Chronic obstructive pulmonary disease (COPD) is a progressive condition — symptoms can worsen over time, especially in the later stages. If you’re aware of signs that your health is changing, you can have more productive conversations with your doctor and seek new treatment options to protect your quality of life.
Here are some warning signs of COPD progression that might mean it’s time to discuss your treatment plan with your doctor.
1. Less Energy and More Fatigue
Lower energy levels and increasing fatigue can indicate worsening COPD. In stages 3 and 4, you may notice you get tired faster, and even simple tasks leave you wiped out. It may become challenging to engage in activities at the same level as before. You may need more rest breaks or assistance from others to manage household tasks.
2. Increasing Shortness of Breath
As COPD progresses, dyspnea (breathlessness) tends to worsen. Walking short distances, climbing stairs, or getting dressed might trigger breathlessness, reducing your mobility and independence. In advanced stages of COPD, breathing in enough oxygen becomes harder. You may feel constantly breathless, even at rest, and notice chest tightness or chest pain. Some people might find that supplemental oxygen can help.
Although it can be disappointing to learn that your COPD is progressing, the right treatment plan can help you feel your best, regain some independence, and be more active. Make sure you understand which of your medications are for maintenance (long-acting) and which are for rescue (short-acting).
You might consider using a pulse oximeter to measure your blood’s oxygen levels at home. You can purchase these electronic devices online and at drugstores. According to the American Lung Association, a good saturation number is 90 percent to 92 percent. If you consistently get readings lower than that, contact your doctor, who can evaluate if you’re getting enough oxygen.
You must meet certain criteria to qualify for supplemental oxygen. Also, your shortness of breath could be related to another condition that won’t be relieved by oxygen. Your doctor can help figure out the cause and best treatment for your increasing shortness of breath.
3. Intolerance to Cold Temperatures
Cold air can make it harder to breathe as COPD progresses. Avoid outdoor activities if the cold triggers your COPD symptoms, and wear a scarf, mask, or other protective gear around your face if needed to help you breathe better when it’s chilly.
In addition, respiratory infections that may be more widespread during cooler months, like the common cold or flu, can have a greater impact. You’ll need to step up your precautions to avoid illness by getting the vaccinations recommended by your doctor, washing your hands often, and avoiding people who are sick.
4. More Frequent and Severe Symptoms
COPD exacerbations are sudden flare-ups of symptoms such as increased coughing, mucus and phlegm production, and shortness of breath. While these exacerbations can occur at any stage of COPD, they tend to occur more and can become life-threatening as the disease progresses.
Exacerbations are often triggered by:
Respiratory infections
Air pollution
Strong odors and fumes
Smoke
A significant increase in exacerbations can indicate a worsening condition. You may find yourself visiting the emergency room more often, and be sure to let your doctor know about increasingly frequent flare-ups.
5. Unintended Weight Loss
Weight loss can be a common symptom of COPD in more advanced stages. Reduced energy levels and the increased effort required to breathe may lead to less appetite and unintentional weight loss. People with chronic coughing may have trouble chewing or swallowing their food, limiting how much they take in and possibly causing malnutrition. Other COPD-related factors such as inflammation, oxidative stress (having low levels of protective molecules called antioxidants), and steroid use can also lead to weight and muscle loss.
Weight loss can further weaken the body and affect overall health. Meeting with a registered dietitian nutritionist can help you learn strategies to ensure you get enough calories and protein to maintain a healthy weight.
6. Swollen Legs and Ankles
Worsening COPD can affect the heart, potentially leading to issues like pulmonary hypertension and heart failure. These cardiovascular diseases can cause fluid retention, resulting in edema (swelling) in your legs and ankles. You may notice that your shoes feel tight, and the swelling tends to worsen as the day progresses. Sudden weight fluctuations can be related to fluid buildup.
Some described swollen feet and ankles when taking prednisone for a flare-up. Describing your symptoms to your health care team is the best way to decide if further testing or treatment is needed.
7. Reduced Response to Medications
In the later stages of COPD, you may find that your current medications are less effective in managing your symptoms. This may be due to disease progression or the development of drug tolerance. It’s crucial to communicate any changes in symptom control to your health care team. You may need a higher dose or additional medication.
8. Changes in Mood and Emotional Well-Being
As COPD progresses and daily activities become harder, feelings of depression, anxiety, and frustration can arise. COPD can be mentally taxing, and it’s essential to recognize the emotional impact of the disease and seek support when needed.
It’s easy to feel isolated when others don’t understand your daily struggles. Getting mental health counseling or connecting with others via a support group, either in person or online — like MyCOPDTeam — can help validate how you’re feeling.
Partner With Your COPD Care Team
Regular communication with your COPD care team is essential to manage the disease. If your symptoms get worse, don’t hesitate to reach out to your health care provider. They can assess your condition, adjust medications, and provide valuable guidance. They may also recommend pulmonary rehabilitation.
Additionally, health care professionals often use the forced expiratory volume test to monitor disease progression objectively. This simple lung function test measures how much air you can forcefully exhale in one second and helps determine the stage of COPD.
Although COPD is a progressive lung disease, early recognition of worsening symptoms and proactive management can help you lead a fulfilling life. Be open with your health care providers and loved ones about changes in your health so that you get the treatment and support you need throughout your COPD journey.
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Article published and written by www.mycopdteam.com
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