Launching January 2027

COPD

COPD At A Glance

  • COPD is a long-term lung disease that makes it harder to move air in and out of the lungs.
  • It most commonly includes emphysema, which damages the air sacs, and chronic bronchitis, which causes long-term airway inflammation.
  • Common symptoms include shortness of breath, chronic cough, mucus production, wheezing, chest tightness, fatigue, and difficulty with physical activity.
  • Cigarette smoking is the leading cause, but long-term exposure to secondhand smoke, dust, chemical fumes, air pollution, and other lung irritants can also contribute.
  • Treatment may include inhalers, pulmonary rehabilitation, oxygen therapy, vaccinations, smoking cessation, and other therapies based on disease severity.
  • COPD cannot currently be cured, but early diagnosis, treatment, and avoiding lung irritants can reduce symptoms, prevent flare-ups, and slow disease progression.

Table of Contents

Table of Contents

What Is COPD?

Chronic Obstructive Pulmonary Disease (COPD) is a long-term lung disease that makes it difficult to breathe. COPD usually develops over many years and most commonly includes emphysema (damage to the air sacs in the lungs) and chronic bronchitis (long-term inflammation of the airways). As the disease progresses, airflow becomes limited, making it harder to get enough air in and out of your lungs.

COPD cannot be cured, but it can be successfully managed with medications, pulmonary rehabilitation, healthy lifestyle changes, and avoiding lung irritants such as cigarette smoke. Early diagnosis and treatment can help reduce symptoms, improve quality of life, and slow the progression of the disease.

Learn More

COPD – NIH MedlinePlus
https://medlineplus.gov/copd.html

Provides easy-to-understand information about COPD, including symptoms, diagnosis, treatment, medications, and prevention.

COPD – National Heart, Lung, and Blood Institute (NHLBI)
https://www.nhlbi.nih.gov/health/copd

Explains what COPD is, its causes, symptoms, diagnosis, and treatment options.

How Common Is COPD?

Chronic Obstructive Pulmonary Disease (COPD) is a long-term lung disease that makes it difficult to breathe. COPD usually develops over many years and most commonly includes emphysema (damage to the air sacs in the lungs) and chronic bronchitis (long-term inflammation of the airways). As the disease progresses, airflow becomes limited, making it harder to get enough air in and out of your lungs.

COPD cannot be cured, but it can be successfully managed with medications, pulmonary rehabilitation, healthy lifestyle changes, and avoiding lung irritants such as cigarette smoke. Early diagnosis and treatment can help reduce symptoms, improve quality of life, and slow the progression of the disease.

Learn More

COPD – NIH MedlinePlus
https://medlineplus.gov/copd.html

Provides easy-to-understand information about COPD, including symptoms, diagnosis, treatment, medications, and prevention.

COPD – National Heart, Lung, and Blood Institute (NHLBI)
https://www.nhlbi.nih.gov/health/copd

Explains what COPD is, its causes, symptoms, diagnosis, and treatment options.

What Symptoms Might You Notice?

COPD symptoms usually develop gradually and often worsen over time.

Common symptoms may include:

  • Shortness of breath
  • Chronic cough
  • Coughing up mucus (phlegm)
  • Wheezing
  • Chest tightness
  • Frequent respiratory infections
  • Fatigue
  • Difficulty exercising
  • Feeling out of breath during daily activities

How Is COPD Diagnosed?

Your healthcare provider will review your symptoms, smoking history, medical history, and perform a physical examination. Breathing tests are the most important way to diagnose COPD and determine how severe it is.

Additional testing may be recommended to rule out other lung conditions or evaluate complications.

Learn More

COPD Diagnosis – National Heart, Lung, and Blood Institute (NHLBI)
https://www.nhlbi.nih.gov/health/copd

Explains how COPD is diagnosed and what tests may be recommended.

COPD infographic – click to enlarge

What Causes COPD?

COPD most commonly develops after years of damage to the lungs and airways. Cigarette smoking is the leading cause, but long-term exposure to other lung irritants can also contribute.

