Emphysema: Symptoms, Sufferers, And Everything Else You Need To Know

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Huffington Post   |   June 23, 2008 11:43 AM


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It was reported yesterday that Amy Winehouse, the bee-hived Brit singer, is suffering from emphysema. According to the AP:

The Sunday Mirror quoted Mitch Winehouse as saying that Amy has early stage emphysema and an irregular heartbeat, and has been warned that she will have to wear an oxygen mask unless she stops smoking drugs.


What is emphysema?

Emphysema is a progressive lung disease that results in shortness of breath and reduces your capacity for physical activity.

The cause of emphysema is damage to the small air sacs and small airways in your lungs. This damage obstructs airflow when you exhale.

When emphysema is advanced, you must work so hard to expel air from your lungs that just the simple act of breathing can consume a great deal of energy. Unfortunately, because emphysema develops gradually over many years, you may not experience symptoms such as shortness of breath until irreversible damage has already occurred.

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What causes emphysema?

* The main cause of emphysema is smoking, which activates inflammatory cells in the lung. This inflammation causes; 1) swelling within the bronchioles, and 2) activation of enzymes called proteases which attack and destroy lung tissue (the alveolar wall structures).


* There is a genetic predisposition to emphysema. The relatively rare condition known as alpha 1-antitrypsin deficiency is the genetic deficiency of a chemical that protects the lung from damage by proteases.

* Emphysema is also a component of aging. As the lungs get older, the elastic properties decrease, and the tensions that develop can result in small areas of emphysema.

In underdeveloped countries, a common cause of emphysema is indoor air pollution. In these populations, it is very common to have indoor stoves in the kitchen. The smoke from cooking results in the damage to the lungs.

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What happens to people who get emphysema?

[The struggle to breath] eventually means that the body is not getting enough oxygen, leading to fatigue and weight loss. Although it can start simply as mild breathlessness during exercise and a persistent cough, it can leave sufferers housebound and reliant on oxygen supplies, and eventually contribute to death.
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What is the treatment for emphysema?

Treatment for emphysema can take many forms. Different approaches to treatment are available. Generally, a doctor will prescribe these treatments in a step-wise approach, depending on the severity of your condition.

Stop smoking: Although not strictly a treatment, most doctors make this recommendation for people with emphysema (and everyone).

Bronchodilating medications: These medications, which cause the air passages to open more fully and allow better air exchange, are usually the first medications that a doctor will prescribe for emphysema.

Steroid medications: They decrease inflammation in the body. They are used for this effect in the lung and elsewhere and have been shown to be of some benefit in emphysema.

Antibiotics: These medications are often prescribed for people with emphysema who have increased shortness of breath.

Oxygen: If you have shortness of breath and go to a hospital's emergency department, you often are given oxygen. It may even be necessary to give oxygen by placing a tube in your windpipe and allowing a machine to assist your breathing. In some cases, it may be necessary for you to receive oxygen at home as well.


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Besides Amy Winehouse, who else has had emphysema?

Christy Turlington is a famous anti-smoking and emphysema spokesperson and both T. S. Eliot and writer William F. Buckley Jr succumbed to the disease, while Johnny Carson died from it in 2005. And that is just to name a few.


 
 

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- loki See Profile I'm a Fan of loki permalink

well she certainly has a case of the uglies thats for sure. I heard her sing on the Brit awards the other night and could not for the life of me see the attraction to her voice? And I like almost everything and am pretty open to all kinds of music. . My god, I even listen to Shane MacGowan , David Bromberg Joe Cocker, and the likes. They surely are not beautiful voices but I like them. I just cant find anything in Winehouse to like.

    Favorite    Flag as abusive Posted 09:14 PM on 06/26/2008
- meltingpot101 See Profile I'm a Fan of meltingpot101 permalink

Alpha-1 antitrypsin deficency, the genetic disease which predisposes those effected to not only emphysema but also cirrohsis of the liver. Alpah-1 is a liver disease, this is where it begins and usually effects the lungs first. Not all people who have Alpha-1 will develope either emphysema or cirrohsis. Infact some people are asyptomatic for decades or even heir entire lives. Unfortunetly, that is not true for everyone.

