Davidson County Health Department HEALTH TO YOU A – Z INFORMATION SHEET Emphysema What is Emphysema? When you breathe in or out air travels in your windpipe or your trachea then your bronchial tubes. Millions of tiny air sacs, called alveoli, are at the end of the bronchial tubes. The aveoli are clustered like grapes. When a person develops emphysema, the inner walls of the aveoli rupture or burst creating one large air space instead of many small ones. This causes a reduction in the surface area of the lungs leading to reduced oxygen that enters the blood stream. When a person with Emphysema exhales or breathes out, the damaged alveoli don’t work properly and the old air gets trapped leaving no room for oxygen rich air that is so needed by the body. Treatment can slow the the progression of damage to the aveoli, but cannot repair the damage. A person can have Emphysema for many years and not notice any signs or symptoms of the disease. The risk factors for Emphysema are: Smoking, cigarette, pipe, and cigar, age between 40 and 60, Secondhand smoke, Occupational exposure to fumes or dust and pollution, genetics. Emphysema is one of the conditions that are included in COPD, Chronic Obstructive Pulmonary Disease, see Health To You A – Z, COPD. What are the symptoms of it? Shortness of breath – Begins gradually and is not usually noticed until it interferes with daily living. Eventually the shortness of breath is noticed even at rest. Lips and fingernails have a bluish tint when you try to exert yourself Cold air causes spasms of the bronchial tubes making it harder to breathe. More frequent lung infections like pneumonia Weight loss When should you see your health care provider? A person that has been diagnosed with Emphysema should have a medical provider that he/she feels comfortable with. A close relationship between a patient with Emphysema and doctor is very important. Treatment for Emphysema can alleviate symptoms, decrease the severity and frequency of exacerbations or worsening of the condition, and increase exercise tolerance. Fever above 100.5 or whatever the medical provider has instructed Increased shortness of breath Cough with mucus that is thick and bloody or green/brown Increased fatigue Confusion or diminished mental alertness How is the Emphysema treated? Stopping cigarette smoking and reducing irritants as much as possible Bronchodialtors, Inhaled Steroids, and Antibiotics when sick. Oxygen therapy as needed Pulmonary and nutritional rehabilitation Surgery is a fairly new treatment and may not be available in this area PO Box 439, Lexington, NC 27293 (336) 242-2300 www.dchdnc.com