Your lifestyle plays a critical role in the treatment of COPD. By making certain lifestyle changes, you may be able to reduce your symptoms and improve your quality of life. Your doctor may recommend that you participate in a pulmonary rehabilitation program. This will incorporate many of these lifestyle changes into a comprehensive program which includes the support of your peers.
General Guidelines for Managing COPD
Quitting smoking slows the progression of COPD. Doctors consider quitting smoking the most important aspect of treatment. Patches and prescription pills are available to treat your addiction to smoking. Programs are available that use behavior modification techniques and medications to help you gradually taper off cigarettes. Quitting smoking may reduce your risk of dying from COPD. No other treatment can give you this benefit.
Regular physical activity builds endurance and promotes an overall sense of well-being. Follow your doctor’s recommendations for activity levels and possible restrictions. In addition, special breathing exercises and methods of breathing can strengthen chest muscles and make breathing easier.
Excess weight causes the lungs and heart to work harder, which they are already doing because of COPD. For some people with COPD, the extra work of breathing can make eating enough food difficult. This can result in weight loss.
Eating habits to consider with COPD:
Respiratory infections can make the symptoms of COPD much worse. These include colds and the flu. Whenever possible, try to avoid close contact with people who have these contagious infections. It is recommended that those with COPD get a pneumonia vaccination and yearly flu shots.
Extreme cold can cause the airways to narrow. Excessive heat can also stress the heart and lungs. Air conditioning in the hot summer months can make breathing easier. Oxygen pressure is much lower at high altitudes, which makes breathing difficult. This could affect you if you are traveling through mountainous regions. In addition, commercial aircraft generally maintain cabin pressure equal to an elevation of 5,000 to 10,000 feet. This can make breathing very difficult if you have severe COPD. If you are going to fly, talk to your doctor about the use of supplemental oxygen.
Try to avoid dust and fumes. Avoid all exposure to cigarette smoke. Be aware of air pollution alerts. Avoid outdoor activities when air quality is particularly poor. If you exercise, avoid doing so in areas where levels of car exhaust are high.
Breathing techniques are also known as breathing retraining. They include diaphragmatic breathing or pursed-lip breathing. These can help relieve symptoms of shortness of breath, make you breathe more efficiently, and feel more comfortable. A respiratory therapist may be able to teach these kinds of techniques.
Learn relaxation techniques and other methods to manage stress. These may help reduce shortness of breath and concern about difficulty breathing. Anxiety increases the rate of respiration. This makes breathing more strenuous. Seek emotional support from professionals, family, friends, and other persons with COPD. Ask your healthcare provider which stress management techniques are appropriate for you.
When to Contact Your Doctor
Contact your doctor if:
COPD. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T115557/COPD. Updated February 9, 2017. Accessed February 22, 2017.
How is COPD treated? National Heart, Lung, and Blood Institute website. Available at: http://www.nhlbi.nih.gov/health/health-topics/topics/copd/treatment. Updated July 23, 2013. Accessed February 22, 2017.
COPD lifestyle changes. American Lung Association website. Available at: http://www.lung.org/lung-health-and-diseases/lung-disease-lookup/copd/living-with-copd/copd-lifestyle-changes.html. Updated November 30, 2016. Accessed February 22, 2017.
Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease 2017. Global Initiative for Chronic Obstructive Lung Disease website. Available at: http://goldcopd.org/gold-2017-global-strategy-diagnosis-management-prevention-copd. Accessed February 22, 2017.
12/14/2009 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T115557/COPD: Donesky-Cuenco D, Nguyen HQ, Paul S, Carrieri-Kohlman V. Yoga therapy decreases dyspnea-related distress and improves functional performance in people with chronic obstructive pulmonary disease: a pilot study. J Altern Complement Med. 2009;15(3):225-234.
Last reviewed February 2017 by Michael Woods, MD, FAAP
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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