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What Is the Average Emphysema Life Expectancy?

By Nick Doniger
Updated: Mar 03, 2024
Views: 106,256
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The average emphysema life expectancy depends on various factors, the most important being the stage of the illness. However, life expectancy can vary even for patients with the same prognosis and stage. Statistics on life expectancy for emphysema should therefore be only considered as reference rather than a rule. How a patient is responding to the treatment will also have an impact on life expectancy.

Emphysema is a respiratory illness in which the air sacs of the lungs become over-inflated. There are various causes such as smoking, immune system deficiencies and aging. Upon diagnosis of the condition, clinical tests will provide an estimate for a patient's life expectancy, though the prognosis also depends on the follow-up treatment. A device, called a spirometer, calculates the amount of air a patient can exhale per second. Those with emphysema are usually only capable of exhaling less than half the amount of air of a normal, healthy person. Treatment for emphysema involves reducing symptoms and preventing the condition from progressing further.

Emphysema is diagnosed at four different stages of development. These are: stage one, two, three, and four. These numbers refer to "mild," "moderate," "severe," and "very severe," respectively. Those with stage one or mild emphysema have a life expectancy as any normal, healthy individual. Majority of those (60-70%) with stage two, or moderate, emphysema live more than five years after diagnosis. In stage three and four emphysema, unfortunately, life expectancy is lower. 50% of those with severe emphysema live longer than four years after diagnosis. The life expectancy for those with very severe emphysema is less.

The stage of the illness when the diagnosis is made is important for emphysema treatment and life expectancy. Those who are diagnosed in the earlier stages may extend their life expectancy with medical treatment and lifestyle changes. Those who smoke are at the highest risk of developing the disease, as are those who have a very low body weight. Elderly men are also found to develop the disease more often than other demographic groups. Those who fit into these categories and experience considerable coughing, excess phlegm production, and difficulty breathing are encouraged to see a medical professional for a checkup.

The most important treatment for many emphysema sufferers may be to stop smoking. Keeping away from secondhand smoke can also help. If emphysema is caused by a lung infection, medications are available and can reduce symptoms and improve quality of life.

Patients should remember that life expectancy statistics are used for reference. Even those in the same stage of emphysema may have different life expectancy. Early diagnosis, treatment and lifestyle changes can improve life expectancy. It is always best to consult with expert doctors with questions about quality of life and life expectancy with emphysema.

What Are the Warning Signs of Emphysema?

Emphysema presents itself in a multitude of ways. As emphysema attacks the lungs, it restricts the ability to breathe. The lungs weaken over time due to a lack of oxygen. This low amount of oxygen also means the bloodstream carries less oxygen throughout the body.

Low oxygen levels in the body have short-term and long-term effects. In the short term, people with emphysema may experience persistent coughing, tightness in the chest, dyspnea on exertion, or chronic bronchitis. Over time, the lack of oxygen to extremities causes blue or gray appendages, numb fingers or toes, and potential heart problems.

The Mayo Clinic believes you should see a doctor if you are experiencing a combination of these emphysema symptoms. However, it may be more pertinent to see a doctor if you are experiencing these symptoms after being exposed to prolonged tobacco smoke, air pollution, or chemical fumes. 

What Is the Difference Between Emphysema and COPD?

The difference between Emphysema and COPD is that COPD, or chronic obstructive pulmonary disease, is a broad term that describes many lung diseases. When COPD worsens over time, it progresses to emphysema.

The Global Initiative for Chronic Obstructive Lung Disease (GOLD) associates the late stages of COPD with the early stages of emphysema. Symptoms overlap in this area. GOLD has guidelines that doctors follow to diagnose COPD stages. Using GOLD's guidelines, doctors measure airflow obstruction, breathlessness, and exercise capacity to diagnose COPD. Treatment plans for patients are then designed based on those measurements.

Other complications associated with the spectrum of COPD include lung cancer, pneumonia, high blood pressure, and heart failure. Mental health issues like depression and anxiety are also common when previously-active COPD patients struggle with symptoms or lack of mobility in their new, less-active lifestyle.

Is Emphysema Considered a Terminal Illness?

Doctors do not consider emphysema or other severe COPD conditions terminal illnesses, but these conditions do worsen over time. As untreated emphysema worsens, it puts people in danger of life-threatening health complications, including respiratory failure and lung collapse.

Recent studies published in the National Library of Medicine show that approximately 12 million people have COPD already and do not know it. However, once COPD progresses to emphysema, the symptoms, unfortunately, become harder to ignore. 

People experiencing late-stage emphysema often live for decades. In these stages, fatigue, breathing issues, and heart problems are commonplace. Flare-ups also happen more frequently and aggressively in late-stage emphysema. Fortunately, It is possible to live a full life as long as the patient takes the proper precautions and seeks treatment.

How Can I Make My Emphysema Better?

You can make your emphysema symptoms more manageable with lifestyle changes and simple exercises. Emphysema is not always a death sentence. Emphysema left untreated, however, is dangerous. Patients who take an active role in their health have a better quality of life with this disease.

