Treatment. Many people with COPD have mild forms of the disease for which little therapy is needed other than smoking cessation. Even for more advanced stages of disease, effective therapy is available that can control symptoms, slow progression, reduce your risk of complications and exacerbations, and improve your ability to lead an active life.
Chronic obstructive pulmonary disease (COPD), which includes emphysema and chronic bronchitis, makes breathing hard for the 16 million Americans who have been diagnosed with it. Millions more suffer from COPD but have not been diagnosed and are not being treated. COPD can limit your ability to work or even do simple daily tasks.
Read More >>
In this article, learn how COPD is treated as well as underlying causes, diagnostic techniques, possible prevention strategies and prognosis.
COPD encompasses a spectrum of breathing and lung function diseases, many of which have much more recognizable names than COPD itself.
According to the COPD Foundation, related diseases that fall underneath the COPD umbrella include emphysema, chronic bronchitis, non-reversible (refractory) asthma and a rare genetic disease called Alpha-1 Antitrypsin deficiency.
In most cases, smoking or exposure to secondhand smoke is the cause of COPD. But additional compounding factors can include exposure to dust, toxins or chemical fumes and a rare genetic disease.
Emphysema is a disease that arises when the tiny air sacs inside the lungs, called alveoli, get damaged. Each alveoli contains multiple tiny air sacs that are responsible for respiration - the ongoing exchange of oxygen and carbon dioxide.
When these tiny air sacs are damaged, their walls disintegrate and what used to be multiple tiny sacs becomes one larger sac. The more alveoli that are affected, the less efficiently the lungs can do their job and the harder it is for the person to breathe.
Bronchitis is fundamentally an irritation of the bronchial tubes. Each tube has tiny hairlike structures that line the inside walls (cilia). The cilia have the job of moving mucus up and out of the tubes.
When bronchitis occurs repeatedly, the cilia can get damaged or destroyed. This, in turn, can cause chronic bronchitis.
An asthma attack is prompted by the swelling of the bronchial airways. When asthma doesn't respond to the usual medications, it is considered non-reversible.
AATD deficiency can cause a number of concerning health issues, including emphysema and cirrhosis of the liver as well as skin disease. This is a relatively rare genetic (heritable) disease.
COPD can be diagnosed in a number of ways. Tests also exist to help confirm a diagnosis of COPD.
The major symptoms that a physician will look for to diagnose COPD include these:
The American Lung Association states that the first thing a doctor will do is to take a personal and family medical and lifestyle history.
Common diagnostic questions typically focus on identifying whether the person has a history of smoking or secondhand smoke exposure as well as exposure to other airborne toxins (such as smog, dust, chemicals).
In a small percentage of cases, COPD may be inherited.
A number of helpful tests exist to confirm the diagnosis of COPD.
The COPD Foundation also offers a free short online risk screener test you can take to determine whether to pursue further diagnostic tests for COPD.
There are three basic treatment strategies which may be used alone or in concert with each other: medications, breathing rehabilitation and surgery.
The goal of all treatment options is to improve breathing and lung function, improve overall quality of life and reduce symptoms over the long-term.
Five main types (classes) of drugs are typically used to treat COPD: corticosteroids, antibiotics, beta2-agonists and anticholinergics, vaccinations and oxygen.
Both short-acting (quick to take effect and quick to wear off) and long-acting (slow to take effect and slow to wear off) versions of both classes of drugs exist.
Six basic delivery methods are used for COPD medications: inhaler, oral pill, nebulizer, dilator, shot and oxygen tank.
NOTE: COPD clinical trials are ongoing to test new medications and treatments. For some patients, participating in a clinical trial may produce positive results and/or stave off the need for more invasive treatment such as surgery.
Breathing or pulmonary rehabilitation typically includes five treatments: education, exercise, breathing guidance, nutrition and counseling/support.
Education helps patients learn about their own anatomy, lung function and how breathing techniques, exercise and medications work to improve breathing.
Exercise modifications, including use of supplemental oxygen, is often required to keep patients with COPD active and fit.
Breathing guidance includes learning techniques like pursed lip breathing and diaphragmatic breathing to make full use of oxygen without placing stress on the lungs.
Nutritional guidance aims to help patients learn how to take pressure off the lungs while still preparing and consuming healthy meals.
Counseling and emotional support can be a critical part of helping patients and carers manage symptoms and maintain quality of life.
Three main surgical approaches are used to treat COPD that has stopped responding to other less-invasive treatments or is beyond the scope of what medication and breathing therapy can treat.
The most important factor here is to ensure the patient is a good candidate to undergo surgery. The patient must be sufficiently strong to have general anesthesia and withstand the recovery process. The patient is also typically required to undergo pulmonary (breathing) rehabilitation. Patients who smoke are usually ineligible for CODP surgery.
Bullectomy surgery removes bullae, or large sacs, which form when alveoli die off. When the bullae are gone, the patient often finds that they experience improved lung function and easier breathing.
Lung volume reduction surgery, or LVRS, removes diseased lung tissue to help facilitate improved quality of life for patients. This surgery not only aids lung function but helps improve diagphragm function as well.
Lung transplants can be a last resort surgery when the lungs are too damaged to respond to other surgical interventions. While lung transplants can greatly enhance quality of life and breathing function, they also require special measures to guard against systemic organ rejection while managing the risk of infection.
Some COPD patients find great benefit in pursuing alternative treatments in addition to their regular treatment protocol.
While there are no alternative treatments to date that have been FDA-approved to treat COPD, and COPD itself currently cannot be cured, you may discover many additional quality of life benefits from learning about meditation, deep breathing, visualization, yoga, massage, acupuncture, chiropractic and other complementary treatments.
Discovering you have COPD is undoubtedly a life-changing diagnosis for you and your loved ones. But it is important to remember that many effective strategies and COPD treatments do exist that can help you manage symptoms and continue to enjoy a high quality of life over the long-term.
As always, the best course of action is to follow your doctor's guidance to the letter and consult with your treatment team before adding any complementary treatments or supplements to your regular daily health and wellness regimen.
This article has not been paid for by any advertiser. This content is intended for informational and entertainment purposes only and is not a substitute for professional advice or analysis.
How is COPD treated? Treatment of COPD requires a careful and thorough evaluation by a physician. 3, 13 COPD treatment can alleviate symptoms, decrease the frequency and severity of exacerbations, and increase exercise tolerance. Treatment options that your physician may consider include: Quit smoking.
COPD Medications. A variety of medicines are used to treat COPD and there is no "best" medicine for all people. Each person's COPD is different and your doctor and healthcare team will work with you to set up the best plan to address your symptoms and needs. Learn more about your treatment options »
Overview. Chronic obstructive pulmonary disease (COPD) is a chronic inflammatory lung disease that causes obstructed airflow from the lungs. Symptoms include breathing difficulty, cough, mucus (sputum) production and wheezing. It's typically caused by long-term exposure to irritating gases or particulate matter, most often from cigarette smoke.