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Symptoms

Chronic obstructive pulmonary disease (COPD) is a common condition that causes breathing problems.

Many people do not realise they have it. Most people with COPD do not have any noticeable symptoms until they reach their 40s or 50s.

Symptoms of COPD

Common symptoms of COPD include:

The symptoms usually get worse over time and make daily activities difficult. Treatment can help slow the progression.

Other symptoms of COPD

Less common symptoms of COPD include:

  • tiredness
  • swollen ankles from a build-up of fluid (oedema)
  • chest pain and coughing up blood - these could be signs of another condition, such as a chest infection or lung cancer

These other symptoms usually happen when COPD reaches a more advanced stage.

When to get medical advice

Non-urgent advice: Contact a GP if:

  • you have persistent symptoms of COPD, especially if you're over 35 and smoke or you used to smoke

If you have a medical card or GP visit card, you can register with your GP for the chronic disease management (CDM) programme.

Chronic Disease Management (CDM) programme

The CDM programme aims to prevent, diagnose early and manage chronic (long-term) diseases. It is for anyone who thinks they may have COPD.

If you are diagnosed with COPD, your GP will review your COPD twice a year.

CDM programme for COPD

Other conditions

There are other conditions that cause similar symptoms to COPD.

These include:

  • asthma
  • bronchiectasis
  • anaemia
  • heart failure

A breathing test can help find out if you have COPD.

How COPD is diagnosed

Page last reviewed: 21 February 2026
Next review due: 21 February 2029

This project has received funding from the Government of Ireland’s Sláintecare Integration Fund 2019 under Grant Agreement Number 9.