why would a patient with copd report feeling fatigued

by Mr. Barrett Friesen PhD 4 min read

Why Does COPD Cause Fatigue?

5 hours ago Many people with COPD have cachexia. 10-40% of people living with COPD also have a condition called “pulmonary cachexia syndrome.” This means that they are abnormally thin and may appear malnourished. This condition can make a person feel fatigued. Many … >> Go To The Portal


It's not uncommon for people with chronic obstructive pulmonary disease (COPD) to experience fatigue. COPD reduces airflow into your lungs, making breathing difficult and labored. It also reduces the oxygen supply your whole body receives. Without enough oxygen, your body will feel tired and exhausted.

Full Answer

Why does COPD cause fatigue?

Why Does COPD Cause Fatigue?

  • Low Oxygen Levels. People who have COPD have damage to their air sacs in their lungs. ...
  • Increased Work of Breathing. COPD commonly causes shortness of breath. ...
  • The Buildup of Carbon Dioxide. In addition to having trouble getting oxygen, people with COPD may also have difficulty getting carbon dioxide out of their lungs.
  • Depression. ...

How to manage fatigue and COPD?

What else can I do to manage my COPD better?

  • Sleep and rest: make sure you sleep well and get enough rest every day. ...
  • Ask for help if you need it: ask your health care professional about ways you can adapt your home to help you move around more easily. ...
  • Be aware of your symptoms: if your ankles swell, tell your health care professional. ...

More items...

Does COPD make me tired?

This lack of oxygen can cause the person to feel tired and fatigued. People with COPD may also feel tired because they feel breathless. This is another effect of the lung damage caused by emphysema. Because the body has to use extra energy in order to empty the lungs completely, it can cause an increase in tiredness.

Does COPD cause fatigue?

Yes, it also often causes fatigue. According to research in the journal BMJ Open, fatigue is the second most common symptom for people with COPD. Fatigue from COPD varies in severity and tends to become worse over time. Fatigue can greatly decrease quality of life and adversely impact a person’s mood.

What are the symptoms that someone with COPD might report?

Symptoms include breathing difficulty, cough, mucus (sputum) production and wheezing. It's typically caused by long-term exposure to irritating gases or particulate matter, most often from cigarette smoke. People with COPD are at increased risk of developing heart disease, lung cancer and a variety of other conditions.

Does low oxygen levels cause fatigue?

Sleep apnea: Poor sleep at night can result in fatigue during the day. Low oxygen levels: Oxygen levels may drop at night, causing you to wake up sluggish and sometimes with a headache.

Can COPD cause muscle fatigue?

Indeed, COPD is often associated with muscle wasting and a slow-to-fast shift in fiber type composition resulting in weakness and an earlier onset of muscle fatigue, respectively. Clearly, limiting muscle wasting during COPD benefits the patient by improving the quality of life and also the chance of survival.

What causes fatigue?

Most of the time fatigue can be traced to one or more of your habits or routines, particularly lack of exercise. It's also commonly related to depression. On occasion, fatigue is a symptom of other underlying conditions that require medical treatment.

How do you deal with COPD fatigue?

Lifestyle changes can also help people with COPD cope with fatigue and improve their energy levels:Practicing breathing exercises. ... Eating a balanced diet. ... Pacing activities. ... Exercising regularly. ... Treating other conditions. ... Keeping hydrated. ... Sticking to good sleeping habits.

Why do you not give oxygen to COPD patients?

Supplemental O2 removes a COPD patient's hypoxic (low level of oxygen) respiratory drive causing hypoventilation which causes higher carbon dioxide levels, apnea (pauses in breathing), and ultimately respiratory failure. Another theory is called the Haldane effect.

What are the signs that COPD is getting worse?

The following are signs that may indicate that a person's COPD is getting worse.Increased Shortness of Breath. ... Wheezing. ... Changes in Phlegm. ... Worsening Cough. ... Fatigue and Muscle Weakness. ... Edema. ... Feeling Groggy When You Wake Up.

How does COPD affect mobility?

Life-space mobility is decreased in young-old adults with COPD, especially at the neighborhood level. This impairment is associated to higher dyspnea, peripheral muscle weakness and the reduced level of physical activity.

How is the muscular system affected by COPD?

