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COPD Health Feed

I (60) am COPD Patient. Last one year I am taking Sequadra regularly, using bi-pap at night regularly and taking sildenafil 25 mg (for my pulmonary hypertension) at night regularly. Now I am in good condition. My question- Can I or should I stop / continue sildenafil 25 mg now? My doctor has left the country to London. Thus I need help.

Dr. Venkatesh Vulli 89% (61 ratings)
Pulmonologist, Visakhapatnam
I (60) am COPD Patient. Last one year I am taking Sequadra regularly, using bi-pap at night regularly and taking sild...
According to literature sildenafil have minimal beneficial affects on pulmonary hypertension. That means it may be useful in some patients. If your symptoms are improving with sildenafil then you can continue. Even if you stop also it won't make any significant difference. But all that is subjective.
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I am 68 years old. I have Allergic Asthma and COPD (Chronic obstructive Pulmonary disease). Allergy is due to pollution, sudden weather changes etc. I am taking precautions like not exposing to pollution etc. To take care of Asthma. I am also using COMBIHALE FB 200 (2 puffs daily twice) and Romilast 5 mg. Question is how can I get cured of COPD, because of which I feel breathlessness when ever I exert even slightly.

Dr. Arunesh Kumar 89% (132 ratings)
MBBS, MRCP - General Medicine, MRCP Respiratory Medicine, CCST Respiratory Medicine
Pulmonologist, Gurgaon
I am 68 years old. I have Allergic Asthma and COPD (Chronic obstructive Pulmonary disease). Allergy is due to polluti...
COPD is an incurable diastase, but normally it does not progress if you stop smoking. You might benefit from adding more inhalers to your regimen. Please see a pulmonologist.
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My father is diagnosed with COPD With Bilateral Bronchiectasis with COR PULMONALE, What exactly it is? He has Never taken any medicines regarding lungs. He is now advised to take Odimont fx, Abflow Sr 200, Azee 250 mg, Aerodil L's syrup along with 2 R/C TIOMIST & FORMONIDE 400 MCG With Lupihaler. Is these are for Life Time? Or Can be stopped any time thereafter? please Advise.

Dr. Mool Chand Gupta 91% (34830 ratings)
MD - Pulmonary, DTCD
Pulmonologist, Faridabad
My father is diagnosed with COPD With Bilateral Bronchiectasis with COR PULMONALE, What exactly it is? He has Never t...
No use of odimont fx. Azee need to b etaken for short time as a antibiotics.Main treatment is rotacaps, pulmonary rehabilatation, Adult vaccination for influenza and pneumococcal infection. High protien diet. Col pulmonale with COPD is not a good situation. May require LTOT if oxygen saturation is less.
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COPD - 3 Factors That Can Put You At Risk!

Dr. Gurmeet Singh Chabbra 86% (11 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Chest & TB
Pulmonologist, Faridabad
COPD - 3 Factors That Can Put You At Risk!

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 bronchitisemphysema, 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.
2 people found this helpful

24 years female non smoker diagnosed "small airway obstruction" in PFT as well as hypothyroidism (TSH- 7.50) my question is that 1) small airway obstruction means (described in details its effects) 2) hypothyroidism affect the PFT test.

Dr. Prabhakar Laxman Jathar 94% (13844 ratings)
MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
24 years female non smoker diagnosed "small airway obstruction" in PFT as well as hypothyroidism (TSH- 7.50) my quest...
Hello, Thanks for the query. Small airways obstruction means small respiratory tubes inside the lungs are narrowed leading to breathing difficulties. This a condition seen in Chronic Obstructive Pulmonary Disease (COPD). Hypothyroidism does not affect any investigations. The above said problem could be a separate one. Thanks.
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What are the side effects of Duova inhaler and tab Broclear used in the treatment of COPD?

