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 article! We are linking to this great article on our site. Keep up the great writing.|
Spot on with this write-up, I honestly believe that this site needs much more attention. I'll probably be returning to read through more, thanks for the info!|
Terrific article! This is the type of info that should be shared around the internet. Shame on Google for no longer positioning this post upper! Come on over and visit my website . Thank you =)|
Hi there, I found your website via Google even as searching for a comparable matter, your site came up, it seems great. I've bookmarked it in my google bookmarks.
Yes! Finally something about keyword1.|
Great beat ! I would like to apprentice while you amend your website, how can i subscribe for a blog website? The account aided me a acceptable deal. I had been a little bit acquainted of this your broadcast provided bright clear idea|
Wonderful goods from you, man. I've understand your stuff previous to and you are just extremely great. I actually like what you've acquired here, certainly like what you're saying and the way in which you say it. You make it enjoyable and you still care for to keep it sensible. I can not wait to read much more from you. This is actually a wonderful website.|
Greetings from Los angeles! I'm bored to tears at work so I decided to check out your blog on my iphone during lunch break. I enjoy the info you present here and can't wait to take a look when I get home. I'm amazed at how quick your blog loaded on my cell phone .. I'm not even using WIFI, just 3G .. Anyhow, awesome blog!|
I read this piece of writing fully concerning the comparison of latest and earlier technologies, it's amazing article.|
Magnificent beat ! I wish to apprentice whilst you amend your site, how can i subscribe for a blog website? The account aided me a acceptable deal. I were a little bit acquainted of this your broadcast provided vivid clear concept|
Hello are using WordPress for your site platform? I'm new to the blog world but I'm trying to get started and set up my own. Do you require any coding knowledge to make your own blog? Any help would be greatly appreciated!|
Excellent goods from you, man. I have remember your stuff prior to and you are just extremely excellent. I actually like what you have acquired here, really like what you're saying and the best way by which you assert it. You are making it enjoyable and you continue to take care of to keep it smart. I can not wait to learn much more from you. This is really a wonderful web site.|
Article writing is also a fun, if you be acquainted with afterward you can write or else it is difficult to write.|
Article writing is also a excitement, if you know then you can write or else it is difficult to write.|
You actually make it appear really easy together with your presentation however I in finding this topic to be really something that I believe I might by no means understand. It sort of feels too complicated and extremely wide for me. I am taking a look ahead to your next publish, I'll attempt to get the cling of it!|
My brother suggested I may like this website. He was once totally right. This post actually made my day. You cann't imagine simply how much time I had spent for this information! Thank you!|
Whoa! This blog looks just like my old one! It's on a totally different topic but it has pretty much the same layout and design. Outstanding choice of colors!|
Hi there! I know this is kind of off topic but I was wondering which blog platform are you using for this website? I'm getting sick and tired of WordPress because I've had problems with hackers and I'm looking at options for another platform. I would be awesome if you could point me in the direction of a good platform.|
Somebody essentially assist to make severely
articles I would state. This is the very first time
I frequented your website page and up to now? I amazed with the analysis you made to create this actual submit amazing.
At this time I am ready to do my breakfast, when having
my breakfast coming yet again to read additional news.
essay writing service jobs online college application essay help guidelines in doing research paper glencoe mcgraw hill algebra 2 homework help
a lasting resolution for End fast ejaculation
motive Lawax is a better Natural treatment for rapid climaxing?presently asking how to outweigh early ejaculation? you will have a large amount that face men in the world being expecting who they was aware what they were doing asleep, customers frantically want to know how to overcome fast ejaculation. every single executive currently doesn't want to actually feel accomplishing this or won't admit that you have a problem. looking over this matter should never be remedy uncontrolled climaxes.
There are pretty straight forward practices which you can use to remain everything from spirit that way and accomplish your wife once and for all. reading through through climax owner makes it possible to attend to your sexual problems so discover the appearance of these misfortunes. Even you are a single maybe committed for quite a while, early ejaculation doesn't always discontinue to take being made fun of exactly what it happens.
if you use the deal you might appropriate deal with you're orgasms problem. performing the efficient formula over completely from scratch given inside of the booklet you'll stop the rapid climaxing.
male climax instructor casts a totally new ignite on it will be possible trouble. this strategy may perhaps be thouroughly tested and developed a way to stop rapid climaxing. This is the best answer and [url=https://www.love-sites.com/is-charmdate-com-legitimate-or-a-scam-this-review-exposes-the-truth/]charmingdate scam[/url] it can promise you do delay your orgasm.
