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Chronic obstructive pulmonary disease 

Introduction 

Video: COPD

An expert explains what you can do to relieve the symptoms of COPD and improve your quality of life.

Audio: COPD

COPD is incurable but, as Dominic Arkwright reports, a lot can be done to relieve the symptoms.

Chronic obstructive pulmonary disease (COPD) is the name for a collection of lung diseases including chronic bronchitis, emphysema and chronic obstructive airways disease. People with COPD have trouble breathing in and out. This is referred to as airflow obstruction.

Breathing difficulties are caused by long-term damage to the lungs, usually because of smoking.

How common is COPD?

COPD is one of the most common respiratory diseases in the UK. It usually affects people over the age of 35.

Around 835,000 people in the UK have been diagnosed with COPD, but it is thought that there are about 2 million people living with the disease who have not been diagnosed. This is because many people who develop the symptoms of COPD do not get medical help because they often dismiss their symptoms as a ‘smoker’s cough’.

COPD affects more men than women. However, according to the British Thoracic Society, rates of COPD in women are increasing.

The main cause of COPD is smoking. The likelihood of developing COPD increases the more you smoke and the longer you've been smoking.

The effects of COPD

People with COPD have trouble breathing in and out, known as airflow obstruction. Their lungs become inflamed due to irritation, usually from cigarette smoke.

Over many years, the inflammation leads to permanent changes in the lung. The walls of the airways get thicker in response to the inflammation and more mucus is produced. Damage to the delicate walls of the air sacs in the lungs means the lungs lose their normal elasticity. It becomes much harder to breathe, especially when you exert yourself. The changes in the lungs cause the symptoms of breathlessness, cough and phlegm associated with COPD.

Although any damage that has already occurred to your lungs cannot be reversed, you can prevent COPD from developing or getting worse by making lifestyle changes.

Treatment for COPD usually involves relieving the symptoms, for example by using an inhaler to make breathing easier.

Although COPD causes about 25,000 deaths a year in the UK, severe COPD can be prevented by making changes to your lifestyle.

Want to know more?

  • British Lung Foundation: COPD.

Last reviewed: 11/11/2010

Next review due: 11/11/2012

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C Nayak said on 27 August 2010

I was diagnosed for lung (pulmonary fibrosis) just by
chance as I had flu like symptoms not ridd of by antibiotics. Prior to this on many occassions had flu , cold etc. but no specialist involved until very late.


I am not sure if this happens as normal or are the COPD (just treated as such).

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SweetChili said on 11 March 2010

I was born with severe chronic asthma and spent a real lot of my childhood in hospital in an 'oxygen tent'. I disappointed my Mum when I started smoking as a teenager! I was diagnosed with chronic bronchitis in my twenties and then COPD in my thirties. Now, in my early fourties I'm am suffering quite badly! I have a lot of 'nodules' on both of my lungs as well as some 'blisters'
I am constantly breathless and find my medication (two types of inhalers) to be somewhat useless! I was given a home nebuliser, recommended by A&E as I was going there so often with exaserbations it made sense! but, after seeing a 'specialist' I was denied the 'nebules' to use in it! he said I could 'overdose' being that I'm on two inhalers already!
Recently, the same 'specialist' has said that my breathlessness is 'in my head'!!! I'm very upset by this! how can someone with severe asthma and COPD be told their breathlessness is all in their head??

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shirley1941 said on 26 February 2010

I have coughed and spluttered my way through life for 68 years. Havng been told by NHS, no alergies, nothing wrong just Asthmatic.. It took a doctor in FRANCE to tell me I have, Pulmopnary Fibrosis. It is there on the lung scan to see. Old sca tissue that is now beginning to become a problem.

Because I come from an Asthmatic family, it was always told (uk gp) I was asthmatic. Had someone actually done a lung scan the fiobrosis would have been found sooner. It is too late now. I am 68 and the only thing I can do is to try to stay well, free from germs, stress and just keep swallowing steroids..... Am I angry? YES It is so easy to stick labels on people, because my siblings are asthmatic then of course I must be too!!!! Rubbish.

I have never smoked and as far as I am aware never been anywhere where toxics might have affected my lungs. But It seems I come from a family with history of pulmonary problems. Hereditery? Origin unknown is what the Drs say. Passive smoking? Asbestosis?? You tell me!

SC



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