Dr. Jatin Soni 92% (37302 ratings)
MBBS
General Physician, Mumbai
What are the side effects of Duova inhaler and tab Broclear used in the treatment of COPD?
It’s better to take medication to relieve your symptoms and if there is any problems with medication than you will have to inform and there is a possibility of developmental tremors due to high dosage
1 person found this helpful
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Better Living with COPD - A Patient Guide!

Dr. Mool Chand Gupta 91% (34830 ratings)
MD - Pulmonary, DTCD
Pulmonologist, Faridabad
Better Living with COPD - A Patient Guide!

Chronic Obstructive Pulmonary Disease or COPD for short is a respiratory disease that makes it increasingly difficult to breathe; the lungs stop functioning properly. There are mainly two categories of COPD which are emphysema and chronic bronchitis. The primary reason for COPD is longstanding exposure to substances such as cigarette smoke, chemical fumes and air pollutants that damage the lungs gradually.

Initially, the symptoms of COPD may be really mild but over time it may become extremely severe. These include symptoms such as:

  • Shortness of breath
  • Coughing with mucous formation
  • Wheezing or gasping
  • Tightness in the chest
  • Feeling tired constantly after doing normal daily activities or after exercising.

In the long run, the damages can prove to be permanent.

Of the two subtypes mentioned, bronchitis is when the airways become inflamed as well as narrowed. People suffering from bronchitis tend to produce sputum which is basically a combination of mucus and saliva.
And the other subtype, Emphysema is the condition when the air sacs in the lungs become affected. The air sacs degenerate and become baggy with lots of holes in it. This, in turn, traps air. This narrows the airways making it difficult to breathe. In COPD, there is a narrowing of the lungs because:

  1. The lining of the airway becomes inflamed
  2. The lining of the airways which is elastic flops
  3. The tissues of the lungs become damaged so there is an exertion on the airway.

COPD, in the long run, can lead to a number of health complications such as heart disorders, lung cancer, respiratory infections, depression and high blood pressure. COPD is treatable but not curable because it is a life-long condition. The following are some of the treatment methods for COPD:

  1. Oxygen Therapy- If you are experiencing low levels of oxygen then opting for a portable oxygen unit will be extremely beneficial.
  2. Medication- Bronchodilators help in relaxing the airway muscles for comfortable breathing. These medications are usually taken via an inhaler. Other medications include corticosteroids, theophylline, vaccines and antibiotics/antivirals.
  3. Surgery- Surgery is usually advised as the last step when the COPD condition has become so severe that all other methods of treatment have failed. This is, more possible, in the case of emphysema. There are mainly two surgical methods: one is bullectomy when the surgeons remove the damaged air sacs. The other method is lung volume reduction which removes the lung tissues that have become damaged.

Adopting certain lifestyle changes can provide relief for the time being. Such alterations include:

  1. Quit smoking immediately, if you haven’t already.
  2. Try to avoid passive smoking as much as possible. Passive smoking is as damaging as firsthand smoking.
  3. Give your body the daily dose of nutrition so that the immune system doesn’t falter as well.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3508 people found this helpful

I sometimes had SOB (shortness of breath) after interval training and when I use to feel so I leave exercise and take walk all go normal but 8 months back I use to have SOB and after walk I did more exercise and 15-20 minutes I just got unstopped SOB. I went hospital directly and ECO, TMT,Xray, ECG,Lipid, PFT,Sugar test all normal doc told its BP fluctuation. I been in extreme weakness for months and also some psychological issue like suffocation in high cloths and covered rooms. After 70% recovery in 4-5 months I started jogging and all good except weakness after jog but one day I did 2 rounds more and 30 minutes after got mild SOB. Doc gave me nebicard and it had worsen the situation with dizziness and weakness then he gave telmisartan for few days it was ok and then shallow breathing morning time but in eve all good. Doc asks me to have more water in take. I have consulted 3 docs (1 senior physician and 2 cardiologist) all say same: technically no problem but bp fluctuation and anxiety. I generally now  face SOB if I take more than 40 stairs. Pl advise.