this is what practices the problem from being a standpoint and the real what causes. aside from that, understand it contains some of the detailed action that one needs to take in a position to treat orgasms. It starts off with providing thouroughly tested guidance on subconscious deal with. all the pieces after all will begin in your head. climaxing check knows this and he has significant tips hard required percentage. any time you manage this point in time, next rrt's going to go up to that has tips on simple methods to get a grip on a new the body's hormones. after which you'll in fact, The crucial part will be shortly after that the effusion among specific physical control of things.
some orgasms mentor makes it worth while purchase. You expects magic to take place. accept it; your spouse would certainly properly have the rugged the night which usually he has genuinely hunger on your side available for that long. So should you wish to treat this challenge and just be sure to delay your orgasm, along with this remedy is the sole way in your case personally. with each other 60 money backrefund, that can compare with to lose. It will stop your trusty stress and the actual time worries while having sex.
how much cheper is viagra in canada https://canadaviagrastore.com/ pfizer viagra canada pharmistry
sildenafil pills uk https://eunicesildenafilcitrate.com/ sildenafil price nz
where can i buy sildenafil over the counter https://eunicesildenafilcitrate.com/ sildenafil 50mg coupon
tadalafil tablets https://elitadalafill.com/ tadalafil daily use
sildenafil sale uk https://eunicesildenafilcitrate.com/ sildenafil tablets where to buy
Best view i have ever seen !
alprostadil intraurethral (muse) therapy https://alprostadildrugs.com/ alprostadil ingredients 745-65-3
mail order catalog business plan law order and the youth essay writing a letter of praise for good service business plan medical billing service
alprostadil price in usa https://alprostadildrugs.com/ aprostadil
Hmm it appears like your blog ate my first comment (it was super long) so I
guess I'll just sum it up what I submitted and say, I'm thoroughly
enjoying your blog. I too am an aspiring blog writer but I'm still new
to everything. Do you have any tips and hints for
rookie blog writers? I'd certainly appreciate it.
alprostadil nasal spray https://alprostadildrugs.com/ how to administer transurethral alprostadil
An interesting discussion is worth comment. There's no
doubt that that you ought to publish more about this subject matter, it may not be a taboo subject but usually folks don't discuss these issues.
To the next! All the best!!
I simply couldn't go away your website prior to suggesting that I really enjoyed the standard info an individual provide to
your visitors? Is going to be back ceaselessly in order to check out new posts
generic sildenafil 100mg https://eunicesildenafilcitrate.com/ sildenafil 100mg uk cheapest
alprostadil suppository for sale https://alprostadildrugs.com/ alprostadil vs bimix vs trimix
Pretty great post. I just stumbled upon your blog and wanted to say
that I've really loved browsing your weblog posts.
After all I'll be subscribing to your rss feed and I
am hoping you write once more very soon!
business plan help for veterans essay help 24 7 resume writing service in kolkata primary homework help anglo saxons place names
vilitra 60mg vardenafil https://vegavardenafil.com/ vardenafil vs tadalafil vs viagra which gives better erection?
viagra from canada https://canadaviagrastore.com/ anyone order viagra from canada
It's an amazing post designed for all the web viewers; they will take benefit from it I am sure.|
I have to thank you for the efforts you have put in writing this blog. I'm hoping to check out the same high-grade content from you in the future as well. In truth, your creative writing abilities has inspired me to get my very own blog now ;)|
I'd like to find out more? I'd want to find out more details.|
I absolutely love your site.. Pleasant colors & theme. Did you develop this web site yourself? Please reply back as I'm planning to create my own site and want to learn where you got this from or exactly what the theme is called. Thank you!|
Hi, i think that i saw you visited my weblog thus i came to “return the favor”.I am trying to find things to improve my website!I suppose its ok to use a few of your ideas!!|
I'm amazed, I have to admit. Rarely do I come across a blog that's both equally educative and engaging, and without a doubt, you have hit the nail on the head. The issue is something not enough men and women are speaking intelligently about. I'm very happy that I found this during my hunt for something relating to this.|
canada viagra scam https://canadaviagrastore.com/ how to buy teva sob for viagra in canada
This is really interesting, You're a very skilled blogger. I have joined your rss feed and look forward to seeking more of your magnificent post. Also, I've shared your website in my social networks!|
I will immediately grab your rss feed as I can't find your email subscription link or newsletter service. Do you've any? Please let me recognise so that I may subscribe. Thanks.|