Understanding Idiopathic Pulmonary Fibrosis (IPF)

A Comprehensive Guide for Patients Living with IPF

Internal Medicine

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Last updated: Mar 24, 2025

What is IPF?

Idiopathic Pulmonary Fibrosis is a chronic, progressive lung disease characterized by the formation of scar tissue (fibrosis) within the lungs. The term 'idiopathic' means the cause is unknown.

Key Symptoms

  • Persistent dry cough
  • Progressive shortness of breath
  • Fatigue and weakness
  • Unexplained weight loss
  • Clubbing of fingers and toes

Disease Progression

IPF typically follows these stages:

  1. Early Stage: Mild breathlessness during exercise
  2. Intermediate Stage: Increasing breathing difficulty
  3. Advanced Stage: Significant breathing problems, even at rest

Diagnosis

Diagnosis typically involves:

  • High-resolution CT (HRCT) scan
  • Pulmonary function tests
  • Blood tests
  • Sometimes, lung biopsy

Treatment Options

Medications

  • Antifibrotic drugs (pirfenidone, nintedanib)
  • Oxygen therapy
  • Anti-reflux medications

Lifestyle Changes

  • Pulmonary rehabilitation
  • Regular exercise within limits
  • Smoking cessation
  • Vaccination against flu and pneumonia

Living with IPF

Self-Management Strategies

  • Monitor symptoms daily
  • Use oxygen as prescribed
  • Attend regular medical appointments
  • Join support groups

When to Seek Help

  • Worsening breathlessness
  • New or changed chest pain
  • Fever or signs of infection
  • Rapid decline in exercise tolerance

Research and Future Directions

Ongoing research focuses on:

  • New treatment options
  • Understanding disease mechanisms
  • Identifying risk factors
  • Improving early diagnosis

Support Resources

  • IPF support groups
  • Pulmonary rehabilitation programs
  • Patient advocacy organizations
  • Online communities

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