Doctor insights on:
Inherited Emphysema In Children
Alpha one?: Are you referring to alpha-1 antitrypsin deficiency? If so, the symptoms are basically the same as copd, they just occur at a younger age than expected (like 20-30s). Symptoms include cough, shortness of breath, wheezing, etc. If the person smokes, the disease is accelerated. Diagnosis is made via a blood test. Treatment includes enzyme replacement as well as usual COPD therapies. ...Read more
COPD may include chronic bronchitis, emphysema, or both. Chronic bronchitis is the production of increased mucus caused by inflammation. Bronchitis is considered chronic if you cough and produce excess mucus most days for three months in a year, two years in a row. Emphysema is a disease that damages the air sacs and/or the smallest breathing tubes in the lungs. ...Read more
Pulmonary Medicine: Inherited emphysema may be caused by any one of several dozen different genetic conditions. Alpha-1 antitrypsin deficiency is one well known cause: http://ghr. Nlm. Nih. Gov/condition/alpha-1-antitrypsin-deficiency. Your pulmonary doctor will be very familiar with these conditions, can diagnose the exact genetic cause, and will develop a personalized treatment plan for you. If you smoke, stop now. ...Read more
"Inherited": Usually means susceptibility to emphysema due to lack of functional in the protein "alpha-1 trypsin inhibitor" (a1at). This is due to one of several possible mutations in the gene, and only some of those mutations are associated with liver disease. There are no other known genes for "inherited emphysema" that I am aware of, so I can't give you other questions to speak to your doctor about. ...Read more
Yes: 3% of babies in the neonatal intensive care unit can have interstitial pulmonary emphysema. There is a genetic condition that causes low levels of an enzyme that protects the lungs, and these patients can get emphysema even without smoking, but it does not affect small children. (it might be apparent in their 30's or 40's). Thanks @yayayarndiva. ...Read more
Emphysema: The elasticity of the lung is impaired in emphysema reducing the patient's ability to exhale resulting in wheezing and shortness of breath. Early symptoms may also include daily cough particularly in the morning. Recurrent episodes of bronchitis can occur as the disease progresses. Severe emphysema can also cause low oxygen levels, heart failure, and death. ...Read more
Stop smoking: If you smoke, stop now. There are many medications which help reduce the symptoms of emphysema (copd). You should consult with your doctor about which regimens are appropriate for you. You may require supplemental oxygen. Pulmonary rehab programs are very helpful. Stay away from other smokers and dusty environments. ...Read more
Yes: The best medications for emphysema, or copd, are inhaled; however, there is a newly approved oral medication called Daliresp (roflumilast) that has been shown to decrease the number of COPD flares. This won't work when you are wheezing or short of breath, but it should reduce the number of flares you have by about 15%. Talk to your doctor to see if this is a good option for you. ...Read more
Usual symptoms...: Usual symptoms of emphysema include shortness of breath, decreased blood oxygen level, decreased appetite, decreased ability to sleep, decreased activity level, cough, wheezing, weight loss, etc. The diagnosis is made by seeing chronic obstruction on pulmonary function tests, which can occur without any symptoms. ...Read more
On a CT scan:
The best way to tell if you have emphysema is to get a cat scan of the lungs. That way, you can see the destruction of the lung tissue.
That said, I'm not sure it is absolutely necessary to find out if you have emphysema or chronic bronchitis (the two components of copd). The treatments are basically the same.
Save yourself the radiation exposure... ...Read more
Definately: Smoking is the number one risk factor for the development of emphysema. Other risks include family history, a genetic predisposition (such as Alpha one antitrypsin deficiency) and occupational exposure (usually related to dusts). If you have no desire to develop emphysema do not smoke. ...Read more
It IS the result...:
Emphysema is one of the main results of cigarette smoking. Emphysema is the destruction of lung tissue from smoking.
Cigarette smoking is the #1 cause of emphysema. That's why, you should quit asap. It definitely can cause emphysema (and a whole host of other bad stuff). ...Read more
Causes emphysema!: I completely agree with dr ferranti's answer. The only thing I will add is that smoking is the number one cause of emphysema/copd. It is never too late to stop. While the damage does not reverse, the rate of damage returns to a more normal level of expected decline. Stopping at any time can add years to life and maybe delay disability. Please stop! ...Read more