Exacerbations: They Are Different for All of Us
Last updated: January 2023
A worsening of symptoms
According to a quick Google search, an exacerbation is a worsening of symptoms. Those of us with COPD usually know what that means. A worsening of symptoms usually means a chest infection like a cold that brings with it greater shortness of breath and additional phlegm production. This can lead to pneumonia and could result in being put on the dreaded ventilator or life support.
A life-changing situation
For most of us, having an exacerbation is our greatest fear. Encountering someone who has a cold can mean a life-changing situation. Some of us will bounce back but others will not, and we are often left with a permanent setback in exercise tolerance and breathing ability.
In order to know if you are experiencing a true exacerbation, we must first establish a baseline. It's good to know that exacerbations can be sudden or gradual. It is also a good idea to journal your symptoms daily to gain greater knowledge about normal vs. not normal. Only then can we begin to understand our COPD.
Very careful to plan trips
We are ever so careful of using carts in the store or touching handles and doorknobs. I used to think I was a germaphobe but now I realize that it is just good personal hygiene. Washing my hands more than the average person would and always avoiding large crowds and intimate contact is what works for me.
I tend to stay in most days and must set goals to work at leaving my house 2 or 3 times per week. I am very careful to plan trips so there is always a positive outcome. I can only stay out for as long as my tank will allow me to, so my trips tend to be shorter than 5 hours.
Your action plan
For most of us, our doctors have given us a standing prescription of antibiotics and steroids called an action plan. We should have been schooled on when and how to begin our action plan. If you are still not sure, this is the time to get in touch with your doctor and follow their advice on starting to follow the action plan that has been set out for you. In the absence of being able to talk to your doctor, you should go to the emergency room, especially if you do not have home oxygen or a BiPap machine.
For me, an exacerbation is a little more serious and leads to a sudden cardiac arrest. It is a fatal condition where the heart loses its connection and stops beating. Without CPR or an AED, I would have died 4 years ago. Each time I have an exacerbation, it leaves me a little weaker. After each exacerbation, I start at the beginning of my exercise regime again and hope to build up in a few weeks, to get to the level where I left off.
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What stage was your COPD diagnosed as?