Studies show that the next best thing for alleviating emphysema symptoms after quitting smoking is cardiovascular exercise. Doctors note that patients often become less active after receiving a diagnosis of lung disease, but this is not helpful. Instead, staying active and practicing breathing exercises will decrease spells of shortness of breath. 

Diet also affects the symptoms of emphysema. According to the American Lung Association, healthy food choices that reduce weight gain and improve metabolism significantly impact emphysema flare-ups. A healthy diet for emphysema patients includes eating more fiber and protein while limiting carbohydrates and saturated fats. 

Clinically-certified pulmonary rehabilitation programs also exist. These programs help patients establish a regimen of diet and exercise that make sense for each person’s specific condition and ability. 

Conclusion

Life expectancy after an emphysema diagnosis is uncertain. An emphysema prognosis depends on many variables, but the prognosis changes based on the mental health and attitude of the patient. 

If you are experiencing emphysema symptoms after exposure to air pollutants, it is important to consult with a cardiovascular or pulmonary doctor right away. Early treatment provides the best outlook for this disease. An emphysema diagnosis is overwhelming, but as modern medicine advances, new studies and ground-breaking medications become more accessible. Take an active role in your health to ensure the best outcome.

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Discussion Comments
By anon991062 — On May 23, 2015

Reading some of this article has me depressed now. I just completed surgery, chemotherapy and radiation for breast cancer two months ago. In December I had a severe flare up of respiratory distress, hospitalized and diagnosed with severe COPD. I began pulmonary rehab last week and am hoping that I can live longer than four years!

I am a new widow and my children still need me and I them. I did quit smoking completely six months ago. I should have never begun it looks like, but I can't undo what's done. I use oxygen at night and sometimes during my day as well. Please people, do not ever smoke!

By anon976299 — On Nov 02, 2014

My mum was diagnosed some 15 years ago, so four years is certainly nonsense if all the anecdotes here are anything to go by!

By anon972070 — On Oct 01, 2014

My husband was first diagnosed 24 years ago. Inhaled medications have helped, but for the last 2 years he's on oxygen (at first just at night; now 24/7). He stopped working last year. I figure we've been living on borrowed time for a long time.

The past six months or less have been pretty bad. His O2 levels are tanking and the coughing... He's exhausted and it's so hard to watch. This article with the four-year prognosis is garbage. A good pulmonologist and following instructions will keep you going a whole lot longer than that. The trouble with people is they wait too long to go to the doctor.

By anon965035 — On Aug 08, 2014

My doctor is a jerk. He told me two years ago I had emphysema but did not follow up. I have just been told I am at stage 3 and my prognosis is three years max, after not smoking for a year. He also took two years to find my wife's cancer.

By anon304354 — On Nov 19, 2012

My father has been living with emphysema for 14 years! He only just started using full-time oxygen last year. However, now his bad days seem to out number his good. We are lucky to have had him this long. He quit smoking two years before diagnosis. He then smoked for a couple of years after when the stress of my daughter's cancer got to him, because smoking helped.

So, now I wonder just how long it is before he goes. He doesn't get up much and can't walk very far without being "winded". He also has to sit to shave, etc. Also sometimes he feels like his throat is closing. Any info would be helpful.

By seag47 — On Aug 16, 2012

Is the life expectancy for someone with subcutaneous emphysema the same as for someone with regular emphysema? I've been doing some volunteering at a local nursing home, and one elderly man I have befriended has this condition.

He gets swollen patches on his neck and chest, and when the nurse touches them, they crackle. It's a scary sound. She says that he has trapped gas in pockets under his skin.

I hate to think that he may die soon, but I don't know how long they expect him to live. He just found out he had it a few months ago. Can I expect another four years with him, or is subcutaneous emphysema more severe?

By DylanB — On Aug 16, 2012

@Oceana – That is amazing! My grandmother had only mild emphysema, and she died after three years. Yours must have been quite the fighter!

Not long after my grandmother passed, my great-uncle found out he had severe emphysema. They both were young adults during a time when no one believed that smoking was bad for you, so they smoked for many years.

My great-uncle only lived for a year. He did a lot to mend past relationships and help people out during that year, though. I think that the knowledge that he would soon pass prompted him to do what he should have been doing all along.

By Oceana — On Aug 15, 2012

I had no idea that four years was the life expectancy for an emphysema patient! My grandmother lived for seven years after her diagnosis, and we were beginning to think that she might actually beat the disease!

She fought hard, and she had a determined spirit. There is really nothing you can do when you lose the ability to breathe normally, though. Willpower doesn't affect lung capacity in the final stages.

By shell4life — On Aug 14, 2012

I think that my grandfather was the exception to the rule of typical life expectancy with emphysema. He lived to be eighty-five, and he had smoked for over twenty years.

He did quit smoking decades before diagnosis, though. I was kind of surprised to hear that he developed emphysema so late in life. I would have thought he would have gotten it right after he stopped smoking instead.

His last few years were hard on both him and my mother, who took care of him until he had to be committed to a nursing home. He needed someone to watch him around the clock, and my mother had to work and take care of us children. He died at that nursing home, struggling for his last breath.

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