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COPD exacerbations can cause permanent lung damage.1

Knowing the signs and symptoms may allow you to identify an exacerbation. To prevent them, it is important to follow your doctor's recommendations.

Complete risk test
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What is COPD?

COPD or chronic obstructive pulmonary disease is a disease caused by damage to the lungs, which causes airflow to be limited. It is often a combination of the following two manifestations.2

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Chronic bronchitis

It is the inflammation of the airways that carry oxygen to your lungs, namely the bronchi. This inflammation causes a large amount of mucus and this can narrow or obstruct the airways causing breathing difficulty.2

Emphysema

In a person with emphysema, the alveoli (small air sacs) may be destroyed, dilated, narrowed or collapsed, causing a decrease in respiratory function. This damage to the sacs is irreversible and causes less air to enter and leave the lungs, which causes shortness of breath.3


What are COPD exacerbations and why are they so bad?

A COPD exacerbation or COPD crisis is a sudden worsening of COPD symptoms caused by increased inflammation. This worsening of symptoms results in additional treatment.5

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If your COPD symptoms have worsened so much that you have had to receive additional medical care, such as oral steroids or antibiotics, you may have experienced a moderate COPD exacerbation.

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If you have had to seek emergency care or have been hospitalised because of your COPD, you may have experienced a severe COPD exacerbation.

SYMPTOMS
OF COPD5

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Shortness of breath
especially with physical activity

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Excessive mucus production that is not easy to remove by coughing

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Wheezing or whistling when breathing

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Chest Tightness

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Increase in
the frequency of respiratory
infections

The doctor will confirm the presence of COPD by performing a spirometry test, an essential test for its diagnosis.


Causes of Chronic Obstructive Pulmonary Disease

Exposure to irritants that can damage the lungs and airways can cause COPD. The main cause of the disease is smoking, but non-smokers can also develop the disease. 2,6

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Smoking

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Genetic or lung development factors

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Exposure to pollution or irritating particles such as wood smoke

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Respiratory conditions or diseases


Diagnosis of COPD

If you have symptoms typical of COPD and go to your doctor for a check-up, you can expect to undergo a couple of tests before you receive a diagnosis. These tests are very simple and often include a discussion about your medical and family history, lifestyle habits, and your current symptoms. 7

One of the confirmatory diagnostic tests to find out if you have COPD is spirometry. This test consists of placing the mouthpiece of a spirometer in your mouth and exhaling and inhaling as hard and fast as possible. What is measured is the amount of air during that inhalation and exhalation, as well as the force with which you can do it.2,8

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References

1. Barnes PJ, et al. Nat Rev Dis Primers. 2015;1:15076. Morgan AD, et al. Ther Adv Respir Dis. 2018;12:1-16.
2. GOLD (2022) GLOBAL STRATEGY FOR PREVENTION, DIAGNOSIS AND MANAGEMENT OF COPD: 2022 Report.https://goldcopd.org/wp-content/uploads/2021/12/GOLD-REPORT-2022-v1.1-22Nov2021_WMV.pdf
3. Spanish Society of Internal Medicine. (2019). Chronic and acute bronchitis. Retrieved from SEMI: https://www.fesemi.org/informacion-pacientes/conozca-mejor-su-enfermedad/bronchitis-cronica-y-aguda
4. University of Rochester Medical Center. (2019). Enfiema Pulmonar. Retrieved from URMC: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=85&ContentID=P 04409
5. Juan González del Castillo et al., “Comprehensive management of the patient with acute exacerbation of chronic obstructive pulmonary disease”. Revista Española de Quimioterapia 31, nº 5 (2018):461-484. PMCID: PMC6194861
6. National Heart, Lung, and Blood Institute. (2019). COPD. Retrieved from NIH: https://www.nhlbi.nih.gov/health-topics/copd
7. American Lung Association. (2018, marzo). What causaes COPD. Retrieved from https://www.lung.org/lung-health-and-diseases/lung-disease-lookup/copd/symptoms-causes-risk-factors/what-causes-copd.html
8. Lung Institute . (2019). COPD. Retrieved from https://lunginstitute.com/lung-diseases/copd/
9. Infographic prepared by the portal: https://www.who.int/es/news-room/questions-and-answers/item/tobacco-health-benefits-of-smoking-cessation