Chronic obstructive pulmonary disease is a long-term condition of the lungs where the flow of air to the lungs is restricted (obstructed). Symptoms include cough and breathlessness. The condition is most often caused by smoking and the most important treatment is to stop smoking. Inhalers are commonly used to ease symptoms. Other treatments such as steroids, antibiotics, oxygen, and mucus-thinning (mucolytic) medicines are sometimes prescribed in more severe cases, or during a flare-up (exacerbation) of symptoms.

What causes COPD?
Smoking is by far the biggest risk factor for COPD. The lining of the airways becomes inflamed and damaged by smoking. Cigarette smoking is the biggest risk factor.

Air pollution may cause some cases of COPD, or make the disease worse. Air pollution can be indoor air pollution or outdoor air pollution. Indoor air pollution seems to be involved in more cases of COPD than outdoor air pollution. Indoor air pollution includes fumes from indoor fires or stoves, and dust, fumes or chemicals present in some workplaces. The combined effect of exposure at work to air pollutants and smoking increases the chances of developing COPD.

A small number of people have a hereditary (genetic) risk of COPD due to very rare protein deficiencies that can lead to lung, liver and blood disorders. (The condition is called alpha 1 antitrypsin deficiency. Less than 1 in 100 cases of COPD are due to this.


COPD symptoms-


Cough is usually the first symptom to develop. It is produced with phlegm (sputum). It tends to come and go at first, and then gradually becomes more persistent (chronic). You may think of your cough as a 'smokers cough' in the early stages of the disease. It is when the breathlessness begins that people often become concerned.
Breathlessness (shortness of breath) and wheeze may occur only when you exert yourself at first. For example, when you climb the stairs. These symptoms tend to become gradually worse over the years if you continue to smoke. Difficulty with breathing may eventually become quite distressing.

Sputum - the damaged airways make a lot more mucus than normal. This forms sputum. You tend to cough up a lot of sputum each day.

Chest infections are more common if you have COPD. A sudden worsening of symptoms (such as when you have an infection) is called an exacerbation. Wheezing with cough and breathlessness may become worse than usual if you have a chest infection and you may cough more sputum. Sputum usually turns yellow or green during a chest infection. Chest infections can be caused by germs called bacteria or viruses. 
Other symptoms of COPD can be vaguer. Examples are weight loss, tiredness and ankle swelling.

What is the difference between COPD and asthma?


COPD and asthma cause similar symptoms - in particular difficulty breathing (breathlessness). However, they are completely different diseases. Briefly:

In COPD there is permanent damage to the airways. The narrowed airways are fixed, and so symptoms are persistent (chronic). Treatment to open up the airways is therefore limited.

In asthma, there is inflammation in the airways which makes the muscles in the airways narrow (constrict). This is temporary so the narrowing comes and goes. So, the symptoms tend to come and go, and vary in severity from time to time. Treatment to reduce inflammation and to open up the airways usually works well.

COPD is more likely than asthma to cause an ongoing cough with phlegm (sputum).

Waking at night with breathlessness or wheeze is common in asthma and uncommon in COPD.

COPD is rare before the age of 35, whilst asthma is common in under-35s.

There is more likely to be a history of asthma, allergies, eczema and hay fever (so-called atopy) in people with asthma.

Do I need any tests?

The most common test used in helping to diagnose the condition is called spirometry. This is a breathing test. You will be asked to breathe or blow into a small machine called a spirometer which will measure how well your lungs are working. This test can help make a diagnosis of COPD.


A chest X-Ray show signs of COPD and can be used to help exclude other serious conditions (including lung cancer). Occasionally, a special CT scan of the chest - high-resolution CT - is needed. A blood test to make sure you are not anemic is often helpful.

A pulse oximeter is a device which can be clipped on to your finger. It measures your heart rate (pulse) and the amount of oxygen in your circulation (oxygen saturation). Lower levels than normal tend to be found in people who have COPD, especially if you have a flare-up (exacerbation) of your symptoms.

