8 Breathing Tips for People With COPD
Pursed-lip breathing "is like breathing through a straw," says Dr. Edelman. "It can reduce the tendency for airways to collapse."
Inhale through your nose for about four seconds. Then exhale through your mouth for six to eight seconds, with your lips almost closed. This will help you breathe out more air, making room in your lungs for your next deep breath.
Maintain a healthy diet
COPD includes both emphysema and chronic bronchitis, different conditions that both require healthy eating.
"The emphysema patient tends to be thin, very short of breath, and frequently malnourished," says Dr. Edelman. "It is a hypermetabolic state, and they burn a lot of calories, and the diaphragm is pressing on their stomach and they can’t really fill up."
The bronchitis patient on the other hand may be overweight, which places an extra burden on the lungs, he says.
Both subsets of COPD patients should follow healthy diet guidelines, but the severely underweight may need to beef up their diet with supplemental shakes, says Dr. Edelman.
Breathe with your diaphragm
"In COPD, the diaphragm tends to be low and frequently tends to have atrophied," says Dr. Edelman, "so whatever people can do to support it can give them a little more respiratory capacity."
To try this technique, lie on your back, or prop yourself up on pillows. Place a hand on your belly and the other on your chest. Push your belly out as you breathe in, feeling the hand there moving out.
The hand on your chest should stay still. As you exhale, the hand on your belly should move in.
Practice belly breathing lying down for 20 minutes at a time, two or three times a day, until you feel comfortable breathing like this naturally; then try it sitting or standing.
You can sit or stand with this technique, as long as you lean slightly forward from the waist, keeping your back straight.
"You’ll see many people with emphysema leaning forward," says Dr. Edelman. "They bend forward and support their arms on a chair or a table and that [supports] the muscles in the shoulder that become accessory muscles of breathing, that [people who don’t have COPD] don’t use very much."
If your doctor has prescribed medications for COPD—like an inhaler or nebulizer—make sure you know how to use them and take them as prescribed.
Most people find that medicines make breathing easier, keep flare-ups to a minimum, and control coughing and wheezing.
You won’t be able to undo all the damage, but even after years of smoking, quitting will help slow down the disease.
It is never too late to kick the habit.