Skeletal muscle dysfunction is very common in patients with COPD, and may play an important role in limiting exercise performance in these patients. Muscle strength and endurance are both decreased and the muscle is more easily fatigued. Muscle atrophy is largely responsible for the reduction in muscle strength.

What deficiency causes tiredness and fatigue?

Deficiencies in certain nutrients — such as iron and vitamins B12 and D — may cause fatigue. Your doctor can test for nutrient deficiencies and suggest appropriate treatment.

What are three signs of fatigue?

What are the signs of fatigue?weariness,tiredness,sleepiness, including falling asleep against your will ("micro" sleeps),irritability,reduced alertness, concentration and memory,reduced ability to be productive,mentally tired,physically tired,More items...

What are 3 types of fatigue?

There are three types of fatigue: transient, cumulative, and circadian: Transient fatigue is acute fatigue brought on by extreme sleep restriction or extended hours awake within 1 or 2 days.

How does pulmonary rehabilitation help?

Pulmonary rehabilitation can also teach patients ways of breathing that can make it easier to exercise and do other physical activities. For some patients, oxygen therapy can help to treat tiredness and shortness of breath. This involves providing the body with the extra oxygen it needs to function well.

Why do people with COPD feel tired?

One of the main reasons that people with COPD may feel tired or fatigued is because the damage in their lungs keeps them from having enough oxygen in their blood. The lungs contain millions of tiny air sacs. The walls of those air sacs are the place where the body absorbs oxygen from the air we breathe into the bloodstream.

How does oxygen get into the lungs?

The oxygen is delivered through a tube and into the lungs through a mask over the nose and mouth or a small tube in the nostrils. COPD patients should contact their healthcare provider if they have new or increased symptoms of tiredness, or tiredness that does not go away.

What does it mean when you are tired?

This means that the person might be able to start a physical activity, but is not able to keep going for very long. 1. There are several ways that chronic obstructive pulmonary disease (COPD) can make a person tired or fatigued.

Why do people with emphysema have low energy?

This causes the tiny air sacs to combine into a smaller number of larger air sacs with fewer air sac walls. Because they do not have as many air sac walls to absorb oxygen, they do not have enough oxygen in their blood. This is a reason that people with emphysema often have low energy and may feel more tired than usual.

What is the purpose of the walls of the air sacs?

The walls of those air sacs are the place where the body absorbs oxygen from the air we breathe into the bloodstream. The body needs this oxygen to produce energy for all of its functions. In people with emphysema, many of the walls of the air sacs are damaged or destroyed over time.

Why do people not feel like exercising?

Because they feel tired, they do not feel like exercising or doing other physical activities. However, exercising and being active is a key part of providing the body with the energy it needs. So by not being active due to tiredness, they actually become even more tired.

How does COPD affect oxygen?

COPD interferes with air exchange in your lungs and reduces your oxygen absorption as you breathe. 1 . Your body needs oxygen for energy, and even a slight compromise in your oxygen levels can result in fatigue.

How much of COPD sufferers are fatigued?

Severe fatigue affects approximately 50% of those who are living with COPD. 2  Fatigue isn't the kind of tiredness that improves with sleep or a cup of coffee. It is persistent and profound, and occurs even when you haven't exerted yourself.

What is lung rehabilitation?

Pulmonary rehabilitation involves breathing exercises and physical therapy routines that are specifically designed to help you function better with your lung disease. This type of supervised regimen improves fatigue in COPD, and it is also correlated with improved lung function and reduced dyspnea (shortness of breath), anxiety, and depression. 4 

What does fatigue mean on a blood test?

Blood tests: Fatigue can occur as a result of issues such as anemia (low red blood cell function), infection, and low oxygen. Depending on your history, your doctor may check your complete blood count (CBC) or arterial blood gas (ABG). CBC can show signs of anemia as well as infection (high white blood cells).

How do you know if you have COPD?

The effects can be subtle and may gradually worsen as your lung function declines. You may also experience some variation in your level of fatigue or bouts of severe exhaustion at times. 1 . Common symptoms of COPD-associated fatigue include: Tiredness or exhaustion. Feeling worn out.

What is the effect of fatigue on COPD?

Fatigue is one of the common effects of chronic obstructive pulmonary disease (COPD). Your lung disease affects the oxygen levels in your body and makes it hard for you to breathe, while overall weakness further contributes to a general feeling of exhaustion and low energy.

