What are the signs of a COPD flare-up?

Written by: Dr Sandip Banerjee
Published:
Edited by: Conor Lynch

In this article below, skilled, trusted, and highly regarded respiratory and sleep physician, Dr Sandip Banerjee, details what chronic obstructive pulmonary disease is, what the related symptoms are, and tells us when medical attention should be sought for the condition.

What exactly is chronic obstructive pulmonary disease?

Chronic obstructive pulmonary disease (COPD) is a long-term condition that causes inflammation in the lungs, damaged lung tissue, and a narrowing of the airways, making breathing difficult. COPD is a common condition that mainly affects middle-aged or older adults who smoke.

 

Many people do not realise they have it. The breathing problems tend to get gradually worse over time and can limit one's normal activities.

 

What are the associated symptoms?

The symptoms of COPD are breathlessness and chronic cough, with or without phlegm. Fatigue, anorexia, and weight loss can also occur over time.

 

A key characteristic of the condition is periods of worsening symptoms, known as exacerbations. This can be triggered by infections or exposure to high amounts of air pollution.

 

The most common conditions that occur alongside COPD include heart disease, anxiety and depression, osteoporosis, gastro-oesophageal reflux, skeletal muscle dysfunction, anaemia, lung cancer, diabetes, and metabolic syndrome.

 

What causes COPD?

COPD is caused by factors that trigger inflammation in the lungs, such as tobacco smoke, occupational exposure to dust, chemicals, vapours and airborne pollutants.

 

When should I seek medical attention?

Chronic obstructive pulmonary disease (COPD) is usually diagnosed after a consultation with your GP, as well as breathing tests. If you are concerned about the health of your lungs and have persistent symptoms that could be COPD, particularly if you are over 35 and smoke or used to smoke, see your doctor as soon as you can.

 

Being diagnosed early means you will receive appropriate treatment, advice and help to stop or slow the progression of COPD. Your doctor will also check how well your lungs are working with a lung function test called a spirometry.

 

Does this condition require immediate treatment? What does treatment for COPD involve?

The damage to the lungs caused by COPD is permanent, but treatment can help slow down the progression of the condition. Stopping smoking can help significantly.

 

What are the signs of a flare-up?

It’s normal for your COPD symptoms to vary a bit from day to day. However, if your symptoms start to worsen for two or more days, this is a flare-up (an acute exacerbation).

 

Signs of a flare-up include feeling a lot more breathless than usual, you are coughing more, you are producing more phlegm (mucus), and your phlegm (mucus) changes colour or gets stickier.

 

To book a consultation with Dr Sandip Banerjee, simply head on over to his Top Doctors profile today

By Dr Sandip Banerjee
Pulmonology & respiratory medicine

Dr Sandip Banerjee is a highly qualified respiratory and sleep physician who specialises in conditions such as asthma, sleep apnoea, pleural mesothelioma, lung disease, chronic obstructive pulmonary disease (COPD), as well as chronic cough. He currently practises at the Kent-based KIMS Hospital as well as the Sevenoaks Medical Centre, which is located within the KIMS Hospital. 

With more than 15 years of experience in respiratory and sleep medicine, Dr Banerjee can provide his expertise with regards to a wide variety of respiratory-related conditions, including longstanding coughs, coughing up blood, wheezing, cough with excessive sputum, and unintentional weight loss.

He possesses a special interest in respiratory medicine, sleep medicine, integrated care for chronic respiratory conditions, as well as chronic obstructive pulmonary disease, and has developed an equally keen interest in relation to the investigation of patients suffering from protracted coughs and breathlessness. One of his main research interests is obesity hypoventilation syndrome, and is also interested in the management of non-respiratory sleep disorders including insomnia. 

Dr Banerjee completed his specialist respiratory and general internal medicine training at the Addenbrookes Hospital in Cambridge and successfully obtained an MD (research) from the University of Hertfordshire in London. Notably, he spent three years investigating ventilatory failure in motor neurone disease at the Cambridge-based Papworth Hospital. Dr Banerjee, who is a member of the European Respiratory Society and the European Sleep Society, has gained a substantial amount of experience with regards to the treatment of COVID-19. 

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