How to Recognize the Early Signs of COPD
Courtney Carter
/ Categories: WELLNESS, 2024

How to Recognize the Early Signs of COPD

November is COPD Awareness Month and an important step in helping the estimated 18 million Americans living with the undiagnosed condition to learn the symptoms and begin treatment.

The sixth leading cause of death in the U.S., COPD stands for Chronic Obstructive Pulmonary Disease. COPD refers to several chronic lung diseases that limit airflow in and out of the lungs. These include emphysema, chronic bronchitis and asthma. COPD is a chronic disease that worsens over time as the damaged lung tissue does not repair itself. However, early diagnosis can lead to treatment that can slow the progression of the disease, improve symptoms, reduce the need for hospital stays out of hospital, and lead to a longer life.  

 

Common early symptoms of COPD include:

  • Shortness of breath after exertion or, in severe cases, after minimal exertion or even at rest

  • A lingering cough with or without mucous

  • Wheezing

  • Tightness in your chest

  • Weight loss

  • Difficulty sleeping

  • Fatigue

  • A blue tinge to the skin caused by insufficient oxygen

  • Reoccurring lung infections like acute bronchitis or pneumonia

 

It’s important to note that you don’t need to experience all these symptoms to have COPD.

In addition, COPD can develop slowly over time. As the disease progresses, symptoms often get increasingly worse. Very often, people find themselves cutting back on their day-to-day routines and activities in response to symptoms, which has the unfortunate effect of further reducing lung function.

Take a free online COPD Risk Screener

The COPD Foundation offers a free online risk screener to help you assess your symptoms.

Comprised of five simple question, it takes less than a minute to complete and can help you—and your health care provider—assess your risk for having the disease.
Click HERE to take the risk screener.

 

Again, there are ways to manage and treat COPD. The sooner you get diagnosed, the sooner you can begin a treatment plan to keep your lungs as healthy as possible for as long as possible.

Diagnosing COPD involves a simple, non-invasive breathing test called spirometry. Other measures used to confirm a diagnosis include:

  • a physical examination

  • medical history

  • gas transfer and lung volume tests

  • blood tests

  • sputum analysis

  • chest x-ray

  • computed tomography (CT) scan.

If you’re diagnosed with COPD, treatment options may include medications, oxygen therapy, and pulmonary rehabilitation. While treatment will not repair damaged lung tissue, it can help slow the disease’s progress and prevent further loss of lung function.

If you’re experiencing symptoms or are concerned about COPD, contact your healthcare provider to schedule an appointment to be evaluated. 

 

Disha Geriani, MD specializes in pulmonary medicine and critical care at Southwestern Vermont Medical Center in Bennington.

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How to Become a Mask Wearer

Long before COVID-19, online chat groups for people with pulmonary fibrosis (PF) were filled with posts about how uncomfortable it is to wear a mask in public: not physically uncomfortable, a fact that was barely mentioned, but psychologically uncomfortable. For people with this condition or the lung transplant used to cure it, catching a cold or the flu could be deadly. They need to wear masks in public to help protect themselves from getting ill.

The participants discussed how awkward it is riding the bus in a mask, going to the grocery store in a mask, or boarding a plane while wearing one. They were mostly self-conscious that others would think they were ill or weak. Many would rather suffer the risk of getting fatally sick than put a mask on in a department store.

Now, we've all been directed to wear masks in public. Both Bennington and Wilmington's Select Boards have passed local mandates requiring masks in public places. This—along with distancing and handwashing—are crucial parts of returning to a more normal way of life. Suddenly, we are all feeling the psychological discomfort PF patients have felt for many years.

People usually have an interest in blending in. And, just like doing anything out of the ordinary, wearing a mask for the first time definitely feels like putting yourself out there. If we want to return to a somewhat normal way of life, masks are crucially important, along with frequent, thorough handwashing and keeping a distance from others.

Here are a few tips for making the leap from being someone nervous about wearing a mask to being a person who wears one regularly.

Do it for others. We know that people can spread COVID-19 as many as a few days before they get sick. Even if you feel fine, you could have COVID-19 right now without knowing it. At the same time, masks are far better at keeping sick people from spreading germs than they are at keeping people from getting sick. So wearing a mask isn't a sign of weakness; it's a sign of altruism. It's like saying, "I am not certain that I am not sick, so I want to pay those around me the consideration of limiting the likelihood I will infect them." Think of it as a badge of kindness.

Get a mask that fits. We know that masks are not completely comfortable physically. Getting the right fit makes a big difference in their "wearability." Cloth masks are readily available online and from local groups. The Green Mountain Mask Makers have excellent information and resources. If you can, purchase a few types in a few sizes to see which you like best. Buy enough of that type to allow washing between trips out in public.

Get a mask that you like. Once you have found a mask source and as long as you have a choice, pick one that you like. You can choose colors that match your wardrobe or that represent your interests, like camouflage. There are even masks that look like fashionable scarves when they hang around your neck. The sooner we start thinking of masks as part of our outfits, as essential and unremarkable as shoes or a belt, the healthier we will all be.

Try to quit caring about what others think. This one is hard. But one wise PF patient wrote, "I just don't give a darn!" Essentially, he shared that if people want to judge him for wearing a mask, so be it. Their opinions don't have a single thing to do with him. Many in the chat group applauded his confidence and vowed to adopt his attitude.

If we all do our best, soon the cultural scale will tip. Wearing a mask or not wearing one will cease to be a political statement. It will be normal. And thankfully, if wearing a mask in public, handwashing and sanitizing, and keeping our distance are all normal, going out into public again can be safe and normal too.

Donna Barron, RN, is the infection preventionist at Southwestern Vermont Medical Center.

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