Pulmonology focuses on diagnosing and treating lung and airway conditions such as asthma, COPD, and pneumonia, as well as overall respiratory health.
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In the context of a chronic, progressive disease like chronic bronchitis, “recovery” is defined as achieving disease stability, minimizing symptoms, and a rapid return to baseline following acute exacerbations. The structural damage to the airways, fibrosis, and gland hypertrophy is largely irreversible. However, the functional impairment can be significantly mitigated. Recovery involves optimizing the patient’s physiology so they can live a whole, active life despite their limitations. It means transforming a life defined by breathlessness into one characterized by management and adaptation. At Liv Hospital, our recovery protocols focus on resilience: building the physical and mental reserves necessary to withstand the challenges of the disease.
An acute exacerbation of chronic bronchitis (AECB) is a pivotal event. It is not just a temporary illness; it is a “lung attack.” Lung function often drops sharply during an event and may not return fully to pre-exacerbation levels, contributing to a stepwise decline over time. Recovery from an exacerbation requires a structured approach:
Preventing exacerbations is the single most important goal of long-term management, as frequent flare-ups are linked to accelerated lung function decline, poorer quality of life, and increased mortality.
The injured lung is exquisitely sensitive to irritants. Strict environmental control is a form of medical therapy.
Malnutrition is a “silent killer” in chronic lung disease. The “pulmonary cachexia syndrome” involves the loss of fat-free mass (muscle) due to systemic inflammation and the high energy cost of breathing (which can be 10x higher than usual).
Regular physical activity is the most potent non-pharmacological intervention. It does not fix the lungs, but it fixes the “machine” that the lungs serve.
The brain-lung axis is powerful. Anxiety causes rapid, shallow breathing, which worsens dynamic hyperinflation and air trapping. Depression leads to inactivity and medication non-adherence. Treating mental health is treating lung disease. Cognitive Behavioral Therapy (CBT), relaxation techniques, and antidepressants, when indicated, are integral parts of the prevention strategy.
Chronic bronchitis requires chronic care.
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An exacerbation is a sustained worsening of your condition, typically defined by three changes: more breathlessness than usual, more sputum volume, and sputum becoming yellow or green (purulent).
Yes, but you need planning. Airplanes are pressurized to an altitude of 8,000 feet, which lowers oxygen; you may need a “fit-to-fly” test to see if you need in-flight oxygen, even if you don’t use it at home.
Losing weight often means losing muscle, specifically the diaphragm and intercostal muscles needed to breathe. If these weaken, respiratory failure becomes much more likely.
Yes, techniques like “pursed-lip breathing” create back-pressure that splints the airways open, preventing them from collapsing and trapping air, allowing you to empty your lungs more effectively.
Your doctor will provide a plan; typically, if you have a change in sputum color and increased breathlessness that doesn’t improve with extra inhalers for 24 hours, you start the pack.
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