COPD treatment-

Smoking cessation is the most important step towards treatment.
Inhalers

The main treatments are medications given in devices called inhalers. The medicine within the inhaler is in a powdered form which you breathe in (inhale). The medicines in standard inhalers reach the lungs better if used with a spacer device. Inhalers include one, two or even three types of medicines. They may include:


A bronchodilator agent - this is a medicine which opens up (dilates) the airways. Some work quickly but don't last very long; others are longer-acting.
A steroid - these reduce the inflammation in the airway, thereby reducing the swelling. This, in turn, adds to the space available for air to pass.
A medicine which helps to dry up the secretions produced by the airways.
Home oxygen
This may help some people with severe symptoms or end-stage COPD. It does not help in all cases. Unfortunately, just because you feel breathless with COPD it does not mean that oxygen will help you. Great care has to be taken with oxygen therapy. Too much oxygen can actually be harmful if you have COPD.
Regular follow up in OPD is an essential part of treatment success.

Chronic Obstructive Pulmonary Disease - Know More About It!

A discomfort in chest accompanied by shortness of breath and a tingling sensation in fingers or toes might be a sign of hyperventilation, more commonly known as panic attacks. This is the condition wherein you need more amount of oxygen than normal.

And, you need to be aware of the symptom, especially if you are suffering from COPD (Chronic obstructive pulmonary disease). With COPD, experiencing symptoms of hyperventilation may turn adverse, and there are enough reasons to know the ways to manage it, which is indeed possible.

Symptoms
Hyperventilating or over-breathing can be accompanied by or can cause various symptoms in people. Apart from the common symptoms described above, some patients may also experience dizziness, palpitations, sweating profusely, wheeze, feelings of suffocation or choking, tinnitus, weakness, etc. Some may also feel highly anxious or tensed. Though very uncommon, still, one may suffer from loss of consciousness as a result of hyperventilating.

Dealing with hyperventilation
Depending on the severity and type of hyperventilation, the available treatment option may vary from person to person. From various home remedies to certain prescribed drugs, treatments are available easily. However, it s through practicing a few techniques on noticing the symptoms that can help one deal with hyperventilation. Some of those useful methods are, breathing through pursed lips, holding the breath for 10 to 15 seconds, trying to take deep breaths into the belly rather than in the chest and breathing slowly into cupped hands or a paper bag. These techniques will help regulate the breathing.

Preventing hyperventilation



As with many conditions, being aware of the preventive measures is crucial to managing the symptoms and the same is true with hyperventilation as well. A few measures to follow by COPD patients to prevent hyperventilation
Wearing tight fitting clothes restrict normal breathing. Therefore, wearing clothes that are loose on the upper chest portion can assist in preventing over breathing.
Opting for light exercises regularly (approved by the doctors, as having COPD needs extra attention in activities) helps in reducing stress levels and anxiety, which again can play a crucial role in preventing hyperventilating.
Though initially, it may be difficult, still, one must try to breathe through his or her nose and close the mouth for preventing over-breathing, as closed mouth makes it extremely difficult to hyperventilate.
Further, sleeping well during the night, eating a balanced diet, reducing the intake of caffeinated beverages like tea and coffee, and practicing various techniques for relaxation can be helpful too in preventing hyperventilation.
In case, the episodes of hyperventilation last for more than 30 minutes, even after trying all the techniques mentioned above, one should not delay in seeking necessary medical attention.
Growing episodes of hyperventilation or over-breathing can leave one feeling breathless. Therefore, when people with COPD notice any symptom of hyperventilation, consulting with pulmonology specialist must be of top priority. Neglecting this particular condition for an extended period may end up causing further complications. In case you have a concern or query you can always consult an expert & get answers to your questions!

Hyperventilation - How COPD Patients Can Deal With It?

Copd, which is short for chronic obstructive pulmonary disease, is a severe form of lung disease that is characterized by increased breathlessness and obstruction of airflow from the lungs. People who are suffering from copd are at an increased risk of developing lung cancer, heart diseases and many other conditions. It includes progressive lung diseases such as chronic bronchitis, emphysema, few forms of bronchiectasis and refractory (non-reversible) asthma. The former two are the most common conditions contributing to copd. 

Chronic bronchitis induces inflammation in the airway that carries air to the lungs and fills it with mucus. This either completely blocks the airway or narrows it, causing difficulty in breathing. However in emphysema, the air sacs inside the lungs which inflate and deflate as you breathe in and out, lose their elasticity due to which less air comes in and goes out leaving you breathless.

