Damage to the air sacs may be caused by:
- Breathing toxins or other irritants
- Alpha1-antitrypsin deficiency (A1AD)—a genetic problem that can cause emphysema at an early age
Early symptoms include:
- Problems breathing
- Coughing up mucus
Later symptoms may be:
- Breathing that worsens
- A choking feeling when you are lying flat
- Problems concentrating
- An enlarged chest
- Coughing up bloody mucus
- Weight loss
You will be asked about your symptoms and health history. A physical exam will be done.
Your doctor will need to test how how well your lungs are working. This may be done with:
- Pulmonary function tests , called spirometry—to test the force of your breath
- Arterial blood gas test—to test oxygen and carbon dioxide levels in the blood
Your doctor may also need to look at pictures of your lungs. This may be done with:
- Chest x-ray
- CT scan
There is no cure. Your doctor will focus on helping you manage symptoms and improve your quality of life.
Treatment may be:
Quitting smoking slows the disease. It is a critical part of treatment. There are many things that can help:
- Behavior change programs
- Both behavior programs and medicines
Breathe Clean Air
Limit the number of irritants in the air you breathe. Avoid smoke, dust, smog, extreme heat or cold, and high altitudes.
These medicines may be used:
- Bronchodilators to open and relax airways
- Corticosteroids to ease swelling
- Antibiotics to treat lung infections
Some medicines may be taken as pills or liquids. Others are inhaled medicines that are delivered directly to the lungs.
The flu and pneumonia can make your symptoms worse. Get vaccinated against pneumonia and the flu . The flu vaccine may also reduce flare-ups.
Oxygen therapy may be helpful if the oxygen levels in your blood are too low. It can help you breathe and improve your level of energy. You may only need it for specific activities or it may be given throughout the day.
Special exercises can strengthen chest muscles. This can make it easier to breathe.
Regular physical activity can improve how your body uses oxygen. It can reduce workload on your lungs.
Breathing and Coughing Methods
Special methods of breathing can help bring more air into the lungs. They can also help force trapped air out of the lungs. Coughing methods can also help clear mucus. Ask your doctor if these methods can help you. Some examples include:
- Pursed lip breathing
- Controlled coughing
Excess weight causes the lungs and heart to work harder, which they are already doing because of emphysema. For some people, the extra work of breathing can make eating enough food difficult. This can result in weight loss. A dietitian may be needed to help with weight management.
Emphysema can be stressful. Therapists, support groups, and family members and friends can provide support. Relaxation methods can also help.
A small number of people may benefit from surgery. Part of the lung may be removed. This will let healthier areas open.
A lung transplant may be an option. A healthy, donor lung will be placed. It will require lifelong medicine.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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