Why is fatigue important for COPD?

It's important to talk to your doctor about your fatigue because it can be a sign of a serious health issue that requires treatment.

How to reduce fatigue?

While there are no specific treatments for fatigue, with the exception of additional oxygen, there are lifestyle tips that can help minimize the tiredness and lack of energy. Keep Active —While it may seem counterintuitive, mild exercise can actually fight the feeling of fatigue, and keep feelings of depression at bay.

Does fatigue affect quality of life?

Regardless of pulmonary symptoms, higher reports of fatigue were associated with lower levels of perceived quality of life, and greater feelings of depression. 2 Constant exertion can weigh on the body both physically and emotionally, and feeling like you have to justify your lack of energy to friends and family can be a burden in itself.

Is fatigue a symptom of COPD?

Fatigue: The Silent Symptom. While dyspnea (labored or shortness of breath) is often the most experienced, and most recognized, symptom of COPD, fatigue, or lack of energy, is frequently cited as an even more impactful symptom--especially in terms of personal quality of life. Fatigue is the “silent” symptom that many outsiders don’t fully ...

Why do people with COPD sleep so much?

For COPD patients, trouble sleeping can be caused by coughing, breathlessness, certain types of COPD medications, feeling anxious or depressed, and not absorbing enough oxygen.

What is the cycle of fatigue in COPD?

The COPD “ cycle of tiredness” (avoiding physical activity due to fatigue, and therefore becoming more fatigued), can lead to a snowball effect of low energy and lethargy. While every person’s management plan is different, many of our community members have shared success with pulmonary rehab, physical activity, ...

How to manage fatigue?

To manage your fatigue, try keeping a journal to determine what sleep strategies work best for you, and then apply those strategies to (hopefully!) get a better night’s rest.

Can COPD fatigue be overwhelming?

While COPD fatigue can feel overwhelming, it is also possible to have a fulfilling, satisfying life with COPD! Confront and discuss your COPD difficulties, and don't be afraid to rely on your friends and family for support. “Water, water, water”. “Listern to your body”. “Follow a daily schedule”.

Can COPD make you lazy?

Unlike typical fatigue, COPD fatigue can feel out of your control, leaving many community members feeling frustrated or “lazy” when they can’t do the things that they need to get done. For many of you, coming to terms with your COPD diagnosis has taken time, including accepting your changing energy levels.

Is COPD tired or tired?

More Than a Feeling: Tired vs COPD Tired. Sometimes the word “ tired ” just doesn’t cut it when it comes to COPD. Although COPD symptoms can vary from person to person, many people affected by COPD have one symptom in common - fatigue.

Is it possible to have a fulfilling life with COPD?

While COPD fatigue can feel overwhelming, it is also possible to have a fulfilling, satisfying life with COPD! Confront and discuss your COPD difficulties, and don't be afraid to rely on your friends and family for support.

What does it feel like to breathe with COPD?

Your body feels like it’s spending all of its energy on breathing.”. It can feel like you’re using so much energy to breathe that you don’t have much left for physical activity.

How to keep yourself from snoozing?

Take regular rest breaks. Regular breaks help conserve energy. If you have fatigue, take a nap for an hour or two in the afternoon. Advertising Policy. “Just remember, a one-hour nap can easily turn into four,” says Dr. Attaway. “You want to stay active, so set a timer to keep yourself from snoozing the day away.”.

How long does it take to learn COPD?

Pulmonary rehabilitation has two phases: Learning phase: During this six-week period, you learn the skills you need to live with COPD in addition to safe and healthy workouts to improve your breathing reserve. Maintenance phase: You put all the skills you’ve learned into practice and maintain them.

Can COPD cause fatigue?

But COPD may not be the cause of your fatigue. “There are times when someone has COPD, but something else is causing the fatigue,” says Dr. Attaway. “And those conditions are often treatable, through a daily medication or using a breathing mask at night.”. Non-COPD causes of fatigue may include:

Can COPD make you harder to work?

A COPD diagnosis may make activities harder, so put a plan in place,” says Dr. Attaway. “Whether you’re heading off for a Disney vacation or just on a walk, set realistic expectations about what you can accomplish.”

Does COPD cause muscle loss?

