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COPD Health Center

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COPD: Handling a Flare-Up - Topic Overview

If you have COPD, your usual shortness of breath could suddenly get worse. You may start coughing more and have more mucus. This flare-up is called a COPD exacerbation or a COPD attack.

A respiratory tract infection or air pollution could set off an attack. Or it may happen after a quick change in temperature or being around chemicals. You may not always know the cause.

Recommended Related to COPD

Emphysema Symptoms

Emphysema is a form of chronic (long-term) lung disease, usually caused by smoking. Because of lung damage, people with emphysema have difficulty blowing air out. The major symptom of emphysema is shortness of breath. In most people, symptoms of emphysema are slowly progressive. Emphysema symptoms also include cough and wheezing.

Read the Emphysema Symptoms article > >

What are the warning signs?

When you have a COPD flare-up, your normal symptoms suddenly get worse:

  • You may have more shortness of breath and wheezing.
  • You may have more coughing with or without mucus.
  • You may have a change in the color or amount of the mucus.
  • You may have a fever.
  • You may feel very tired.
  • You may be depressed or confused.

Don't panic

Don't panic if you start to have a flare-up. If you are prepared, you may be able to get it under control. Work with your doctor to make a plan for dealing with a COPD attack.

Take your medicines as your doctor says:

  • First, use your quick-relief inhaler. If your symptoms don't get better after you use your medicine, have someone take you to the emergency room. Call an ambulance if needed.
  • With inhaled medicines, a spacer or a nebulizer may help you get more medicine to your lungs. Ask your doctor or pharmacist how to use them properly. Practice using the spacer in front of a mirror before you have a flare-up. This may help you get the medicine into your lungs quickly.
  • If your doctor has given you steroid pills, take them as directed.

Call911 if:

  • You also are having chest pain.
  • You feel like you are suffocating.

After treatment, most people recover.

    WebMD Medical Reference from Healthwise

    Last Updated: September 09, 2014
    This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
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