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Health
Problems of the Elderly |
Chronic
Obstructive Airway Disease
Shortness of breath
Mild
shortness of breath is common in elderly, especially after performing
exercise. Although this may be due to deterioration in lung function,
it could also be the symptom of serious disease, such as chronic bronchitis,
emphysema, heart failure, renal failure and severe anemia. Therefore,
if the shortness of breath is persistent or suddenly worsens, the elderly
should seek medical advice.
Causes of shortness of breath
Chronic
bronchitis and emphysema (also known as chronic obstructive airway disease
or COAD) is the commonest cause of shortness of breath in the elderly,
especially those with history of smoking or passive smoking. Usual symptoms
include frequent cough, sputum and wheezing. Patients with mild disease
experience shortness of breath during moderate exercise such as walking
upstairs, but those with more severe disease will develop shortness of
breath even when they walk on level ground or at rest. Some may need to
depend on oxygen therapy.
Prevention and treatment of COAD
The
most important is quit smoking. The more you smoke, the more harm you
do to the lungs. So all COAD patients should quit smoking immediately
to help slow down the progression of the disease. Patients should follow
treatment as advised by the doctor to control the symptoms.
The
elderly should avoid going to polluted places. While at home, maintain
good ventilation. When burning incense, make sure the windows are open.
Influenza vaccination
Influenza
vaccination can reduce the complications due to influenza virus infection,
especially for patients with COAD or heart diseases. Consult a doctor
for advice and the vaccination. Currently, the Department of Health provides
influenza vaccination for all residents of aged homes.
Related topics
Smoking
Influenza
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