Question: I Think My COPD Is Worse. When Should I Call My Doctor?
When you have COPD, it is extremely important that you are closely monitored by your doctor for a worsening of your COPD symptoms, also referred to as COPD exacerbation. But, how do you know if your condition is worsening? Which COPD symptoms should alert you to contact your doctor?
Answer: According to the renowned Cleveland Clinic, you should notify your doctor as soon as possible if you experience any of the following symptoms related to a worsening of COPD:
- dyspnea (shortness of breath) that has gotten worse, occurs more frequently than usual, and/or wakes you up more than once a night
- inability to walk as far as you normally do on a daily basis
- need to elevate your head more than usual to sit or sleep
- increased need for breathing treatments
- changes in mucus production (color, thickness or odor; if it contains blood)
- worsening chronic cough
- increase in wheezing
- swelling in your lower extremities that doesn't go away with rest or when your legs are elevated
- frequent morning headaches
- weight gain of more than 2 pounds in a day, or 5 pounds in a week
- fever, especially if accompanied by cold or flu symptoms
- increase in restlessness, confusion, irritability, forgetfulness, or slurred speech
- increasing fatigue or weakness that lasts for more than a day
Remember that the nature of COPD is one of repeated bouts of COPD exacerbations, and that your symptoms may vary with each episode. Don't wait for your COPD symptoms to become life-threatening to seek medical advice. If you experience any of these symptoms, call your doctor promptly to avoid an emergency situation.
Source:
Cleveland Clinic. When to Call the Doctor About Your COPD Symptoms. Last update: 2009.

