Expert Breathlessness Treatment in London
Emphysema, also known as chronic obstructive pulmonary disease (COPD), is most commonly caused by smoking. The walls of the air sacs in the lung break down, so that they become abnormally enlarged, and the small airways to the sacs collapse. The result is increasing breathlessness.
Lung volume reduction surgery
Lung volume reduction surgery (LVRS), usually done using keyhole video surgery, is anย effective treatmentย for some, but not all, emphysema patients. Removing the worst affected tissue, around 20โ35 per cent of the lung volume, helps the remaining lung and surrounding muscles to work more efficiently, so that breathing is easier.ย
Patients are carefully assessed by Mr Scarci and his team to check whether LVRS is appropriate and likely to improve your quality of life without any unacceptable risk of complications. This assessment includes a thorough review of your medical history, lung function tests, and chest x-rays and CAT scans to check whether you have poorly functioning areas of your lung which could be surgically removed.
Before Surgery
The best candidates for LVRS will have stopped smoking for at least six months. Before undergoing surgery all patients must take part in a six to ten week pulmonary rehabilitation programme. This is designed to optimise your ability to exercise and improve your recovery immediately after surgery.
Anticipated Benefits Of Lung Volume Reduction Surgery
- Relief of breathlessness
- Improved lung function
- Increase in energy levels and physical mobility
- Greater capacity for normal daily activities
- Maybe less need for supplemental oxygen
Endobronchial Valve Service
Mr Scarci also offers a minimally invasive non-surgical method of lung volume reduction for carefully selected patients.ย This โendoscopic lung volume reductionโ involves placing two to five small one-way valves into the worst affected areas of the lung. This is done through a bronchoscope (a flexible tube with a light and small camera) inserted through the nose or mouth, so there is no need for any surgical incisions.
The endobronchial valves allow air and secretions to escape the diseased areas of the lung, but stop air entering them when you breathe in. This reduction in lung volume gives more space for the healthier parts of the lung to expand, making breathing more comfortable and exercise easier.
FAQs
What is breathlessness?
Breathlessness, or dyspnea, is the sensation of difficulty or discomfort in breathing. It can range from mild and occasional to severe and persistent.
What are the common causes of breathlessness?
Breathlessness can result from a variety of conditions, including:
- Lung diseases (e.g., COPD, asthma, pulmonary fibrosis)
- Heart conditions (e.g., heart failure)
- Anxiety or stress
- Obesity
- Anemia
Itโs important to identify the underlying cause for effective treatment.
When should I seek medical attention for breathlessness?
You should see a doctor if you experience:
- Sudden or severe breathlessness
- Breathlessness accompanied by chest pain or fainting
- Persistent or worsening symptoms
- Difficulty breathing at rest or during minimal exertion
What tests are done to diagnose the cause of breathlessness?
Diagnostic tests may include:
- Lung function tests (spirometry)
- Chest X-rays or CT scans
- Blood tests
- ECG or echocardiogram
- Exercise tolerance tests
These tests help determine the root cause of the symptoms.
What are the treatment options for breathlessness?
Treatment depends on the underlying cause and may include:
- Medications:ย Bronchodilators, corticosteroids, or diuretics
- Oxygen therapy:ย For low oxygen levels
- Pulmonary rehabilitation:ย Exercises and education to improve lung function
- Surgical intervention:ย For structural issues or severe cases
Can anxiety cause breathlessness?
Yes, anxiety can lead to hyperventilation, where you breathe too fast, causing breathlessness. Relaxation techniques and anxiety management can help in such cases.
