COPD NICE guideline

[@ashutoshsai9818]

Thank you so much, great work doc!!

[@practicalgp]

Thank you very much for your comment. I really appreciate it 🙏

[@Crosshatch1212]

High , I’m 56 and just lately I am having bad flem and breathing is getting bad ,I’ve had doxycycline and steroids and that lasts for at least two month .but I’d like to stop it in its tracks from getting worse .I’m in uk thinking about an nebuliser but will speak to my doctor frst . Thnk you for youre information .

[@practicalgp]

I am sorry that you are having all this trouble. Talking to your doctor is definitely the thing to do. KZbin is not really the place to give medical advice. Plus, you will need your doctor’s agreement because they will need to prescribe the medicated nebules and advise on the dose etc. A nebuliser will not necessarily stop the flare-ups though, it is generally used when inhalers don’t work or the person can’t use them. If your problem is recurrent infections, your doctor will need to look into it and advise you accordingly. From a general point of view, NICE says the following about nebulisers in COPD: “Think about nebuliser therapy for people with distressing or disabling breathlessness despite maximal therapy using inhalers”.

[@MandieMitz]

i am a 49 yr old female and full time carer for my partner who has spina bifida tethered cord syndrome i have copd my gp has ignored my concerns for 5 years it took a locum nurse and locum gp to refer me to consultant after tests i have 15% lung function and a 6cm square bullae in lower left lobe i am furious and i still dont know my prognosis where do i go from here i have had no blood tests i had a heart monitor about 4 years ago which said i had an irregular heartbeat

[@practicalgp]

I am really sorry that you have had such a bad experience. KZbin is not the best place to advise on specific cases because of not having all the necessary clinical information. The best advice that I can give is that you discuss in detail with your consultant any issues until all your questions are answered. If you are not happy with your consultant, it would be possible for your GP to refer you to a different consultant for a second opinion. I wish you all the best.