“COPD can promote a sedentary lifestyle, but that creates a bad cycle because the less active you are the more likely you can get muscle loss in the rest of your body,” says Dr. Attaway.

How to get rid of COPD?

Eat a Healthy Diet. Some people with COPD have trouble eating due to breathlessness but eating too much can also increase gas and bloating, which may make breathing worse. If you have COPD, you need to find the right balance, which means eating enough to have energy without overeating.

How to reduce fatigue from COPD?

There are also a few things you can do to try to prevent fatigue due to COPD: 1 Slow the progression of COPD. COPD is a progressive disease. As the condition becomes worse, symptoms, such as fatigue, will likely increase. Slowing the progression of the condition may help prevent fatigue. To slow progression, stop smoking and follow your COPD treatment plan. 2 Decrease other fatigue contributors. COPD may only be one piece of the puzzle. Other factors may also contribute to fatigue. For example, certain other medical conditions and medications may increase sleepiness. Work with your doctor to treat other medical problems that may add to fatigue. But do not stop taking medications until you talk with your doctor. 3 Get enough sleep. One of the most important ways to prevent fatigue related to COPD is to get enough sleep. If you have problems sleeping or have an underlying sleep disorder, talk with your doctor about ways to improve sleep.

How to improve oxygen levels?

Practice Breathing Exercises. Learning breathing techniques can help improve the efficiency of breathing, reduce breathlessness and improve oxygen levels. Pursed lip breathing is one of the most effective ways to combat shortness of breath and save energy.

What happens when oxygen levels are low?

Low Oxygen Levels. People who have COPD have damage to their air sacs in their lungs. The damage interferes with getting in oxygen. When oxygen levels in the body are impaired, it can lead to symptoms, such as fatigue.

How to slow the progression of COPD?

As the condition becomes worse, symptoms, such as fatigue, will likely increase. Slowing the progression of the condition may help prevent fatigue. To slow progression, stop smoking and follow your COPD treatment plan. Decrease other fatigue contributors.

Why does carbon dioxide build up in the lungs?

Air may get trapped in the lungs due to the damage to their air sacs. Because their ability to get air out is inadequate , carbon dioxide may build in the body. Increased levels of carbon dioxide lead to fatigue.

Can COPD cause shortness of breath?

COPD commonly causes shortness of breath. Breathlessness may occur easily with exercise. But it can also develop even with mild exertion. For instance, in people who have severe COPD, walking to the bathroom can leave them winded. When someone is breathless, they work harder to get air into their lungs.

How does COPD fatigue affect people?

Having COPD fatigue can significantly impact a person’s ability to perform everyday activities, such as household chores, personal grooming, and recreational activities . Fatigue can lead to a decrease in activity and possibly depression. COPD fatigue can have a drastic effect on a person’s quality of life.

What is COPD fatigue?

COPD fatigue causes tiredness and a lack of energy, which can significantly impact a person’s quality of life . In this article, we examine in more detail what COPD fatigue is, and how doctors treat it. We then cover seven tips for coping with COPD fatigue.

How to breathe out a pursed lip?

To do pursed lip breathing, a person should: Breathe through the nose for around 2 seconds. Purse or pucker the lips, as if blowing out a candle. Slowly breathe out through the pursed lips for 4–6 seconds.

How to cope with COPD?

Lifestyle changes can also help people with COPD cope with fatigue and improve their energy levels: 1. Practicing breathing exercises. Share on Pinterest. Yoga and meditation often involve breathing exercises. Breathing exercises can be useful for people with COPD.

What percentage of people with COPD have fatigue?

Fatigue is one of the most common symptoms of COPD, especially as the disease progresses. Research. suggests that between 50 and 70 percent of people with COPD also have fatigue. Fatigue often goes hand in hand with COPD, but the reasons for this association are not clear.

What is COPD treatment?

Seven tips for coping. Outlook. Chronic obstructive lung disease or COPD is a long-term, progressive lung disease that encompasses emphysema and chronic bronchitis. COPD makes breathing difficult, which affects a person’s energy levels and can cause fatigue. Symptoms of COPD often vary in severity.

Why do people with COPD feel tired?

People with COPD have trouble getting oxygen into their lungs and carbon dioxide out. The shortage of oxygen and the buildup of carbon dioxide can both make someone feel tired and low in energy. The damage to the airways in COPD causes the air sacs to lose their tone and become floppy.