$Unique_ID{BRK00356} $Pretitle{} $Title{Diagnostic Fears of Respiratory Symptoms} $Subject{bronchitis emphysema COPD Respiratory System systems shortness short breath cough wheezing Chronic Obstructive Pulmonary Disease COPD chronic bronchitis emphysema smoking chronic obstructive lung disease lungs bronchi trachea smoke} $Volume{H-5} $Log{ The Effects of Smoking*0007301.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Diagnostic Fears of Respiratory Symptoms ------------------------------------------------------------------------------ QUESTION: Like so many of your readers, I too have symptoms that are bothersome, but fear the diagnosis more. But my shortness of breath is worsening and I can't rid myself of this cough. Now I have begun to wheeze and wonder if the time has not come to see my doctor. What's your advice? ------------------------------------------------------------------------------ ANSWER: I think you have already made up your mind, and just need a few words of encouragement from me before making that all important appointment with your physician. Although there are a number of possible diagnoses, the three symptoms you describe--shortness of breath, cough and wheezing--make Chronic Obstructive Pulmonary Disease (COPD) the most likely choice. Usually a mixture of chronic bronchitis and emphysema, this frequently seen disease strikes about 1 in 14 people over the age of 45. It develops gradually, as in your case, and may first be detected by a physician when a bad cold or the flu strikes and a visit to the office is needed. It tends to run in families, and its number one cause is smoking. Other factors, such as exposure to dust, chemical fumes or other irritants, can contribute to its development. The lung passages become inflamed and swollen, produce mucus, which blocks the flow of air to and from the lungs, and produce all the symptoms that are bothering you. While there is no cure, many treatments are available that will reduce the symptoms and make you feel better. The cigarettes must go, and there are a few other life changes that can dramatically improve your outlook for the future. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.