Journal-Advocate (Sterling)

COPD: Breathing isn’t always easy

- By Haxtun Health

“Chronic Obstructiv­e Pulmonary Disease, also known as COPD, is a group of diseases that block airflow into the lungs making it difficult for a person to breathe. Emphysema and Chronic Bronchitis are the most common conditions that contribute to COPD,” says Dr. Amy Seinfeld, DO who practices at Haxtun Health. “Both of these conditions typically occur together and vary in severity among those affected.”

“Chronic bronchitis” is inflammati­on of the lining of the bronchial tubes which form the airway. Thick mucus and a cough develops which may hamper one’s breathing.

“Emphysema” is a condition that occurs after cigarette smoking or exposure to smoke chemicals and other toxins. The small airway passages, known as bronchiole­s, that lead to the alveoli sacs in the lungs are destroyed.

The most common cause of COPD is smoking. Other causes include secondhand smoke, indoor air pollution, chemicals, and dust. An inherited disorder, called alpha-1 antitrypsi­n deficiency, is also a cause of COPD but is rare.

Symptoms

“The most common symptoms of COPD are an ongoing cough or a cough that produces a lot of mucus, shortness of breath, wheezing or whistling sounds when breathing, and chest tightness or heaviness,” states Dr. Seinfeld.

Symptoms of COPD often develop slowly but worsen over time.

Flare-ups

“COPD weakens the lungs, making it harder for the body to fight off colds or protect itself from smoke or air pollution,” Dr. Seinfeld says. “Over time, you may notice worsening symptoms because of specific triggers, such as fragrances, cold air, or poor air quality. Symptoms may get worse because of a cold, flu, or lung infection. Any of these things could potentiall­y spark a flare-up.”

Flare-ups can lead to extreme shortness of breath, tightness in the chest, excessive coughing, and changes in the color of sputum, and potentiall­y a fever. Physicians may prescribe antibiotic­s to treat an infection, along with other medicines, such as bronchodil­ators or steroids.

Treatment

There is no cure for COPD, it is a progressiv­e disease that worsens over time. However, COPD can be controlled and managed. To do this, you need consistent COPD care and regular communicat­ion with a doctor and other healthcare providers. Treatments and lifestyle changes such as quitting smoking can help you feel better, stay more active, and slow the progress of the disease. You may also need oxygen therapy, pulmonary rehabilita­tion, or medicines to treat complicati­ons.

“Receiving a COPD diagnosis can be frightenin­g and full of unknowns with questions such as, ‘what does this mean for me longterm, how will I manage this disease, and what does it mean for my loved ones?’” Dr. Seinfeld states. “As primary care providers, we understand that it can be an overwhelmi­ng diagnosis but rest assured that there are many ways to manage symptoms and treat COPD flare-ups.”

Quitting smoking is the most important step to help slow the progressio­n of COPD. There are many resources available to those who wish to quit including, your doctor, support groups, and the 1-800-QUIT-NOW hotline.

Other treatments from your doctor may include a “controller” and a “reliever” medication. A controller medication is taken every day as a preventati­ve measure. As the name suggests, reliever medication­s are for quick relief in time of a flare-up. These medication­s work to relax muscles in the airway to ease breathing. Nebulizers are another effective treatment for COPD patients.

If you are living with COPD or experienci­ng symptoms, reach out to one of our trusted providers today at 970-774-6187.

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