The best way to treat copd is to quit smoking. Your doctor may also prescribe you medications or ask you to enroll in a lung rehab program. 
Causes:
1. Smoking
Smoking is one of the most common causes of copd. This is because smoking is known to destroy the stretchy fibers in people's lungs and irritate the airways. Even passive smoking is unhealthy. About 90% of the people having copd are current or former smokers. 
2. Genetics
Some individuals suffer from copd even after refraining from smoking. Genes might be at the helm of copd in such a case. Aatd i. E. Alpha -1 antitrypsin deficiency, is a protein in the lungs, the lack of which is one of the most common genetic factor causing emphysema. 
3. Environmental factors
Breathing in harmful pollutants present in your environment is also one of the causes of copd. Fumes, dust or certain chemicals are a few examples of harmful lung irritants. Organic cooking fuel may also cause copd. Exposing yourself to the aforementioned environmental factors for a prolonged period of time increases your risk of developing copd substantially. 

Symptoms:
1. Shortness of breath especially after exercising
2. Wheezing
3. Tightness in your chest
4. Unintended weight loss
5. Lack of energy
6. Frequent respiratory infections
7. Wheezing
8. Cough accompanied by mucus

Diagnosis:
1. Physical exam where your doctor monitors the functioning of your lungs. 
2. Questioning about your past health (smoking or other harmful lung irritants).
3. Spirometry and other breathing tests.
4. Chest x-rays and other tests to eliminate other problems which could be causing your symptoms.

All About COPD!

COPD, short for Chronic Obstructive Pulmonary Disease, is an inflammatory disease of the lungs. The disease obstructs the flow of air in the lungs and subsequently causes difficulty in breathing. Prolonged exposure to cigarette smoke, gases or particulate matter can lead to this condition. The condition transcends all age brackets meaning it can affect anyone from young teenagers to aged adults. People who contract this disease are at an increased likelihood of developing cardiovascular conditions and lung diseases, in addition to a horde of other conditions.

Causes of COPD
1. The chief cause of COPD is smoking tobacco and being subjected to fumes from cooking and heating. A study estimated that in and around 25% of long-standing smokers develop symptoms of this condition. Yet, statistics show that COPD is often misdiagnosed until an elaborate evaluation is diagnosed.
2. Conditions like Emphysema and chronic bronchitis are also known to cause the disease. Your lungs depend on the intrinsic elasticity of the air sacs and bronchial tubes that help facilitate the passage of air through the lungs. Chronic Obstructive Pulmonary Disease causes these passages to lose their elasticity thus rendering them partially ineffective.

Symptoms of COPD 
The symptoms of COPD do not appear until the lungs are significantly damaged and the condition tends to deteriorate if smoking persists. Apart from coughing and production of sputum, other apparent symptoms include:
1) Difficulty in breathing
2) Stiffness and tightness of chest
3) A persistent cough
4) Fatigue and weakness
5) Weight loss
6) Frequent allergic reactions of the respiratory glands

Along with the aforementioned symptoms, patients who are diagnosed with COPD are likely to experience bouts of exacerbation, during which their symptoms heighten and tend to grow worse for several days.
Although anyone can contract the condition, certain people are at an increased risk of condition. Such risk factors include:
a) Chronic smoking
b) A medical history of asthma
c) Exposure to chemicals and dusts
d) Weakening of the immune system with increasing age
e) Heredity
If you experience or entertain symptoms or suspicions of this disease, consulting a pulmonologist is duly advised.

Causes and Symptoms of COPD

Chronic obstructive pulmonary disease or COPD is a group of progressive lung diseases. Emphysema and chronic bronchitis are the most common lung diseases. Emphysema gradually ruins the air sacs in your lungs, which are interfered with exhalation. The inflammation and swelling of airways in the lungs is called bronchitis, which further allows production of mucus, which leads to increased difficulty in breathing.

COPD is a case which makes it harder to breathe. The symptoms like coughing and shortness of breath are light at first. With passage of time, these symptoms worsen and make it increasingly difficult for the patient to breathe.

