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Harvard Commentaries
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Harvard Commentaries
Reviewed by the Faculty of Harvard Medical School


Determining The Severity Of Your Symptoms


September 19, 2014

Chronic Obstructive Pulmonary Disease
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Assess Your Health
Determining The Severity Of Your Symptoms
Determining The Severity Of Your Symptoms
htmCOPDSeverity
Knowing if you have mild, moderate or severe symptoms helps to focus the intensity of your treatment.
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InteliHealth
2011-09-02
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InteliHealth/Harvard Medical Content
2014-09-02

Reviewed by the Faculty of Harvard Medical School

Determining The Severity Of Your Symptoms
It is important to determine how severe your symptoms are. Knowing if you have mild, moderate or severe symptoms helps to focus the intensity of your treatment. Severity is determined by how you feel every day, as well as how frequently you have flare-ups, or exacerbations, in which breathing becomes more difficult and/or mucus production increases. Flare-ups commonly occur during a cold or flu and can require an emergency visit to your health-care provider or treatment in a hospital.

 

Mild Chronic Obstructive Pulmonary Disease
Mild chronic obstructive pulmonary disease (COPD) is associated with occasional cough or shortness of breath, sometimes only with a cold or flu. Breathing difficulties do not limit daily activities.
People with milder disease may take medications only when they notice symptoms or only once or twice a day. They must watch for early signs of infection and remember to get a flu shot every year and keep up to date with other vaccinations, especially the two-shot pneumonia vaccine (PCV13 and PPSV23) at least 6 months apart. In addition, they should stop smoking and avoid smoky areas.

 

Moderate Chronic Obstructive Pulmonary Disease
Moderate COPD is associated with shortness of breath during exercise, frequent or daily cough with phlegm, or recurrent flare-ups requiring emergency visits to a health-care provider or the hospital.
More moderate symptoms require daily medication, usually inhalers. Flare-ups usually require corticosteroid pills and antibiotics, if there are any signs of infection.

 

Severe Chronic Obstructive Pulmonary Disease
Severe COPD is associated with breathlessness at rest that sometimes wakes you up. Flare-ups are frequent and often require hospitalization. Some people have signs of heart damage, such as leg swelling.
Severe disease often requires oxygen at home of blood oxygen levels fall below 89 percent. People with severe COPD need to immediately report any fever, increased coughing, shortness of breath or change in the color of phlegm. People with severe COPD are at the highest risk of dying of lung disease.

 

 

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