Diagnostic Fears of Respiratory Symptoms

QUESTION: Like so many of your readers, I too have symptoms that are
bothersome, but fear the diagnosis more. But my shortness of breath is
worsening and I can't rid myself of this cough. Now I have begun to wheeze
and wonder if the time has not come to see my doctor. What's your advice?
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ANSWER: I think you have already made up your mind, and just need a few words
of encouragement from me before making that all important appointment with
your physician. Although there are a number of possible diagnoses, the three
symptoms you describe--shortness of breath, cough and wheezing--make Chronic
Obstructive Pulmonary Disease (COPD) the most likely choice. Usually a
mixture of chronic bronchitis and emphysema, this frequently seen disease
strikes about 1 in 14 people over the age of 45. It develops gradually, as in
your case, and may first be detected by a physician when a bad cold or the flu
strikes and a visit to the office is needed. It tends to run in families, and
its number one cause is smoking. Other factors, such as exposure to dust,
chemical fumes or other irritants, can contribute to its development. The
lung passages become inflamed and swollen, produce mucus, which blocks the
flow of air to and from the lungs, and produce all the symptoms that are
bothering you. While there is no cure, many treatments are available that
will reduce the symptoms and make you feel better. The cigarettes must go,
and there are a few other life changes that can dramatically improve your
outlook for the future.