Help ,Moderate COPD, stage 2 results? fev1 56%
Posted , 14 users are following.
I am very worried about my future. Have been told I have COPD stage 2 and the tests show fev1 56% ? I have tried to look up these results and think I may be nearer severe COPD? Im 58, ex smoker, was prescribed an inhaler last year following a bad chest infection but have never felt I needed to use it afterwards. I am slim, good diet and have been fairly active all my life (less active since last October after having a minor heart attack out of the blue, just meds for this). I have started excercise again. I am worried and would like to know how rapidly COPD progresses or what I can expect/ how long before I deteriorate and at what rate. At present I only get out of breath with excercise i.e. steep hills, steep steps. Do not use inhalers only if I get a chest infection (been once per year up to yet despite vacinations). Should I be using the blue inhaler regularly even if I dont feel breathless? The information available is very 'general' and just mentions individual stages, nothing re what is the average time from one stage to another. I would like ANY advise to halt/ hold back or improve my COPD deterioration. Thanks
3 likes, 53 replies
ck101 chris51153
Posted
The progression burns out if you look after yourself. I think everyone gets out of breath on steep hills. SOB is subjective.
Blue inhaler is for when you are SOB. It might be worthwhile seeing if you feel better in Symbicort or Seretide / Advair.
jude65855 ck101
Posted
ck101 jude65855
Posted
"In conclusion, our data show that COPD is not invariably progressive. In more than half the patients in our study, the rate of decline in FEV1 over a period of 3 years was no greater than that which has been observed in people without lung disease. This finding could indicate that COPD may “burn out” or at least stabilize for periods of 3 years or more, which would be good news for patients and could influence a variety of management decisions that depend on prognosis. The continuation of smoking is strongly associated with an increased rate of decline in FEV1"
jude65855 ck101
Posted
I know from personal experience that COPD can stabilise, because I have the same lung function percentage as when first diagnosed 3 years ago, but that doesn't mean it's "burnt out", nor that it's "reverted" to anything like normal after more than 40 years of smoking. I've either been very lucky or the stabilisation has resulted from rehab, exercises, breathing techniques, medication and staying away from air borne pollution as much as possible.
The reason I object to the term "burnt out" is that it implies the COPD has gone and I don't believe that's possible, nor do I believe false hopes are helpful, particularly as most of us with COPD have already spent years in denial of the harm nicotine was doing to our bodies.
I know and know of far too many people, both on this forum and in my personal life, who fool themselves about their "smoker's cough" and general breathlessness, in some cases continuing to smoke and in others not seeking treatment until the condition is well advanced.
Thanks for the quotation, which gives hope of stabilisation & inspires me to continue my present regime, but I can't accept that COPD ever burns itself out.
Ada555 ck101
Posted
chris51153 ck101
Posted
ck101 jude65855
Posted
Accept and believe what you want.
The report I refer to is written by a Pulmonary physician and is likely peer group reviewed.
If I had a choice of getting into a debate with you over what I've posted or accepting what this paper states I'd choose the latter.
Sorry to be blunt but you are a little hostile.
Ck.
jude65855 ck101
Posted
I wasn't being hostile or looking for a debate, merely seeking more information for the sake of clarity.
Settle down, I did thank you for the information, that doesn't mean I have to accept it without question.
ck101 jude65855
Posted
Chis et al.
Heres the report. It's a good one....
http://www.researchgate.net/profile/Alvar_Agusti/publication/51712503_Changes_in_forced_expiratory_volume_in_1_second_over_time_in_COPD/links/00b7d52caf9c8ed776000000.pdf
brenda62546 ck101
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ivan60089 chris51153
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cath_oli chris51153
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charlene76028 chris51153
Posted
I jus found out I Am at 57%n I'm 55 What stage am I ,Would u know?