COPD, or Chronic Obstructive Pulmonary Disease, is the term used to describe lung and airway diseases that restrict breathing.
In COPD there is irreversible damage to the lungs and airway that makes it hard to breathe. If you have been diagnosed with emphysema or chronic bronchitis, this means you have COPD.
Some of the changes in your lungs and airways due to COPD can include:
- Loss of elasticity in the airways and air sacs of your lungs
- Inflammation and/or scarring (fibrosis) and narrowing of the airways
- Thick mucus in your airways
- Damage to the walls between the air sacs in your lungs
What are the types of COPD?
Two types of COPD are emphysema and chronic bronchitis. People with COPD often have features and symptoms of both.
Emphysema
Involves damaged and enlarged alveoli (air sacs). The most common symptom is shortness of breath, also known as dyspnea.
Chronic bronchitis
Is inflammation in the large airways, which narrows them and makes a lot of mucus. The most common symptom is cough.
Understanding COPD
Explore an interactive 3D journey inside the lungs to see how breathing works in real time.
Take a virtual tour to understand how COPD impacts lung function and overall respiratory health.
What are the symptoms of COPD?
Symptoms of COPD can include:
Cough with mucus that won’t go away after three months or longer
Difficulty taking a deep breath
Shortness of breath even with mild exertion or daily activity
Wheezing and other lung sounds
What are COPD flare-ups?
People with COPD often get flare-ups, also known as exacerbations, which are worsening symptoms. These can include severe difficulty breathing, thicker mucus, wheezing, and cough. Severe exacerbations can require hospitalization.
As COPD gets progressively worse over time, flare-ups can become more severe and happen more often. Progression usually occurs over the course of years. However, for some patients COPD can worsen more quickly.
What causes COPD?
The most common cause of COPD is damage to the lungs from smoking. Other causes may include:
- Alpha-1 antitrypsin deficiency (“alpha-1) which is a genetic disorder that can cause lung damage
- Secondhand smoke
- Environmental factors such as toxins in the air
- Occupational factors such as dust and fumes at your job
How is COPD managed and treated?
There is no cure for COPD. Treatment focuses on improving symptoms and reducing the risk of flare-ups. You will work with your health care team to come up with a treatment plan that best meets your needs.
Some recommendations your doctor may have include:
Quitting smoking
The best way to slow down the progression of COPD is to quit smoking now.
Inhaled medicines
Such as bronchodilators and steroids can reduce the inflammation in your airways to health you breathe.
Oxygen therapy
May be required to improve oxygen levels
Pulmonary rehabilitation
Is a program that involves exercise and education that can improve your lung strength and help you manage your COPD
Corticosteroids
Can help to reduce inflammation during exacerbations
Positive airway pressure
Such as BiPAP machine can help you to breathe, especially during an exacerbation
Lung volume reduction (LVR)
May be suggested if you have severe COPD and if you’re a good candidate. This involves surgery or a procedure that reduces trapped air in the lungs
Please see the FAQs for answers to more questions about COPD.