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CORD versus Asthma

[Kevin Baker] It is not surprising that CORD (Chronic Obstructive Respiratory Disease) and asthma are frequently confused. The symptoms are similar; with cough, shortness of breath (especially on exertion) and night disturbance being shared by both conditions. The treatments are also very similar. Bronchodilators such as Ventolin™ and Atrovent™ and preventers such as Respocort™, Becotide™ or Flixotide™ are frequently prescribed for both asthma and CORD. Asthmatics that smoke or are poorly controlled may often go on to develop CORD in later life. In both conditions the airways are narrowed, and it is difficult for the sufferer to move air into and out of the lungs through these narrowed passages (termed ‘airways obstruction’). The major difference is that the airways of an asthmatic, with appropriate therapy, can be significantly ‘opened up’. Technically this is called ‘reversible airways obstruction’. This is possible because the narrowing is generally the result of inflammation and muscle spasm within the airways. Avoidance of triggers and correct treatment with anti-inflammatories (preventers) and bronchodilators (relievers) will reverse this condition. CORD is a more difficult condition. The airway narrowing is usually the result of a permanent change in the lung tissue and is a disease of older adulthood. Most CORD sufferers are over 40 years of age. Unfortunately, damaged lung tissue is very difficult to repair. Medications such as combivent or ventolin can provide temporary relief from breathlessness and allow a CORD sufferer to get on with daily activities. Steroid therapy, either as tablets (e.g. prednisone) or inhalers can be used to treat acute attacks or to reduce the seriousness and frequency of attacks. The key to long term management of this condition is for the sufferer to treasure and protect their remaining, healthy lung tissue. My advice to a CORD sufferer is: If smoking, stop immediately. Unquestionably this is the single most important step the CORD suffer must take and it is never too late to stop. It is estimated that 70 –80 % of CORD is due to smoking. Educate yourself about your condition. Make yourself an expert on your CORD. Work in partnership with your doctor and do not hesitate to seek help if you feel you are becoming worse. Never be embarrassed to seek help. Look after your general health. Sleep and eat well. Get regular exercise – walking 4-5 times a week is ideal. Seek support. Share your thoughts with those close to you and remember you are not the only CORD sufferer out there.

 

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