Treatment approaches, including lifestyle changes, medication, rehabilitation and therapy, as well as surgery, vary depending on how severe the COPD is and what has caused it. Current treatments focus on managing symptoms or underlying conditions and improving the patient’s quality of life. Other tests such as blood oxygen tests, as well as lung function and exercise testing may be conducted to find out how much damage has been done and how well the lungs are working. Two-dimensional echocardiography and Doppler techniques may be used to find out whether there is high blood pressure in the lungs. The doctor will also determine whether the patient has COPD rather than bronchitis, emphysema or asthma alone.Ĭhest x-rays, computed tomography (CT) scans or a bronchoscopy may be used to rule out tuberculosis or other conditions if a person is coughing up blood. The patient may also have jerky movements because of buildup of carbon dioxide in the blood.Īfter the physical exam, the doctor will do tests to rule out other conditions, such as cancer, tuberculosis or chronic heart failure, which may cause similar symptoms. The veins of the neck may stick out, mostly when a person is breathing out, showing increased pressure inside the chest. Crackles may be heard at the base of the lungs. The doctor may notice that the diaphragm moves less than that of a healthy person. As the disease develops, the lungs begin to show signs of overinflating with air. In the early stages of COPD, a physical exam may show very little except wheezing when breathing out. But working around large amounts of various chemical fumes, such as welding fumes, or various dusts, such as mineral dust, may put you at greater higher risk of developing COPD.ĭiagnosis of COPD usually begins with a review of medical history and symptoms, as well as a physical exam. It is not yet understood what the role of air pollution is in causing COPD. In rare cases, the condition can develop in younger patients when it is associated with Alpha-1 Antitrypsin Deficiency (A1AD).ĬOPD affects more men than women and is most frequently diagnosed in Caucasian people. Age and cigarette smoking account for more than 85% of the risk of developing COPD. It mostly affects adults, with symptoms appearing between the ages of 30 and 40 years old. There may also be a loss of weight.ĬOPD is most commonly caused by tobacco smoke. The patient may develop a morning headache that indicates too much carbon dioxide in their blood. Late in the disease, these fits may be so severe that the blood doesn't get enough oxygen and the person's skin turns bluish. As the disease gets worse, the time between severe fits gets shorter. Severe chest conditions (coughs, production of pus-filled fluid or mucus, wheezing, breathlessness and sometimes fever) may happen from time to time. Gradually, patients may produce more and more fluid or mucus in their lungs or airways. Breathlessness during exercise or exertion usually doesn't become bad enough to see to a doctor until the COPD patient is in their 50s or mid-60s. People who have smoked more than 20 cigarettes a day for more than 20 years may begin to cough up mucus in their 40s or early 50s. Blue tint to skin around the lips or fingernails.Changes in the cells of the lungs and airways that can be seen with a microscope.Production of a great deal of mucous and other secretions, sometimes including pus.Fluid in the lungs and airways and linings of the throat.Redness of the skin because the capillaries are congested.Generally, the first symptom a patient with COPD will have is coughing and difficulties breathing typical of bronchitis, emphysema and asthma. Symptoms will usually get worse over time, especially if the patient continues to be exposed to smoking or other lung irritants. Most patients won’t notice symptoms of COPD until the condition has caused major lung damage.
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