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.
I am not sure where you're getting your information, but great topic. I needs to spend some time learning more or understanding more. Thanks for excellent info I was looking for this info for my mission.|
Simply want to say your article is as astounding. The clearness in your post is simply excellent and i could assume you are knowledgeable on this subject. Fine together with your permission let me to grab your RSS feed to keep up to date with approaching post. Thank you a million and please continue the enjoyable work.|
Way cool! Some extremely valid points! I appreciate you penning this post and the rest of the website is also really good.|
An intriguing discussion is definitely worth comment. I think that you should publish more about this subject, it may not be a taboo matter but typically folks don't speak about these subjects. To the next! Best wishes!!|
buy avanafil online buy avanafil
cialis cost https://tadalafilww.com/ tadalafil generic where to buy cialis cost generic tadalafil from uk
https://tadalafilol.com/ cost tadalafil generic generic cialis tadalafil tadalafil daily online tadalafil liquid
https://tadalafilww.com/ tadalafil dosage https://apcalisetadalafil.com/ – cheap generic cialis for sale best price usa tadalafil
https://tadacipetadalafil.com/ buy tadalis where to buy tadalafil on line cialis cost cialis without a prescription
tadalafil generic where to buy tadalafil brands cialis at canadian pharmacy https://tadacipetadalafil.com/
https://apcalisetadalafil.com/ cialis at canadian pharmacy buy cialis tadalafil side effects where to buy tadalafil on line
avana canada avanafil dosage
https://tadalafilol.com/ cialis without prescription https://tadagatadalafil.com/ – lowest price cialis buy cialis
https://apcalisetadalafil.com/ tadalafil side effects https://tadacipetadalafil.com/ – tadalafil goodrx cost of cialis
cialis cost generic cialis tadalafil tadalafil goodrx https://cttadalafil.com/
where to buy cialis without prescription tadalafil goodrx canada generic tadalafil prescription tadalafil online https://cttadalafil.com/ – tadalafil without a doctor prescription
brimonidine dosage combigan generic
combigan side effects combigan generic
brimonidine tartrate 2% brimonidine eye drops
tadalafil online with out prescription where to buy generic cialis online safely where to order tadalafil tablets https://apcalisetadalafil.com/
best price usa tadalafil tadalafil brands cheap cialis pills for sale https://tadacipetadalafil.com/
generic cialis online fast shipping https://apcalisetadalafil.com/ cheap cialis pills for sale cheapest tadalafil cost tadalafil generic
https://tadalafilww.com/ cialis tadalafil https://cttadalafil.com/ – cheapest tadalafil cost prescription tadalafil online
side effects for tadalafil buy tadalafil buy cialis cialis without prescription https://tadalafilww.com/ – cialis without prescription
tadalafil brands https://tadagatadalafil.com/ – tadalafil tadalafil cost walmart canada generic tadalafil https://cttadalafil.com/
combigan side effects combigan side effects
where to order tadalafil tablets https://tadalafilww.com/ – best price usa tadalafil tadalafil cialis buy generic cialis online with mastercard tadalafil blood pressure
tadalafil blood pressure cialis cost where to order tadalafil tablets tadalafil without a doctor prescription https://tadalafilww.com/
prescription tadalafil online https://tadalafilww.com/ – tadalafil drug canada generic tadalafil canada generic tadalafil https://cttadalafil.com/
brimonidine how it works brimonidine eye drops
prescription tadalafil online tadalafil generic cheapest tadalafil cost cheap cialis pills for sale https://tadagatadalafil.com/
tadalafil daily online https://apcalisetadalafil.com/ – tadalafil brands buy cialis tadalafil brands tadalafil cialis
generic cialis online fast shipping where to order tadalafil tablets side effects for tadalafil where to order tadalafil tablets https://cttadalafil.com/ – tadalafil brands
buy generic cialis online with mastercard https://apcalisetadalafil.com/ – buy cialis generic cialis tadalafil tadalafil cialis best price usa tadalafil
tadalafil generic where to buy buy cialis pills tadalafil price walmart tadalafil https://tadalafilww.com/ – tadalafil drug
https://tadagatadalafil.com/ side effects of tadalafil https://tadacipetadalafil.com/ – cost tadalafil generic where to buy cialis without prescription
tadalafil without a doctor prescription cheap cialis pills for sale cost of cialis cost of cialis https://tadacipetadalafil.com/
side effects of tadalafil https://tadacipetadalafil.com/ – tadalafil brands where to buy generic cialis online safely generic tadalafil from uk tadalafil side effects
tadalafil online with out prescription https://apcalisetadalafil.com/ – generic cialis tadalafil buy cialis pills tadalafil liquid https://tadacipetadalafil.com/
side effects for tadalafil https://tadalafilww.com/ where to buy cialis without prescription tadalafil brands best price usa tadalafil
https://tadagatadalafil.com/ cost tadalafil generic https://apcalisetadalafil.com/ – where to buy cialis without prescription cialis tadalafil
tadalis 20 https://tadalisxs.com/ tadalafil troche
I like what you guys are up also. Such clever work and reporting! Keep up the superb works guys I¡¦ve incorporated you guys to my blogroll. I think it'll improve the value of my web site 🙂
Kênh Coi Trực Tiếp đá Bóng Những Chọn Mua Giảilive bóng đá tvcũng có thể nói, binhluan.vn có thương hiệu và hóa học lượng cực kỳ chi là mượt mà luôn. Bất cứ ai đó đã từng coi bong da trên link đá bóng trực tiếp của keonhacai1.tv thì phải thừa nhận một điều coi vô cùng đã. Nên cứ có mỗi trận đấu trong bất kể giải đấu nà thì lượng nhân viên coi truy cập vào keonhacai1 vô cùng rộng lớn. Thông tin lịch thi đấu.
you are actually a good webmaster. The website loading velocity is amazing. It seems that you are doing any distinctive trick. In addition, The contents are masterpiece. you've done a excellent process on this subject!
Nice post. I was checking constantly this blog and I am impressed! Very useful info specifically the last part 🙂 I care for such info a lot. I was looking for this particular info for a long time. Thank you and good luck.
Howdy! I could have sworn I've been to this blog before but after checking through some of the post I realized it's new to me. Anyhow, I'm definitely glad I found it and I'll be book-marking and checking back frequently!|
It is appropriate time to make some plans for the long run and it is time to be happy. I have learn this put up and if I may just I desire to counsel you some interesting issues or advice. Perhaps you could write subsequent articles regarding this article. I desire to learn more issues approximately it!|
What a information of un-ambiguity and preserveness of valuable experience on the topic of unpredicted emotions.|
Remarkable! Its actually amazing article, I have got much clear idea concerning from this article.|