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Lung Disease

Lung disease is any problem in the lungs that prevents the lungs from working properly. There are three main types of lung disease:

Lung tissue diseases — These diseases affect the structure of the lung tissue. Scarring or inflammation of the tissue makes the lungs unable to expand fully (restrictive lung disease). This makes it hard for the lungs to take in oxygen and release carbon dioxide. People with this type of lung disorder often say they feel as if they are “wearing a too-tight sweater or vest.” As a result, they can’t breathe deeply. Pulmonary Fibrosis and Sarcoidosis are examples of lung tissue disease.

Airway diseases — These diseases affect the tubes (airways) that carry oxygen and other gases into and out of the lungs. They usually cause a narrowing or blockage of the airways.

Symptoms:

  • Trouble in breathing.
  • Shortness of breath.
  • Feeling like you’re not getting enough air.
  • Decreased ability to exercise.
  • A cough that won’t go away.
  • Coughing up blood or mucus.
  • Pain or discomfort when breathing in or out.

Asthma

Asthma is a chronic disease involving the airways in the lungs. This makes it difficult for air to move in and out of the lungs, causing symptoms such as coughing, wheezing, shortness of breath and/or chest tightness.

Asthma signs and symptoms include:

  • Shortness of breath
  • Chest tightness or pain
  • Trouble sleeping caused by shortness of breath, coughing or wheezing
  • A whistling or wheezing sound when exhaling (wheezing is a common sign of asthma in children)
  • Coughing or wheezing attacks that are worsened by a respiratory virus, such as a cold or the flu
  • Signs that your asthma is probably worsening include:
    • Asthma signs and symptoms that are more frequent and bothersome
    • Increasing difficulty breathing (measurable with a peak flow meter, a device used to check how well your lungs are working)
    • The need to use a quick-relief inhaler more often

    For some people, asthma signs and symptoms flare up in certain situations:

    • Exercise-induced asthma, which may be worse when the air is cold and dry
    • Occupational asthma, triggered by workplace irritants such as chemical fumes, gases or dust
    • Allergy-induced asthma, triggered by airborne substances, such as pollen, mold spores, cockroach waste or particles of skin and dried saliva shed by pets (pet dander)

      Chronic bronchitis

      Chronic bronchitis is inflammation and swelling of the lining of the airways, leading to narrowing and obstruction generally resulting in daily cough. The inflammation stimulates production of mucus, which can cause further blockage of the airways.

      Symptoms

      For either acute bronchitis or chronic bronchitis, signs and symptoms may include:

      • Cough
      • Production of mucus (sputum), which can be clear, white, yellowish-grey or green in colour — rarely, it may be streaked with blood
      • Fatigue
      • Shortness of breath
      • Slight fever and chills
      • Chest discomfort

      See your doctor if your cough:

        • Lasts more than three weeks
        • Prevents you from sleeping
        • Is accompanied by fever higher than 100.4 F (38 C)
        • Produces discoloured mucus
        • Produces blood
        • Is associated with wheezing or shortness of breath

      COPD (Chronic Obstructive Pulmonary Disease)

      COPD (Chronic Obstructive Pulmonary Disease) is a disease of the airways and lungs. It is a disease that develops slowly over a long period of time. Some symptoms of COPD are; shortness of breath, wheezing, cough, and sputum (mucus) production. Smoking is a major factor of COPD. There is no cure for COPD but with the combination of treatments and smoking cessation the progression of the disease can be slowed.

      Symptoms
      COPD symptoms often don’t appear until significant lung damage has occurred, and they usually worsen over time, particularly if smoking exposure continues. For chronic bronchitis, the main symptom is a daily cough and mucus (sputum) production at least three months a year for two consecutive years.

      • Other signs and symptoms of COPD may include:
        Shortness of breath, especially during physical activities Wheezing
        Chest tightness
      • Having to clear your throat first thing in the morning, due to excess mucus in your lungs
      • A chronic cough that may produce mucus (sputum) that may be clear, white, yellow or greenish
      • Blueness of the lips or fingernail beds (cyanosis)
      • Frequent respiratory infections
      • Lack of energy
      • Unintended weight loss (in later stages)
      • Swelling in ankles, feet or legs

        Emphysema

        Emphysema is a lung condition featuring an abnormal accumulation of air due to enlargement and destruction of the lung’s many tiny air sacs resulting in the formation of scar tissue. Emphysema is strongly associated with smoking cigarettes.

        Symptoms
        Two of the key symptoms of emphysema are shortness of breath and a chronic cough. These appear in the early stages.
        A person with shortness of breath, or dyspnea, feels being unable to catch a breath.
        This may start only during physical exertion, but as the disease progresses, it can start to happen during rest, too.
        Emphysema and COPD develop over a number of years.