The patient may experience wheezing and feel heavy on the chest. Some patients suffering from COPD experience flare-ups of severe symptoms or exacerbations.
The main cause of COPD is cigarette smoking and therefore, people who are used to smoking for a longer time may suffer from this diesease. It is a disease that takes time to build up inside one s body. COPD can further cause heart problems and worsen respiratory diseases.

Severe symptoms of COPD include:

Occasional shortness of breath
Mild and reoccurring cough with mucus
Constant need to clear your throat
Noisy breathing
Frequent cold and cough
Loss of energy or feeling fatigued
Swelling of ankles, legs or feet
Sudden weight loss
Treatment of COPD
The treatment of COPD can ease its symptoms and avoid further complications. To treat COPD, one needs a skillful and experienced pulmonologist and respiratory therapist.

The medications which are preferred by the doctor are bronchodilators, which soothe the muscles of bronchial tubes, making it easier for the patient to breathe. This medicine is basically taken from inhalers. To reduce the inflammation, Glucocortico steroids are added.
Oxygen therapy is undertaken to provide oxygen to the patient through an oxygen mask or nasal prongs to ease the breathing process of the patient. A portable unit is advised, if the patient is cured at home.
Surgery is an option for severe COPD patients, which is undertaken if and only all other medications have already failed to control COPD, which can be the case in emphysema. Bullectomy is a kind of surgery in which the doctors eliminate the large bullae (air sacs) from the lungs. Volume reduction surgery is the last option for the doctor to cure a COPD patient. In this process, the damaged lung tissue is removed. The doctors go for a lung transplant in some rare cases of COPD.
The treatment for many diseases is a healthy and disciplined lifestyle. One should quit smoking and get the nutrition that their body needs. People should consult a dietician and get a healthy diet plan, and ask a doctor about the extent of exercise they should perform daily.

COPD - Can Oxygen Therapy Help Treat It?

One of the best and easiest ways to manage the symptoms of the chronic obstructive pulmonary disease or COPD is through a healthy and nutrient dense diet. This would not only help you to not only keep the severity of the symptoms in check but also to maintain a healthy weight.

Tips to keep in mind when choosing a diet

Managing Weight: It is essential for patients with COPD to manage their weight. The symptom of breathlessness could be more severe if you are overweight. You might feel fatigued and tired if you are underweight. Therefore it is crucial to monitor your calorie intake and therefore also your weight as recommended by the American Lung Association.
Balanced Diet: It is essential for patients with COPD to eat a healthy, nutritious and balanced diet. One that is varied and rich in fruits, vegetables, whole grains and lean meats or proteins according to a study published in the August 2014 issue of the International Journal of Chronic Obstructive Pulmonary Disease. A well-balanced diet will ensure that you get all the necessary vitamins such as C, E, and D that are necessary to help you cope with this condition.
Protein: Lean proteins such as eggs, meat, poultry, nuts, beans, and fish especially oily fish such as mackerel and sardines, should be incorporated into your meal plan. These proteins are necessary for patients with COPD especially if they are managing their condition through exercise.
Carbohydrates and food high in fibre such as lentils, oats, and beans will improve the functioning of the digestive system.
Potassium: Fruits and vegetables such as beets, potatoes, bananas are especially beneficial in preventing water retention in patients
Foods To Limit Or Avoid
People react differently to foods, there are some foods that patients with COPD should limit or avoid but if they do not seem to have an impact on your symptoms you can make them a part of your meal plan.

Limiting salt intake irrespective of whether you are a COPD patient or not is always a good step to take. But if you are a COPD patient excessive salt in your diet could cause fluid retention which could worsen your shortness of breath.
Dairy products such as milk and cheese can irritate the respiratory pathways making phlegm thicker.
Certain fruits and vegetables such as apples, cabbage, stone fruits such as peaches and soybeans can cause gas and bloating.
Caffeine in coffee and chocolate could interfere with certain medications that you have been prescribed. Confirm with your doctor if you can still include them in your diet. Patients with COPD need to drink plenty of fluids and it might be beneficial to opt for non-caffeinated beverages.
Fried, greasy and spicy food can cause gas and indigestion which can affect breathing.
Discuss your diet with your doctor or ask for a recommendation of a nutritionist who would help you to work out a meal or diet plan best suited for your condition. 

Best Diet For People Suffering From COPD!

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