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Symptoms

By Mayo Clinic staff

You can have emphysema for many years without noticing any signs or symptoms. The main symptom of emphysema is shortness of breath, which usually begins gradually. You may start avoiding activities that cause you to be short of breath, so the symptom doesn't become a problem until it starts interfering with daily tasks. Emphysema eventually causes shortness of breath even while you're at rest.

When to see a doctor
See your doctor if you've had shortness of breath for several months, especially if it's getting worse or it's interfering with your daily activities. Don't try to attribute it to your deconditioning or age or weight. Seek immediate medical attention if:

  • You're so short of breath, you can't talk
  • Your lips or fingernails turn blue or gray
  • You're not mentally alert
  • Your heartbeat is very fast
References
  1. Shapiro SD, et al. Chronic bronchitis and emphysema. In: Mason RJ, et al. Murray and Nadel's Textbook of Respiratory Medicine. 5th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/das/book/body/192068760-2/0/1288/0.html. Accessed Feb. 24, 2011.
  2. What is COPD? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/Copd/Copd_WhatIs.html. Accessed Feb. 24, 2011.
  3. Anthonisen N. Chronic obstructive pulmonary disease. In: Goldman L, et al. Cecil Medicine. 23rd ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/191371208-2/0/1492/0.html#. Accessed Feb. 24, 2011.
  4. Chronic obstructive pulmonary disease. In: Ferri FF. Ferri's Clinical Advisor 2011: Instant Diagnosis and Treatment. Philadelphia, Pa.: Mosby Elsevier; 2011. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-0-323-05610-6..C2009-0-38600-6--TOP&isbn=978-0-323-05610-6&about=true&uniqId=230100505-53. Accessed Feb. 24, 2011.
  5. Rennard SI. Chronic obstructive pulmonary disease: Definition, clinical manifestations, diagnosis and staging. http://www.uptodate.com/home/index.html. Accessed Feb. 24, 2011.
  6. Rennard SI. Management of chronic obstructive pulmonary disease. http://www.uptodate.com/home/index.html. Accessed Feb. 25, 2011.
  7. Pulmonary rehabilitation: A team approach to improving quality of life. American College of Chest Physicians. http://www.chestnet.org/accp/patient-guides/pulmonary-rehabilitation-team-approach-improving-quality-life. Accessed Feb. 25, 2011.
  8. What is oxygen therapy? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/oxt/oxt_all.html. Accessed Feb. 25, 2011.
DS00296 April 29, 2011

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