How to manage COPD in asthmatic adults in their late 50s?

Question

Hello doctor,

My dad has asthma, but now they say he also has COPD. He is 59 years old and smokes, but is trying to quit. Lately, he has been getting short of breath even when just walking around the house. His inhaler helps a bit, but not always. Should he be using something stronger? Also, he keeps getting chest infections about every other month. Is this just part of COPD, or is there a way to prevent it? We also have a dog, could that be making it worse?

Should he be getting regular lung tests to monitor how bad it is? The last doctor just said to manage it, but how? Can he still exercise, or is that too risky?

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

A detailed clinical history is required.

Cause of COPD (chronic obstructive pulmonary disease): Identify the underlying cause (smoking, environmental exposure, occupational hazards, or genetic factors).
Addiction history: Any history of smoking, alcohol, or substance use?
Comorbid conditions: Does the patient have any other medical conditions, such as diabetes, hypertension, thyroid disorders, or heart disease?
Ongoing medications: List all current medications, including dosage and frequency.
Inhaler use and compliance: Is the inhaler technique correct? Is the patient compliant with their medication regimen?
Symptom control: If the patient continues to experience symptoms despite medication, treatment adjustments may be necessary.

Lifestyle and management recommendations:

Smoking cessation: Encourage the patient to quit smoking immediately.
Pet restrictions: If the patient has a pet (a dog) and allows it on the bed or sofa frequently, this could worsen symptoms. It is advisable to limit the pet’s access to these areas.
Hygiene maintenance: Emphasize the importance of good hygiene to prevent infections.
Vaccination: Consider pneumococcal and flu vaccines to reduce the risk of recurrent respiratory infections.
Breathing exercises and therapy: Encourage practices like yoga, pranayama (breathing exercises), spirometry, and regular physical exercise.
Steam inhalation: This can be beneficial for symptom relief and airway clearance.

I hope this helps you.

Thank you.