Common causes and risk factors include:

  • Cigarette smoking
  • Secondhand smoke
  • Exposure to dust, chemicals, or fumes at work
  • Air pollution
  • Long-term exposure to biomass fuel smoke
  • Alpha-1 antitrypsin deficiency (a rare inherited condition)
  • Increasing age

Learn More

COPD Causes and Risk Factors – NHLBI
https://www.nhlbi.nih.gov/health/copd

Learn about the causes of COPD and factors that increase your risk.

What Can Make COPD Worse?

Certain triggers and illnesses can worsen COPD symptoms or lead to a flare-up (also called an exacerbation).

Common triggers include:

  • Smoking
  • Respiratory infections
  • Air pollution
  • Dust
  • Smoke
  • Strong chemical fumes
  • Cold air
  • Seasonal allergies
  • Missing prescribed medications

Learn More

Living With COPD – American Lung Association
https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/living-with-copd

Provides practical tips for avoiding COPD triggers and managing symptoms.

Prevention

Call 911 or seek emergency medical care immediately if you experience:

  • Severe shortness of breath that does not improve with your rescue inhaler
  • Difficulty speaking because of trouble breathing
  • Lips, face, or fingernails turning blue or gray
  • Chest pain
  • Confusion or difficulty staying awake
  • Coughing up a large amount of blood
  • Severe wheezing that rapidly worsens

Contact your healthcare provider promptly if you notice:

  • Increased coughing or mucus production
  • A change in mucus color
  • Fever or signs of a respiratory infection
  • Increased shortness of breath compared to your usual symptoms

Learn More

COPD Flare-Ups – American Lung Association
https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/living-with-copd

Learn how to recognize COPD flare-ups and when emergency medical care is needed.

Labs

Blood tests are not usually used to diagnose COPD, but they may help evaluate complications or identify other medical conditions.

Common laboratory tests may include:

  • Complete Blood Count (CBC): Checks for infection or anemia.
  • Comprehensive Metabolic Panel (CMP): Evaluates kidney function, liver function, and electrolytes.
  • Arterial Blood Gas (ABG): Measures oxygen and carbon dioxide levels in the blood for people with more severe COPD.
  • Alpha-1 Antitrypsin Testing: May be recommended in selected patients, especially those diagnosed at a younger age or with a family history of COPD.

Learn More

COPD – NIH MedlinePlus
https://medlineplus.gov/copd.html

Provides information about laboratory testing and monitoring for people with COPD.

Diagnostics

Several tests help diagnose COPD, determine its severity, and monitor lung function.

Common diagnostic tests include:

  • Spirometry: The most important test used to diagnose COPD by measuring airflow.
  • Chest X-ray: Helps evaluate the lungs and rule out other conditions.
  • CT Scan of the Chest: May provide more detailed images of the lungs in selected patients.
  • Pulse Oximetry: Measures the oxygen level in your blood.
  • Six-Minute Walk Test: Evaluates exercise tolerance and oxygen needs in some patients.

Learn More

Pulmonary Function Tests – American Lung Association
https://www.lung.org/lung-health-diseases/lung-procedures-and-tests/lung-function-tests

Explains breathing tests used to diagnose COPD and other lung diseases.

Treatment & Management

Treatment Options

Treatment focuses on improving breathing, reducing symptoms, preventing flare-ups, and maintaining your quality of life. Your treatment plan depends on the severity of your COPD and your overall health.

Treatment options may include:

  • Smoking cessation
  • Inhaled medications
  • Pulmonary rehabilitation
  • Oxygen therapy
  • Vaccinations
  • Medications for COPD flare-ups
  • Surgery for selected patients with advanced disease

Learn More

COPD Treatment – National Heart, Lung, and Blood Institute (NHLBI)
https://www.nhlbi.nih.gov/health/copd

Provides information about medications, pulmonary rehabilitation, oxygen therapy, and other COPD treatments.

Lifestyle Changes

Healthy lifestyle habits are one of the most important parts of managing COPD. These changes can improve breathing, reduce flare-ups, and help you stay active.

