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Symptoms and Diagnosis
Because COPD symptoms can be different from person to person, sharing what symptoms you are experiencing and how often they occur can help determine how COPD is most affecting your life.1 This will also assist your healthcare professional with identifying a treatment plan that is customized for you.1 Reporting any symptoms you are feeling should be done as soon as possible; earlier diagnosis, treatment and control of COPD can help decrease lung damage.1
Here is a list of the most common COPD symptoms:1,2
Chronic (doesn’t go away) cough
Shortness of breath with activities
Coughing up phlegm or mucus
Wheezing or chest tightness
Fatigue or tiredness
Being unable to take a deep breath
Feeling like you can’t breathe
Diagnosing COPD
If COPD is suspected, a detailed history of your health, a physical exam, and breathing tests will be performed.1,3 Important elements of a history include determining if you were exposed to tobacco smoke (current/previous smoking and secondhand smoke), air pollution, chemicals, dust or fumes.3 Health history questions may ask about childhood respiratory infections and other conditions that may be present alongside COPD, such as heart disease, osteoporosis, anxiety, or depression.3 You may also be asked about whether any family members have been diagnosed with COPD, a genetic disorder called alpha-1 deficiency, or another chronic lung disease.3
Symptom specific questions may ask about what symptoms you are feeling (shortness of breath, having a persistent cough, or coughing up mucus) and whether you have worsening symptoms or flares, including changes in activity level, missing work or being hospitalized for them.3 Identifying situations or triggers where symptoms may seem to get worse, such as during season changes or specific types of weather, are also important.3
COPD Testing
There are breathing tests (performed in the office) or lung function tests (performed in the pulmonary function lab) your healthcare provider may perform to help diagnose COPD. Other tests can help exclude other conditions with similar symptoms, evaluate lung function, and identify features that can determine COPD type.3
References
- American Lung Association (ALA). What are COPD symptoms? https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/symptoms-diagnosis/symptoms
- Agusti A, Celli B, Criner G, et al. Global Initiative for Chronic Obstructive Lung Disease 2023 Report: GOLD Executive Summary. Am J Respir Crit Care Med. 2023;207:819-837.
- American Lung Association (ALA). Diagnosing COPD. https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/symptoms-diagnosis/diagnosing
All URLs accessed February 13, 2024
