Exploring Alternative Treatments for Chronic Breathing Issues After Smoking - Pulmonology

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My father smoked for 30 years and although he has quit, he has been experiencing shortness of breath for the past two years when walking 200 meters, going up and down stairs, taking a shower, and especially at night when he needs to get up to urinate.
He requires a bronchodilator to breathe.
The Western medicine doctor has said that this condition is no longer curable, and after more than six months of Traditional Chinese Medicine treatment, there has been no significant improvement.
He is concerned that the long-term frequent use of bronchodilators may worsen his condition.
He experiences shortness of breath with almost any physical activity and is unable to engage in regular exercise.
Are there any other treatment options besides medication?

Vera, 30~39 year old female. Ask Date: 2010/02/09

Dr. Yang Wenda reply Pulmonology


Hello Vera: Your father has a long history of smoking, which may have led to chronic obstructive pulmonary disease (COPD), specifically chronic bronchitis and emphysema, resulting in significant lung function impairment.
In addition to medication, Chang Gung Memorial Hospital offers "pulmonary rehabilitation." If the emphysema is severe, an evaluation can be made to determine if a localized lung tissue resection (thoracic surgery) is appropriate.
At home, he can practice deep breathing exercises (pursing the lips like a fish) and lung expansion exercises several times a day, which can also be beneficial.
Best wishes!

Reply Date: 2010/02/09

More Info


Chronic breathing issues following a long history of smoking can be quite challenging to manage, especially after years of exposure to harmful substances in cigarettes. It’s commendable that your father has made the decision to quit smoking, as this is the most significant step he can take to improve his respiratory health. However, the lingering effects of smoking can lead to various complications, including chronic obstructive pulmonary disease (COPD), chronic bronchitis, and emphysema, which may explain the symptoms he is experiencing.

Given the situation, it’s essential to explore both conventional and alternative treatments that may help alleviate his breathing difficulties. Here are some options to consider:
1. Pulmonary Rehabilitation: This is a structured program that includes exercise training, nutritional counseling, education on lung health, and support to help patients manage their condition. A pulmonary rehabilitation program can significantly improve the quality of life for individuals with chronic lung issues.

2. Breathing Techniques: Techniques such as pursed-lip breathing and diaphragmatic breathing can help improve lung function and reduce shortness of breath. These methods encourage better oxygen exchange and can be practiced at home.

3. Physical Activity: While your father may find it challenging to engage in physical activity due to breathlessness, gentle exercises tailored to his ability can be beneficial. Activities such as walking, stretching, or yoga can help improve lung capacity and overall fitness. It’s crucial to start slowly and gradually increase the intensity as tolerated.

4. Nutritional Support: A balanced diet rich in antioxidants, vitamins, and minerals can support lung health. Foods high in omega-3 fatty acids, such as fish, and those rich in vitamins C and E, like fruits and vegetables, can help reduce inflammation in the lungs.

5. Alternative Therapies: Some individuals find relief through alternative therapies such as acupuncture, which may help alleviate symptoms of anxiety and improve overall well-being. Herbal remedies, such as those used in Traditional Chinese Medicine (TCM), may also provide some benefits, but it’s essential to consult with a qualified practitioner to ensure safety and efficacy.

6. Avoiding Irritants: It’s crucial to minimize exposure to environmental irritants such as dust, smoke, and strong odors, which can exacerbate breathing issues. Using air purifiers and maintaining a clean living environment can help.

7. Regular Follow-ups: Continuous monitoring and follow-up with healthcare providers are essential. If your father is using bronchodilators, it’s important to ensure they are being used correctly and to discuss any concerns about long-term use with his physician.

8. Support Groups: Joining a support group for individuals with chronic respiratory conditions can provide emotional support and practical advice from others facing similar challenges.

9. Mindfulness and Stress Reduction: Stress can exacerbate breathing difficulties, so practices such as mindfulness, meditation, or gentle yoga may help reduce anxiety and improve overall lung function.

While it’s true that some chronic lung conditions may not be fully reversible, many individuals can experience significant improvements in their symptoms and quality of life through a combination of these approaches. It’s essential to work closely with healthcare providers to develop a comprehensive management plan tailored to your father’s specific needs and circumstances.
In conclusion, while chronic breathing issues post-smoking can be daunting, there are various strategies and treatments available that can help improve lung function and overall health. Encouraging your father to remain proactive in his health management and to explore these options can lead to a better quality of life.

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