Helpful lifestyle changes include:

  • Stop smoking if you smoke.
  • Avoid secondhand smoke and other lung irritants.
  • Stay physically active as tolerated.
  • Participate in pulmonary rehabilitation if recommended.
  • Eat a balanced, nutritious diet.
  • Stay up to date on recommended vaccines, including influenza, COVID-19, and pneumococcal vaccines.
  • Wash your hands often to reduce respiratory infections.
  • Take medications exactly as prescribed.
  • Keep regular healthcare appointments.

Learn More

Living With COPD – American Lung Association
https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/living-with-copd

Provides practical guidance for living well with COPD and reducing flare-ups.

Medications

Several medications can help improve breathing, reduce symptoms, and prevent COPD flare-ups. Your healthcare provider will recommend medications based on the severity of your symptoms.

Common medications include:

  • Short-Acting Bronchodilators (Rescue Inhalers): Provide quick relief of breathing symptoms.
  • Long-Acting Bronchodilators (LABA or LAMA): Help keep airways open throughout the day.
  • Inhaled Corticosteroids: May be prescribed for selected people with frequent COPD flare-ups.
  • Combination Inhalers: Contain two or more medications to improve breathing.
  • Oral Corticosteroids and Antibiotics: May be prescribed during COPD flare-ups.

Learn More

COPD Medicines – American Lung Association
https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/treatment

Provides information about inhalers, bronchodilators, corticosteroids, and other COPD medications.

Procedures

Most people with COPD do not need surgery. However, if COPD becomes severe despite medications and pulmonary rehabilitation, your healthcare provider may recommend additional procedures to improve breathing or manage complications.

Common procedures may include:

  • Long-Term Oxygen Therapy: Provides extra oxygen for people with low blood oxygen levels.
  • Bronchoscopic Lung Volume Reduction (BLVR): Small valves are placed in damaged areas of the lungs to improve breathing in selected patients with emphysema.
  • Lung Volume Reduction Surgery (LVRS): Removes damaged portions of the lung to improve lung function in selected individuals.
  • Lung Transplant: May be considered for people with very severe COPD when other treatments are no longer effective.

Learn More

COPD Treatment – National Heart, Lung, and Blood Institute (NHLBI)
https://www.nhlbi.nih.gov/health/copd

Learn about advanced COPD treatments, oxygen therapy, and procedures that may be recommended for severe disease.

What Should You Expect Long-Term?

COPD is a lifelong lung disease, but many people successfully manage their symptoms and continue to enjoy active, fulfilling lives. Following your treatment plan, avoiding smoking, staying active, and preventing respiratory infections can help slow disease progression and improve your quality of life.

Regular follow-up appointments allow your healthcare provider to monitor your lung function, adjust medications, and reduce the risk of COPD flare-ups.

What Can You Do At Home?

Daily self-care is one of the most important parts of managing COPD and preventing flare-ups.

Helpful tips include:

  • Stop smoking if you smoke.
  • Avoid secondhand smoke, dust, and chemical fumes.
  • Take your inhalers exactly as prescribed.
  • Stay physically active as tolerated.
  • Practice breathing exercises, such as pursed-lip breathing, if recommended.
  • Drink plenty of fluids unless your healthcare provider advises otherwise.
  • Eat a balanced, nutritious diet.
  • Stay up to date on recommended vaccines.
  • Keep all healthcare appointments.

Learn More

Living With COPD – American Lung Association
https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/living-with-copd

Provides practical advice for managing COPD symptoms and improving daily quality of life.

Frequently Asked Questions

Can COPD be prevented?

Many cases of COPD can be prevented by avoiding smoking and limiting exposure to lung irritants.

Is COPD contagious?

No. COPD cannot be spread from one person to another.

Can exercise help COPD?

Yes. Regular physical activity and pulmonary rehabilitation can improve breathing, increase endurance, and improve quality of life.

Why do I need vaccines if I have COPD?

Respiratory infections can trigger serious COPD flare-ups. Staying current on recommended vaccines helps reduce your risk of severe illness.