Dr. K V Anand 94% (23180 ratings)
BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
I sometimes had SOB (shortness of breath)  after interval training and when I use to feel so I leave exercise and tak...
Dear user, SOB, Nervousness or Anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a racing heart and shakiness. There are a number of anxiety disorders: including generalized anxiety disorder, a specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, and panic disorder among others. While each has its own characteristics and symptoms, they all include symptoms of anxiety. Anxiety medicines alone cannot cure anxiety disorders mainly because medicines do not alter behavior. Behavior change and Continuous practice of the changed behavior cure anxiety. I suggest anxiety education, progressive counseling and progressive psychotherapy. I assure you complete cure. I need to know more about your anxiety so that I will be able to diagnose it properly and provide you tips to overcome and manage your anxiety. Take care.
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Lung or Pulmonary Diseases: What You Need To Know?

Dr. Anand N Yannawar 86% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, Diploma In HIV, DNB - Respiratory Diseases, V P Chest Delhi
Pulmonologist, Pune
Lung or Pulmonary Diseases: What You Need To Know?

Pulmonary diseases are some of the most commonly experienced health conditions all over the world. Millions of people suffer due to various causes including genetics, smoking, pollutants and infection. Now lungs are one of the most important and complex organs of the body. They are the apparatus through which oxygen enters and carbon dioxide gets expelled.

Lungs expand and contract on a constant basis to ensure that we can breathe properly. Let us find out more about lung or pulmonary diseases.

  1. Asthma: This is one of the most common and potentially fatal conditions that affect children and adults. It grips the airways formed by the bronchi which branch off into smaller tubes from the main trachea that holds them. This condition causes inflammation, and even spasms, which can lead to wheezing and breathlessness. The main triggers of asthma attacks include allergies, infections and pollutants that may escape into the airways.
  2. COPD: This is also known as Chronic Obstructive Pulmonary Disorder. It is an umbrella term used for various lung conditions that cause breathing difficulties due to an obstruction of the airways. Chronic bronchitis is one of the conditions that falls under COPD, and is usually characterised by persistent, hacking coughs.
  3. Cystic Fibrosis: This is another condition that affects the airways by causing poor passage of mucus from the bronchial tubes. This condition is a genetic one where the mucus that gathers eventually becomes a lung infection.
  4. Pneumonia: This is a condition that causes an infection in the alveoli, which are the tiny tubes that the airways branch into. These are air sacs that can catch myriad infections like pneumonia.
  5. Tuberculosis: This is also a kind of pneumonia, which is caused by bacteria called Mycobacterium Tuberculosis. This condition usually attacks the air sacs of the lungs and can be a potentially fatal disease if it is not treated on time. The patient will require immediate hospitalisation.
  6. Pulmonary Edema: This condition is caused by fluid leaks from the tiny blood vessels into the surrounding air sacs within the lungs. It can also be caused due to heart failure as well as back pressure which falls on the lungs. Direct injury to the lungs can also lead to this condition.
  7. Lung Cancer: This is a fatal disease which can be found in any part of the lungs. It has many forms and the type as well as the location usually determines the kind of treatment option that will be followed.
  8. Acute Respiratory Distress Syndrome: When the lungs suffer a sudden injury which is usually caused by a bout of serious illness, it is called ARDS. Treatment involves the use of life support ventilation.

In case you have a concern or query you can always consult an expert & get answers to your questions!

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Hello Doctor .My mother is copd patient she is on oxygen and Bipap from last 8 yrs. She take nublizing 5 a day .from last 1 to 2 months she does do not any daily work when she try to something she feels rest and breathless. Please advice.

Dr. Aditya Agrawal 91% (91 ratings)
MD - Pulmonary Medicine
Pulmonologist, Mumbai
Hello Doctor .My mother is copd patient she is on oxygen and Bipap from last 8 yrs. She take nublizing 5 a day .from ...
She is doing well Make sure she works with oxygen And by work it means only activities of daily living She needs to be enrolled in pulmonary rehabilitation with regular chest and limb physiotherapy. If you need further assistance visit us.
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