COPD (Chronic Obstructive Pulmonary Disease)

COPD is a group of progressive lung diseases — emphysema and chronic bronchitis — that obstruct airflow and cause breathing difficulty. Smoking is the main cause; quitting is the most important treatment.

Table of Contents

Quick Facts

  • ICD-10: J44
  • Top cause: Smoking
  • Progressive: Yes

Symptoms

  • Progressive shortness of breath, worse with exertion
  • Chronic cough, often with sputum
  • Wheezing
  • Chest tightness
  • Frequent respiratory infections
  • Fatigue, unintended weight loss in advanced disease

Diagnosis

  • Spirometry (post-bronchodilator FEV1/FVC < 0.70)
  • Chest X-ray or CT
  • Alpha-1 antitrypsin testing in younger patients
  • Blood gas analysis in advanced disease

Treatment

  • Smoking cessation (most important)
  • Inhaled bronchodilators (LABA, LAMA, SABA)
  • Inhaled corticosteroids in selected patients
  • Pulmonary rehabilitation
  • Oxygen for hypoxemic patients
  • Vaccinations (flu, pneumococcal, COVID, RSV)
  • Treatment of exacerbations with antibiotics and steroids
  • Lung volume reduction or transplant for advanced disease
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with questions about a medical condition. If you are experiencing a medical emergency, call your local emergency number immediately.

References

  • GOLD. Global Strategy for COPD.