Chronic Obstructive Pulmonary Disease, or COPD, refers to a group of diseases that cause airflow blockage and breathing-related problems. It includes emphysema, chronic bronchitis, and in some cases asthma.
COPD symptoms often don’t appear until significant lung damage has occurred, and they usually worsen over time, particularly if smoking exposure continues. For chronic bronchitis, the main symptom is a daily cough and mucus (sputum) production at least three months a year for two consecutive years.
People with COPD are also likely to experience episodes called exacerbations, during which their symptoms become worse than usual day-to-day variation and persist for at least several days.
Treatment of COPD requires a careful and thorough evaluation by a physician. COPD treatment can alleviate symptoms, decrease the frequency and severity of exacerbations, and increase exercise tolerance. For those who smoke, the most important aspect of treatment is smoking cessation. Avoiding tobacco smoke and removing other air pollutants from the patient’s home or workplace are also important. Symptoms such as coughing or wheezing can be treated with medication. Pulmonary rehabilitation is an individualized treatment program that teaches COPD management strategies to increase quality of life. Plans may include breathing strategies, energy-conserving techniques, exercise training, and nutritional counseling. The flu can cause serious problems in people with COPD. Vaccination during flu season is recommended and respiratory infections should be treated with antibiotics, if appropriate. Patients who have low blood oxygen levels are often given supplemental oxygen.