Chronic obstructive pulmonary disease (COPD) is lung disease that makes it difficult to breathe. Most people with COPD have both emphysema and chronic bronchitis.
The leading cause of COPD is smoking. Between 15 - 20% of long-term smokers will develop COPD. Using tobacco for a long time causes lung inflammation and destroys air sacs in the lungs. (In rare cases, non-smokers who lack a protein called alpha-1 anti-trypsin can develop emphysema.)
Other risk factors for COPD are: