Chronic obstructive pulmonary disease 

Introduction 

Video: COPD

An expert explains what you can do to relieve the symptoms of COPD and improve your quality of life.

Chronic obstructive pulmonary disease (COPD) is the name for a collection of lung diseases including chronic bronchitis, emphysema and chronic obstructive airways disease. People with COPD have trouble breathing in and out. This is referred to as airflow obstruction.

Breathing difficulties are caused by long-term damage to the lungs, usually because of smoking.

How common is COPD?

COPD is one of the most common respiratory diseases in the UK. It usually affects people over the age of 35.

Around 835,000 people in the UK have been diagnosed with COPD, but it is thought that there are about 2 million people living with the disease who have not been diagnosed. This is because many people who develop the symptoms of COPD do not get medical help because they often dismiss their symptoms as a ‘smoker’s cough’.

COPD affects more men than women. However, according to the British Thoracic Society, rates of COPD in women are increasing.

The main cause of COPD is smoking. The likelihood of developing COPD increases the more you smoke and the longer you've been smoking.

The effects of COPD

People with COPD have trouble breathing in and out, known as airflow obstruction. Their lungs become inflamed due to irritation, usually from cigarette smoke.

Over many years, the inflammation leads to permanent changes in the lung. The walls of the airways get thicker in response to the inflammation and more mucus is produced. Damage to the delicate walls of the air sacs in the lungs means the lungs lose their normal elasticity. It becomes much harder to breathe, especially when you exert yourself. The changes in the lungs cause the symptoms of breathlessness, cough and phlegm associated with COPD.

Although any damage that has already occurred to your lungs cannot be reversed, you can prevent COPD from developing or getting worse by making lifestyle changes.

Treatment for COPD usually involves relieving the symptoms, for example by using an inhaler to make breathing easier.

Although COPD causes about 25,000 deaths a year in the UK, severe COPD can be prevented by making changes to your lifestyle.

Want to know more?

  • British Lung Foundation: COPD.



Last reviewed: 11/11/2010

Next review due: 11/11/2012

Comments are personal views. Any information they give has not been checked and may not be accurate.

GregE123 said on 20 May 2012

Well, about 20 years ago I had complained to my GP a number of times about my breathing which I had noticed got worse in the spring and autumn when I tended to get flu's. He also always dismissed my complaints - I remember his last comment was "go take a run on the common". Which I, as a respectful type of person, did (ending up gasping). Then I insisted on a hospital visit where they diagnosed bronchitis (COPD today). I knew it was a disease but didnt really know anything ( this was before the internet) and nobody including my the respected GP told me anything about it.

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als1uk said on 20 May 2012

i was diagnosed with copd at 38 years of age!! i had club finger nails and toes for atleast 5 years before my diagnosis! which as they are very sore kept questioning my gp about not once was i sent for a chest xray!! was taken into hospital with chest pains after i was checked for a heart attack sent home told nothing wrong with you !!! thought i was going mad! they just couldnt get there heads around someone so young having emphysema /copd if they had checked me properly im sure with inhalers and teh right advice the 5 years before diagnoses would have been far more bearable!!! gps do not know enough about lung disease and the associated illnesses pains and problems!!

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GregE123 said on 13 May 2012

I have COPD. I have been taking systemic enzymes for the past 6 months and I have had marked improvements in breathing although the underlying FEV measures have not improved. The generic enzyme is SERRAPEPTASE- additional anti-inflammatory enzymes are also available on the internet.

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ruth4214 said on 12 May 2012

hi ruth i am carer for my husband who got copd

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ruth4214 said on 12 May 2012

my husband got copd and mental health as well and i got to watch all the time and we got a son with leaning disabilities i am care for my husband and mum to my son it is very hard job looking after my husband

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ruth4214 said on 12 May 2012

my hunsband has got copd and i am very worry about him he is only in his 40's

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Nora Leonard Roy said on 30 April 2012

Sue Freewoman,
Have you been tested for Alpha-1 antitrypsin deficiency? It is a rare genetic cause of emphysema/copd. I have it, and so do thousands of others in the UK, the USA, and many other countries. Do not despair.

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Nora Leonard Roy said on 30 April 2012

To Sue Freewoman,
You may have Alpha-1 antitrypsin deficiency. The test for it is a blood test, probably available through your own gp or your respiratory consultant. If you do have Alpha-1 antitrypsin deficiency, as I and many other people do, do not despair. There are excellent resources for information and support. The best right now are available through the American organizations, the Alpha-1 Association http://www.alpha1.org/
and the Alpha-1 Foundation
http://alpha-1foundation.org/.

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Sue Freewoman said on 29 April 2012

I was diagnosed with COPD on 3rd February this year. I have never smoked, but spent many years living with a pipe smoker. I'm 57. When I first googled this condition, I was met with 'irreversible and degenerative'; lung transplants for the young; morphine and tranquillisers in the final stages; and one article telling me I had between 6 months and 5 years to live. It certainly seems rapidly degenerative. Since then I've had a 2 month bout of broncitis and am now breathless every day and night. Am deeply depressed. Any ideas?

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me vicky said on 29 December 2011

what to do when u cant eat then it make u bad his their someone that can tell me what is best to eat

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helenherbert said on 31 October 2011

Sweetchilli I empathise with you regarding the lack of sympathy for COPD sufferers. My mum (78 years old) has had chronic asthma since a child and was diagnosed with COPD 5 years ago. It is terminal and she has frequent exacerbations. Every chest infection is life threatening. She has never smoked a cigarette in her life and doctors always ask her how many cigarettes she smokes a day! Friends say how well she looks but they cannot see the state of her lungs. She has nebulisers and oxygen at home. Exacerbations this year have been treated with a CPAP machine as her CO2 levels get out of kilter and cause hypoxia which can be life threatening. We spend an awful lot of time at the hospital but my mum is still with us and her grandchildrten and I am thankful for that.

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maruth said on 19 September 2011

i had a mobility problem before COPD,but have lost a lot of strength in my legs,since being told not to climb the stairs anymore,have lost my simple exercise sheets,but i must do some exercise not to lose anymore
.
is it possible to have a second reference to pulmonary rehab.

i am on oxygen now, for exercise ,would really benefit from P R, if possible.does anyone know about this

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SamanthaPia said on 15 May 2011

I was Diagnosed with copd because an xray revealed a broken rib from 6 years ago that i was unaware of. the xray was for heart pain, but the shadow of the broken rid (thought it might be asbestos at first) caused them to ask for a CT scan. that showed the broken rib and COPD.within 6 months i have also been diagnosed with severe obstructive Sleep apnoea(OSA) (i stop breathing 45 times per hour on average). and have a CPAP machine to collect on Friday to use. On top of 9 heart attacks, and 3 stents. and i am not 50 years old yet.. what next?
The staff at the hospital are 1st class and look after me very well. my oxygen saturation was 90% at the last appointment. they will take it again next week and if it is that low again, i will most likely have oxygen at home. 3 lung infections in 6 weeks is doing my head in and i cant get rid of the last one so going to let it fester till its so bad the hospital have to deal with it.
Memory is a huge issue, i can forget what we are talking about in mid conversation, its embarrassing. but not as much as being over taken by 2 80 plus year old ladies who would do well in the grand national. 3 inhalers a day and one causes thrush, not a winner within my all female social group and club. kissing is off the list of things to do.

Weight. any fool except the NHS can do the maths here. Sammie walks for 4 hours at the pace i can walk, and that burns off 800 calories. i eat 1600 (less that a child's amount) and i put on 800 calories in weight. this equates to about 1 pound per month of weight on. i am advised not to go on a 1200cal diet, but that still puts on 400Cal's I need to be on an 800calorie diet just to break even and stop putting weight on. But that low means i get fatigued all day just doing minor things. so Diet is not the answer. what is? how long can i go with just water and multivitamin pills every day?

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David1971 said on 09 May 2011

My father was diagnosed as having COPD at least 3 yrs ago. In the last 5 weeks I got a call from him saying he has been diagnosed with Lung Cancer. As you can imagine it was a very upsetting time. So what we thought was a long term illness suddenly became months. Not 3 weeks later my father passed away. The post mortem showed that he had no signs of cancer at all and that he died from pneumonia. I'm at a loss and angry that a man in his early 60's can first be diagnosed as having lung cancer and then subsequently die of pneumonia was this a misdiagnosis becasue of his COPD? I just don't know what to do next I just keep thinking if he had pneumonia and it was diagnosed as such would he be alive today...

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C Nayak said on 27 August 2010

I was diagnosed for lung (pulmonary fibrosis) just by
chance as I had flu like symptoms not ridd of by antibiotics. Prior to this on many occassions had flu , cold etc. but no specialist involved until very late.


I am not sure if this happens as normal or are the COPD (just treated as such).

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SweetChili said on 11 March 2010

I was born with severe chronic asthma and spent a real lot of my childhood in hospital in an 'oxygen tent'. I disappointed my Mum when I started smoking as a teenager! I was diagnosed with chronic bronchitis in my twenties and then COPD in my thirties. Now, in my early fourties I'm am suffering quite badly! I have a lot of 'nodules' on both of my lungs as well as some 'blisters'
I am constantly breathless and find my medication (two types of inhalers) to be somewhat useless! I was given a home nebuliser, recommended by A&E as I was going there so often with exaserbations it made sense! but, after seeing a 'specialist' I was denied the 'nebules' to use in it! he said I could 'overdose' being that I'm on two inhalers already!
Recently, the same 'specialist' has said that my breathlessness is 'in my head'!!! I'm very upset by this! how can someone with severe asthma and COPD be told their breathlessness is all in their head??

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shirley1941 said on 26 February 2010

I have coughed and spluttered my way through life for 68 years. Havng been told by NHS, no alergies, nothing wrong just Asthmatic.. It took a doctor in France to tell me I have, Pulmopnary Fibrosis. It is there on the lung scan to see. Old sca tissue that is now beginning to become a problem.

Because I come from an Asthmatic family, it was always told (uk gp) I was asthmatic. Had someone actually done a lung scan the fiobrosis would have been found sooner. It is too late now. I am 68 and the only thing I can do is to try to stay well, free from germs, stress and just keep swallowing steroids..... Am I angry? Yes It is so easy to stick labels on people, because my siblings are asthmatic then of course I must be too! Rubbish.

I have never smoked and as far as I am aware never been anywhere where toxics might have affected my lungs. But It seems I come from a family with history of pulmonary problems. Hereditery? Origin unknown is what the Drs say. Passive smoking? Asbestosis? You tell me!

SC

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