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Chronic obstructive pulmonary disease

Alternative Names

COPD; Chronic obstructive airway disease; Chronic obstructive lung disease; Emphysema; Chronic bronchitis

Treatment

Treatment for COPD includes inhalers that open the airways (bronchodilators) and sometimes theophylline. Patients with COPD must stop smoking. In some cases inhaled steroids are used to reduce lung inflammation. In severe cases or flare-ups, the health care provider may prescribe steroids through a vein (intravenous) or by mouth (oral).

Antibiotics are used during flare-ups of symptoms, because infections can make COPD worse. Some people may need chronic, low-flow oxygen, non-invasive ventilation, or a tube to get oxygen (intubation). Surgery to remove parts of the diseased lung may be helpful for some patients with COPD.

Lung rehabilitation does not cure the lung disease, but it teaches a patient to breathe in a different way so they can stay active.

Lung transplant is sometimes performed for severe cases.

Support Groups

People often can help ease the stress of illness by joining a support group in which members share common experiences and problems.

See also: Lung disease - support group

Outlook (Prognosis)

This condition is a long-term (chronic) illness. The disease will get worse if patients keep using tobacco.

Possible Complications

When to Contact a Medical Professional

Go to the emergency room or call the local emergency number (such as 911) if you have a rapid increase in shortness of breath or if you develop complications.

References

Goldman L, Ausiello D.Goldman: Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders; 2007.

Review Date: 1/18/2008
Reviewed By: Andrew Schriber, MD, FCCP, Specialist in Pulmonary, Critical Care, and Sleep Medicine, Virtua Memorial Hospital, Mount Holly, New Jersey. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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