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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Resuming Regular Care

So many important medical appointments were booked for March and April and canceled during the height of the pandemic. Now we are beginning to refocus on the fact that skipping appointments, even if you are feeling well now, could become harmful.

One important group of patients that we are eager to see are those with serious chronic conditions. These diseases require patients to see their primary care provider or a specialist at least once a year and sometimes far more frequently than that. Those with heart failure, kidney disease, diabetes, high blood pressure, and chronic obstructive pulmonary disease, for instance, all require regular contact with your provider.

Another group of patients we'd like to see are those with new medical concerns. We know that new medical concerns don't stop during a pandemic. Some conditions, like depression and anxiety, are far more prevalent during a pandemic than before. In many cases, new conditions are easiest to treat when patients first notice symptoms, and delaying care for these conditions can be dangerous.

Even regular care for those who are healthy is as important as ever. Other diseases—cancer in particular—haven't gone away. So, if you would normally be getting a screening such as a colonoscopy or mammogram, it's time to schedule an appointment. Many cancers can be detected and treated early with better outcomes. We can only expect those good results, if people are screened.

For children, regular vaccines are very important. If a big portion of the population neglects to get important childhood vaccines on schedule, we may be susceptible to outbreaks of measles or whooping cough.

There are many steps we have taken to improve safety for those seeking medical care. The first one is the availability of telemedicine. If the condition you are seeking treatment for does not require diagnostics or a physical exam, your provider can meet you virtually using any Internet-enabled device or over the phone. See details here.

If you do need to come to the office, you will notice check-ins at entrances, where staff check patients and visitors for respiratory symptoms and ensure that all are masked. You'll also notice efforts to space the waiting rooms to improve social distancing.

So how do you get the care you need?

  • If you have a primary care provider, call in to see what you may have missed during the pandemic. Did you miss an appointment to manage a chronic condition? Also share any new health concerns you have and check that you and your family members are up to date on all of your screenings and vaccinations.
  • If you don’t have a regular doctor, it makes sense to get one now. Locally, call the find-a-provider line at 802-447-5007 for a directory of practices that are accepting new patients.
  • Those with time-sensitive medical needs can use ExpressCare, a walk-in clinic, on the hospital campus in Bennington. Be sure to call ahead to 802-440-4077 if you have respiratory symptoms.
  • For Emergency Care, always come directly to the SVMC Emergency Department.

Most off all, we want our patients to know that we are here for them. There is no longer a need to delay medical care, whether for known conditions, new concerns, or preventive care. In every step we take, we are protecting patients against COVID-19 and helping patients with all of their other medical needs, too.

Bob Schwartz, MD, is associate medical director of Dartmouth- Hitchcock Putnam Physicians at Southwestern Vermont Medical Center in Bennington and a family medicine physician at SVMC Northshire Campus in Manchester.

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