Manage Your COPD Exacerbation

Four Steps to Manage Your COPD Exacerbations

COPD is an acronym for chronic obstructive pulmonary disease and it is not a single disease rather a term used to describe a group of respiratory conditions like bronchitis, emphysema, irreversible asthma, and so on. In this article we will discuss about COPD exacerbation.

Globally, COPD is the fourth major cause of mortality/death; it is more common in countries with lower economic status. Thus, it is more frequent in India while comparing to European nations.  In India, it is the second important cause of mortality among people below the age of 69.

COPD cause years of illness and suffering. These are chronic conditions that are not treatable entirely in most of the cases. It is characterized by periods of remissions and exacerbations or flares. Since damage caused to bronchi and lungs in COPD is not reversible, it is vital to control the flares.

Before you take steps to prevent flares of COPD, it is essential to identify the signs of its exacerbation.

Vital signs and symptoms of COPD Exacerbation

During the flares of COPD lung function changes dramatically, as inflammation of lungs results in marked production of mucus. This increased mucus production starts blocking airways. Further, as a reaction to increased inflammation, large and small bronchi start constricting, thus making breathing difficult.

  1. Difficulty breathing – is one of the most important signs. A person with bronchitis finds it very difficult to breathe; things may become more demanding on minor physical exertion.
  2. Cough attacks – may start from the early morning and may continue during the day as the body tries hard to get rid of mucus plugs.
  3. Wheezing – is a sound during breathing when the air passes through a narrow air tube.
  4. Coughing up mucus – increases dramatically. In many cases, you may also notice a change in the color of mucus.
  5. Fatigue and sleeping difficulties – ensue as a condition of the person worsens, and breathing becomes a challenge.
  6. Confusion – may occur in more severe cases and is a sign that the brain is not getting enough of oxygen.

Four ways to manage your COPD Exacerbation

It is necessary to handle it immediately to prevent any irreversible damage to the lungs. Therefore, start by looking at your medications, think about the plan provided by your doctor in case of flares.

  1. Inhalers may help instantly – there are many inhalers available, and they contain either anticholinergics or beta2-agonists. These inhalers help dilate bronchi immediately thus helping breathe easily, and they also help in getting rid of mucus plugs. Inhaled medications reach their destination instantly. Thus they help fast. Another, way which is often regarded as somewhat more useful than inhalers is using nebulizers. A nebulizer is a unique device that can create aerosol for inhalation, and when you add medications to it, they reaches directly to the airway.
  2. Consider taking corticosteroids – these are the most potent anti-allergic and anti-inflammatory drugs and you may take only in agreement with a doctor. They are potent, however, using them frequently may cause a number of side effects. Thus, they are a class of drugs to be used sparingly.
  3. Use an oxygen tank to get more oxygen – in most cases, using inhalers with corticosteroids may help. However, in severely ill patients or old people with severely compromised lung function, using oxygen tanks may help relieve many of the symptoms.
  4. Consider mechanical ventilation – surely reserved for most severe cases, when an individual is failing to breathe despite the best of the efforts.


If you identify earlier, there are a number of other steps that may also help. In countries like India, you can’t neglect allergic factors. Hence taking an anti-histamine before full-fledged exacerbation may help prevent things from getting worse.

Antibiotics may not have any role in the acute management of flares. But, again, in countries like India, chances of secondary infections are high. Thus it is not rare for doctors to prescribe antibiotics, especially if there is a change in the color of mucus or smell from a mouth.

Those living with COPD should always be prepared to handle COPD exacerbation. Early management of flares may help prevent complications and hospitalization.

Published by

Dr. Aleksandar Grbovic

Dr. Aleksandar Grbovic

Hi! My name is Aleksandar Grbovic. I’m a radiology resident with five years of experience in General Medicine. As a medical writer, I have only one goal in my mind - to bridge the gap between doctors and patients point of view by breaking down complex medical topics and presenting them in lay people language. Knowing that my writing might help someone out there connect the dots is what keeps me motivated.

Comments (2)

  1. Frankie Lina November 2, 2020

    I was in the beginning of my own journey with COPD Emphysema at 48. I had LVRS (lung volume reduction surgery) a year later, which I am forever grateful for it actually led me to multivitamin care herbal formula. I have read some of their stories online before using their natural herbal formula , I had very hard time breathing then, and even more so at night, it was so bad I can’t sleep. I get up with a tight chest that feels blocked and can’t breathe well at all, I was excused from normal life responsibilities but natural herbs really helped a but sometimes I think is God prodigy that I was able to treat my Chronic obstructive pulmonary disease but multivitamin care herbal formula has a big impact on my recovery because my lung condition has been fully reversed . They do things for me, and was too happy to comply with their service. This is a equitable of a way to get of your COPD emphysema .

  2. Ivanna Santino February 28, 2020

     I’m 59 years old and female. I was diagnosed a couple of years ago with COPD and I was beyond scared! My lung function test indicated 49% capacity. After having had flu a year ago, the shortness of breath, coughing and chest pains continued even after being treated with antibiotics. I’ve been smoking two packs a day for 36 years. Being born without a sternum caused my ribs to be curled in just one inch away from my spine, resulting to underdeveloped lungs. At age 34 I had surgery and it was fixed. Unfortunately my smoking just caused more damage to my already under developed lungs. The problem was having is that I enjoy smoking and don’t want to give up! Have tried twice before and nearly went crazy and don’t want to go through that again. I saw the fear in my husband and children’s eyes when I told them about my condition then they start to find solution on their own to help my condition.I am an 59 now who was diagnose COPD emphysema which I know was from my years of smoking. I started smoking in school when smoking was socially acceptable. I remember when smoking was permitted in hospitals. It was not known then how dangerous cigarettes were for us, and it seemed everybody smoked but i was able to get rid of my COPD lung condition through the help of total cure herbal foundation my husband bought, totalcureherbsfoundation .c om has the right herbal formula to help you get rid and repair any lung conditions and cure you totally with their natural organic herbs,it class products at affordable prices because how awful it is with this lung dictions . I wish anybody who starts smoking at a young age would realize what will eventually happen to their bodies if they continue that vile habit throughout their life, certainly total cure herbs is the formula to get over Chronic Obstructive Pulmonary Disease.

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