Can I still travel if I have COPD?

Many people with COPD can safely travel. Talk with your healthcare provider before traveling, especially if you use supplemental oxygen.

Questions To Ask Your Provider

Consider asking your healthcare provider:

  • How severe is my COPD?
  • What type of inhaler should I be using?
  • How can I prevent COPD flare-ups?
  • Would pulmonary rehabilitation benefit me?
  • Do I need oxygen therapy?
  • Which vaccines are recommended for me?
  • When should I schedule a follow-up appointment?

Specialist Referrals

Many people with COPD receive care from their primary care provider. Depending on your symptoms and lung function, your provider may recommend seeing a specialist.

You may be referred to:

  • Pulmonologist: A doctor who specializes in lung diseases.
  • Respiratory Therapist: Provides education on inhaler use, breathing exercises, and oxygen therapy.
  • Pulmonary Rehabilitation Program: Offers supervised exercise, education, and breathing techniques.
  • Registered Dietitian: Helps develop a nutrition plan if weight loss or poor nutrition becomes a concern.

Learn More

American Lung Association – COPD
https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd

Provides patient education about COPD, pulmonary rehabilitation, and specialty care.

Is COPD Curable?

There is currently no cure for COPD. However, treatment can help improve breathing, reduce symptoms, prevent flare-ups, and slow the progression of the disease.

Stopping smoking is the most important step you can take to protect your lungs and improve your long-term health.

Emergency Symptoms / When To Seek Immediate Help

Call 911 or seek emergency medical care immediately if you experience:

  • Severe shortness of breath that does not improve with your rescue inhaler
  • Difficulty speaking because of trouble breathing
  • Lips, face, or fingernails turning blue or gray
  • Chest pain
  • Confusion or difficulty staying awake
  • Coughing up a large amount of blood
  • Severe wheezing that rapidly worsens

Contact your healthcare provider promptly if you notice:

  • Increased coughing or mucus production
  • A change in mucus color
  • Fever or signs of a respiratory infection
  • Increased shortness of breath compared to your usual symptoms

Learn More

COPD Flare-Ups – American Lung Association
https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/living-with-copd

Learn how to recognize COPD flare-ups and when emergency medical care is needed.

CALL 911

APNS does not provide emergency medical services. If you believe you are experiencing a medical emergency, including (but not limited to) chest pain, difficulty breathing, stroke symptoms, severe allergic reactions, anaphylaxis, uncontrolled bleeding, seizures, loss of consciousness, or any other potentially life-threatening condition, you are instructed to call 911 immediately or go immediately to the nearest emergency department.

Official Resources / External Links

COPD – NIH MedlinePlus
https://medlineplus.gov/copd.html

Easy-to-understand information about COPD, including symptoms, diagnosis, treatment, and prevention.

National Heart, Lung, and Blood Institute (NHLBI) – COPD
https://www.nhlbi.nih.gov/health/copd

Comprehensive information about COPD, medications, oxygen therapy, pulmonary rehabilitation, and healthy living.

Centers for Disease Control and Prevention (CDC) – COPD
https://www.cdc.gov/copd/

Evidence-based information about COPD, prevention, and public health recommendations.

American Lung Association – COPD
https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd

Reliable patient education about COPD, breathing exercises, pulmonary rehabilitation, and living with chronic lung disease.

This guide is intended for educational purposes only and should not replace medical advice, diagnosis, or treatment from your healthcare provider. Always follow the recommendations of your healthcare team regarding your individual health needs. Contact your healthcare provider if your breathing becomes worse, your medications are no longer working as expected, or you develop signs of a respiratory infection. Call 911 immediately if you experience severe difficulty breathing, chest pain, blue lips or fingernails, confusion, or another medical emergency.

Get personalized care for COPD

At APNS, our providers take the time to understand your condition and your goals. We offer comprehensive telehealth visits at a fixed rate — no membership fees, no insurance required, and no unexpected charges. Whether you’re newly diagnosed or looking for a provider who actually listens, we’re here to help.