        In the later stages, the person may have:

        • Frequent lung infections
          A lot of mucus
          Wheezing
        • Reduced appetite and weight loss
        • Fatigue
          Blue-tinged lips or fingernail beds, or cyanosis, due to a lack of oxygen
        • Anxiety and Depression
        • Sleep problems
        • Morning headaches due to a lack of oxygen, when breathing at night is difficult

          Pneumonia

          Pneumonia is lung inflammation caused by bacterial or viral infection, in which the air sacs fill with pus and may become solid. Inflammation may affect both lungs (double pneumonia) or only one (single pneumonia).
          Symptoms

          The signs and symptoms of pneumonia vary from mild to severe, depending on factors such as the type of germ causing the infection, and your age and overall health. Mild signs and symptoms often are similar to those of a cold or flu, but they last longer.

          Signs and symptoms of pneumonia may include:

          • Chest pain when you breathe or cough
            Confusion or changes in mental awareness (in adults age 65 and older)
          • Cough, which may produce phlegm
          • Fatigue
          • Fever, sweating and shaking chills
          • Lower than normal body temperature (in adults older than age 65 and people with weak immune systems)
          • Nausea, vomiting or diarrhoea
          • Shortness of breath

            Pulmonary fibrosis

            Pulmonary fibrosis (literally “scarring of the lungs”) is a respiratory disease in which scars are formed in the lung tissues, leading to serious breathing problems.

            Symptoms of Pulmonary Fibrosis:

            • Shortness of breath, particularly during exercise.
            • Dry, hacking cough.
            • Fast, shallow breathing.
            • Gradual unintended weight loss.
            • Tiredness.
            • Aching joints and muscles.
            • Clubbing (widening and rounding) of the tips of the fingers or toes.

              Pulmonary hypertension

              Pulmonary hypertension is a type of high blood pressure that affects the arteries in your lungs and the right side of your heart. In one form
              of pulmonary hypertension, tiny arteries in your lungs,
              called pulmonary arterioles, and capillaries become narrowed, blocked or destroyed

              Symptoms
              The signs and symptoms of pulmonary hypertension in its early stages might not be noticeable for months or even years. As the disease progresses, symptoms become worse.

              Pulmonary hypertension symptoms include:

              • Shortness of breath (dyspnea), initially while exercising and eventually while at rest
              • Fatigue
                Dizziness or fainting spells (syncope)
              • Chest pressure or pain
                Swelling (edema) in your ankles, legs and eventually in your abdomen (ascites)
              • Bluish colour to your lips and skin (cyanosis)
              • Racing pulse or heart palpitations

                Sarcoidosis

                Sarcoidosis is a disease involving abnormal collections of inflammatory cells that form lumps known as granulomas. The disease usually begins in the lungs, skin, or lymph nodes.

                Symptoms
                Signs and symptoms of sarcoidosis vary depending on which organs are affected. Sarcoidosis sometimes develops gradually and produces symptoms that last for years. Other times, symptoms appear suddenly and then disappear just as quickly. Many people with sarcoidosis have no symptoms, so the disease may be discovered only when a chest X-ray is done for another reason.

                General symptoms:

                • Sarcoidosis can begin with these signs and symptoms: Fatigue
                • Swollen lymph nodes
                  Weight loss
                  Pain and swelling in joints, such as the ankles
                • Lung symptoms
                  Sarcoidosis most often affects the lungs and may cause lung problems, such as:
                • Persistent dry cough
                • Shortness of breath
                • Wheezing
                • Chest pain

                  Sepsis

                  Sepsis is a potentially life-threatening condition caused by the body’s response to an infection. The body normally releases chemicals into the bloodstream to fight an infection. Sepsis occurs when the body’s response to these chemicals is out of balance, triggering changes that can damage multiple organ systems.

                  If sepsis progresses to septic shock, blood pressure drops dramatically. This may lead to death.

                  Sepsis is caused by infection and can happen to anyone. Sepsis is most common and most dangerous in: Older adults and Pregnant wome nand Children younger than one.

                  People who have chronic conditions, such as diabetes, kidney or lung disease, or cancer People who have weakened immune systems

                  Sepsis Symptoms:

                  • Fever and chills.
                  • Very low body temperature.
                  • Peeing less than normal.
                  • Rapid pulse.
                  • Rapid breathing.
                  • Nausea and vomiting.
                  • Diarrhoea.
                  • Dyspnea

                    Shortness of breath, or dyspnea, is an uncomfortable condition that makes it difficult to fully get air into your lungs. Problems with your heart and lungs can harm your breathing. Some people may
                    experience shortness of breath suddenly for short periods of time.

                    Signs that a person is experiencing dyspnea include:
                    shortness of breath after exertion or due to a medical condition. feeling smothered or suffocated as a result of breathing difficulties.

                    • Laboured breathing.
                      tightness in the chest.
                    • Rapid, shallow breathing.
                      heart palpitations.
                    • Wheezing.
                    • Coughing.

                      Pulmonary function test

                      Pulmonary function test is a complete evaluation of the respiratory system including patient history, physical examinations, and tests of pulmonary function. The primary purpose of pulmonary function testing is to identify the severity of pulmonary impairment.

                      Pulmonary function tests (PFTs) are non-invasive tests that show how well the lungs are working. The tests measure lung volume, capacity, rates of flow, and gas exchange. This information can help your healthcare provider diagnose and decide the treatment of certain lung disorders.