Doctor insights on:
Why Do Copd Patients Crave Chocolate
Shortness of breath: Typically, patients with COPD have shortness of breath, wheezing, and coughing. Fatigue, decreased energy, and decreased ability to do normal activities are also quite common. Sometimes, patients can get dizziness related to the shortness of breath. If you have these symptoms, definitely see a doctor. ...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
Craving chocolate: Chocolate contains neurotransmitters like phenylethylamine. This is the neurotransmitter that is very high when we are madly in love. Depression due to rejection (not correspondence from our love wishes) drops this levels causing depression. Unconsciously rejected lovers crave for chocolate. Also substances like theobromine and caffeine in chocolate are stimulants. Copders are not the only ones. ...Read more
They don't: Pt's with COPD have risk factors for infection or tumors. The COPD per se does not cause salt craving. If there are other things like tumor thee these can cause antidiutetic effect, dilution by too much water and sensed in the brain as hypoosmolality and salt craving. On the other hand some things from the lungs can go to the adrenal glands and these hormones can cause salt craving. ...Read more
Narrowed Plumming: Through means we do not completely understand, people with COPD have narrowing of the tubes that deliver air to sacs in the lung where oxygen is absorbed. This is probably due to prolonged exposure to irritants that damage the tissue. The pressure from breathing out can further compress the tubes. The smaller the tube the longer it takes the air to pass. ...Read more
Varies: If a COPD patient has had previous illnesses which required IV therapy, sometimes the veins are used up and can't be used again. Some individuals simply have a lack of adequate surface veins regardless of whether they have copd. ...Read more
COPD: COPD stands for for chronic obstructive pulmonary disease. The term obstructive refers to the impaired ability to exhale due to damaged lung and/or airways. ...Read more
Depends...: Oxygen is only prescribed when the oxygen level in the body is low and only in the lowest amount needed to maintain the oxygen level at an acceptable level. Oxygen must be carefully prescribed by a doctor with monitoring of the patient's oxygen levels because giving too much oxygen is harmful as is not giving enough! See your doctor if you think your oxygen level is low! ...Read more
Depends on factors: Such as body mass index, degree of airway obstruction, degree of uncomfortable breathing, exercise tolerance, smoking status, presence of complications including pulmonary hypertension, right sided heart failure, chronic respiratory failure, degree of carbon dioxide retention, frequency of exacerbations, and other medical conditions. I have had patients die in their 50s & some that lived 90+ yrs. ...Read more
COPD and Exercise: Supervised exercise programs can be very helpful for COPD patients. For severe disease, the exercise should be done in a formal pulmonary rehabilitation program. Milder disease may permit the exercise to be done at a gym but only if approved by the doctor. ...Read more
Interesting question: If you ask me, most if not all such patients should get abgs. Physicians practice differently though and not all do this. There are no hard guidelines and standard of care for that as far as I am aware, unless the patient is in respiratory failure/intubated where abgs guide the management. ...Read more
Gravity: COPD patients have trouble getting air out, they often use more muscle work to breath. So in the sitting position gravity helps take the abdominal contents out of the picture and helps the diaphragm recoil back. Plus arms are there to prop forward and expand the chest the widest. ...Read more
Avoid...: As a COPD patient, you need to avoid second hand smoke as much as possible since this smoke will result in further airway inflammation, resulting in more symptoms and faster progression. If you wear oxygen, you absolutely cannot be around anyone smoking, ever, since it can cause a fire! Key word: avoid! ...Read more
Why (specificaly) would a patient with COPD breath better when he or she is in a sitting position?
Leverage: In COPD you need to make a bigger effort to breathe, to compensate for the narrowed bronchial tubes. This is generated by the breathing muscles which are located between the ribs, in the neck area, and upper torso. The muscles generate the most force when they are not too stretched and not too relaxed. This is best achieved in the seated position. Other factors also play a role. ...Read more
Breathing Exercises.: Any breathing exercises, playing the harmonica or otherwise, could help improve some symptoms of COPD. ...Read more
Possibilities...: Some patients with COPD are treated intermittently with systemic steroid therapy. A side effect of this medication is elevated blood sugars so blood sugars are frequently monitored in a patient taking this medication. ...Read more
Use as mucomist: Glutathione is end product of n-acetyl cysteine since glutathione gets degraded quickly you need the precursor. So for COPD use mucomist which is nac in liquid form smells like sewage so I prefer the capsule to avoid this. John hopkins univ did a critical care seminar and they are using nac for acute kidney failure too. ...Read more
COPD: COPD patients have a persistent state of low oxygen. They need to be monitored with yearly Pulmonary Function Tests with DLCO. Medical management with inhalers like combivent and dulera (formoterol and mometasone). Self management with home pulse OX. Also therapy for nicotine addiction if present. The stress of surgery often flares COPD depending how long and what anesthesia was used. You must be careful with giving O2 ...Read more
Severe: The blood gas described is consistent with a chronic hypoxic hypercarbic patient with severe disease or a less severe COPD patient experiencing an exacerbation - additional values such as the bicarb abd ph would be helpful but this person needs to be evaluated in a broader context to determine if these abnormalities show worsening or a poor baseline. ...Read more
Would doctors falsely diagnose age-related COPD in elderly, insured patients to be able to justify expensive diagnostics?
No: COPD is DX with pulm function tests which are objective. ...Read more
Can you explain what nac is? Also, who is nac helpful for in terms of COPD patients? Http://www. Advance health. Com/nacetylcysteine. Html
Mucolytic, not very: Nac is also called n-acetylcysteine. It can be used to help break up thick secretions particularly in patients on mechanical ventilation or who are undergoing bronchoscopy. It can be simply squirted through a breathing tube or nebulized. It tends to irritate the airway when used a great deal. It is available in an form that can be ingested, and has some medical roles, but not much involving copd. ...Read more
Yes and no: Be sure the over the counter product does not contain antihistamines which can dry secretions and possibibly make secretions more tenacious. Ask your physician or pharmacist before using such products. ...Read more
Not necessarily: In any one with poor veins it is difficult to access. People with low BP and collapsed veins, it is even more difficult. ...Read more
Not related: Some people have good veins, some have very small and fragile veins, some have used up their veins. There is nothing particular to COPD and CHF to make difficult IV access. ...Read more
Congestive failure: Usually it is easy to start ivs on CHF and cold patients. It may be difficult if the veins are scarred from prior ivs or if the patient is dehydrated. ...Read more
Treatment...: Treatment of COPD usually consists of bronchodilator and steroid inhalers as well as supplemental oxygen, if the oxygen level in the blood is low. Smoking cessation is a necessary part of treatment. Other treatments depend on the specific symptoms present. There is no cure! ...Read more
Chronic Obstructive Pulmonary Disease (Copd) (Definition)
Also known as COPD, may include chronic bronchitis, emphysema, or both. Chronic bronchitis is the production of increased mucus caused by inflammation. ...Read more
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