reading it, you are a great author. I will be sure to bookmark your blog and will often come back very soon. I want to encourage you to definitely continue your great writing, have a nice weekend!|
Appreciation to my father who shared with me on the topic of this website, this web site is actually amazing.|
http://worlditinerantmonk.org/gallery/?dir=Khat Thuc – San Jose&pic=Picture 1150>&ar=605&ar=00605
alprostadil generic prices https://alprostadildrugs.com/ how do i use alprostadil urethral suppository
Today, I went to the beachfront 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 put 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 totally off topic but I had to tell someone!|
Thanks for your personal marvelous posting! I seriously enjoyed reading it, you may be a great author.I will make sure to bookmark your blog and will eventually come back down the road. I want to encourage you to definitely continue your great job, have a nice morning!|
Hi to all, as I am in fact keen of reading this webpage's post to be updated regularly. It includes pleasant information.|
I enjoy what you guys tend to be up too. This type of clever work and exposure! Keep up the amazing works guys I've you guys to blogroll.|
Howdy! Do you know if they make any plugins to assist with SEO? I'm trying to get my blog to rank for some targeted keywords but I'm not seeing very good gains. If you know of any please share. Many thanks!|
comparison contrast essay help essay of money cannot buy everything article writing service affiliate program phd thesis writing service
erectile shake https://canadaerectiledysfunctionpills.com/ erectile injections
vardenafil 20mg dosage https://vegavardenafil.com/ buy vardenafil
help me please find a place to buy viagra in canada https://canadaviagrastore.com/ is it legal to bring viagra back to canada from mexico
For latest information you have to go to see web and on world-wide-web I found this website as a most excellent web site for latest updates.|
Hi there, every time i used to check website posts here in the early hours in the morning, since i enjoy to find out more and more.|
Saved as a favorite, I really like your website!|
It's enormous that you are getting ideas from this piece of writing as well as from our discussion made here.|
Thankfulness to my father who informed me concerning this web site, this web site is actually remarkable.|