This blog states that Alpha-1 is a rare genetic disease, I believe it is rarely diagnosed or misdiagnosed as asmha. My husband and I just recently found out that he and I are both carriers and that 2 out of 3 of our children have Alpha-1. Our children are asymptonmatic and hopefully will stay that way.

We live green. We do not allow anyone to smoke around our kids and keep them away from smoke of any kind. We also minimize the use of household cleaners, never around the kids, no aresol sprays and have converted our pool from chlorine to salt. We just keep in mind that everything your body comes into contact with is metabolized in the liver, everything.

When my son was less than 1 yr old I remember saying that I thought he had allergies, sneezing and eyes watering. I never let anyone smoke around my kids, but we have smokers in my family and I am so grateful that I have demanded fresh air for my kids.

Don't smoke around children, ever.

    Favorite    Flag as abusive Posted 10:33 PM on 06/24/2008
- SharonB See Profile I'm a Fan of SharonB permalink

Oh, so that's it! The emphysema must be causing her to not get enough oygen to her brain.

    Favorite    Flag as abusive Posted 03:02 PM on 06/24/2008
- Fudgefase See Profile I'm a Fan of Fudgefase permalink

To be frank, I think emphysema is the least of Ms Winehouse's problems. Emphysema takes years to develop. I doubt she has them left at her current rate of excess.

    Favorite    Flag as abusive Posted 05:55 AM on 06/24/2008
- SeaBlood See Profile I'm a Fan of SeaBlood permalink

I can't think of a worse way to die. You can't take a deep enough breath no matter what you do. This sounds worse than lung cancer, and was my inspiration to finally quit smoking. I believe that many of those who died from the disease actually took their own lives rather than live like that.

    Favorite    Flag as abusive Posted 05:02 PM on 06/23/2008
- twohearts See Profile I'm a Fan of twohearts permalink

My brother died from emphysema 2 years ago - he smoked like a fiend for years & years. It is not a "fun" disease to suffer from...

I agree completely with nah415. Why do her parents not FORCE her into lung rehab for this severe medical problem? Are they crazy or just happy to have her money? I don't understand at all.

Not being able to breathe is a terrible thing - I had a lung transplant (b/c of a birth defect), but this is not an option for Amy.

    Favorite    Flag as abusive Posted 04:14 PM on 06/23/2008
- PlantGod72 See Profile I'm a Fan of PlantGod72 permalink


As a huge fan of Ms. Winehouse's talent, and as the son of a man who suffered for years and eventually died a painful and prolonged death from emphysema, I can't help but think back to Billie, Janis, Marilyn, Jimi and those other self-destructive artists who grabbed our hearts and imaginations only to leave us shockingly soon....

May Amy NOT join this rarified group.

    Favorite    Flag as abusive Posted 04:02 PM on 06/23/2008
- firewmn See Profile I'm a Fan of firewmn permalink

They tired to make me go to rehab and I said no, no, no.... (hmmm..... practic'n what she preaches)

    Favorite    Flag as abusive Posted 03:14 PM on 06/23/2008
- BonnieJW See Profile I'm a Fan of BonnieJW permalink

I could not care less about this freak and her self-made health problems.

    Favorite    Flag as abusive Posted 03:01 PM on 06/23/2008
- nah415 See Profile I'm a Fan of nah415 permalink

Emphysema and it's cousin COPD (chronic obstructive pulmonary disorder) can also lead to cognitive deficits because the brain is also being deprived on oxygen every time a person struggles to breathe. The resulting impairments are related to chronic reductions in the levels of oxygen in the blood. Some of the cognitive deficits seen in patients with COPD and/or emphysema include motor speed deficits; difficulty with abstract reasoning; reductions in attention, learning and memory. Patients often experience depression and anxiety.

The good news is that rehabilitation is possible if the patient is willing to make a commitment to exercise, education and stress reduction. Unfotunately I think the only way this will happen with Ms. Winehouse is if she is conserved by her parents and forced into treatment against her will.

Mr. Winehouse: are you listening???

    Favorite    Flag as abusive Posted 01:50 PM on 06/23/2008
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