
The ABC of common lung conditions
07 August 2026
Last reviewed: 07 August 2026
For most of us, breathing is something we do without even thinking about it. But taking a breath is not so easy for everyone.
Around 585,000 people are diagnosed with respiratory diseases in the UK each year, according to the European Respiratory Society. Close to one in five of us has been diagnosed with a lung condition at some point.
Find out more about some of the most common lung conditions with our no-nonsense, five-minute guide.
Asthma
Asthma is a chronic lung disease that can affect people of all ages.
Caused by inflammation and muscle tightening around the airways, its symptoms include coughing, wheezing, shortness of breath and chest tightness.
Some people have worse symptoms when they have a cold or during seasonal changes. Other triggers can include dust, smoke, fumes, grass and tree pollen, animal fur and feathers, strong soaps and perfume.
It's not easy to pinpoint a cause for asthma, although it often runs in families and is more common among people with allergies such as eczema and hay fever.
There's no cure, but the condition can be successfully managed using inhalers (with a mask extension for children) that deliver medications directly to the lungs.
Medications used to treat asthma include bronchodilators that open the air passages and steroids that reduce inflammation in the air passages.
Bronchiectasis
Bronchiectasis is a chronic condition where the walls of the bronchi (lung airways) are thickened, due to long-term inflammation and scarring, preventing mucus from draining properly.
This leads to a mucus build-up that can cause recurrent infections and symptoms such as chest pain, coughing up discoloured or bloody mucus, and fevers/chills.
Common among people with cystic fibrosis and COPD, bronchiectasis can also affect those with no linked conditions.
As with asthma, there is no cure, with surgery only recommended in extreme cases or to treat an underlying condition.
However, you can lessen bronchiectasis symptoms by making lifestyle changes such as stopping smoking, exercising regularly, and getting an annual flu vaccine.
You may also be prescribed physiotherapy sessions and various medications to be taken orally or via a nebuliser - a breathing device that delivers the medication directly to your lungs.
COPD
Chronic obstructive pulmonary disease (COPD) is an umbrella term that covers a group of serious lung conditions, including emphysema, caused by damage to the air sacs in the lungs, and chronic bronchitis, caused by long-term inflammation of the airways.
It mainly affects older smokers, many of whom do not realise they have it.
Symptoms include struggling to breathe when exercising, a persistent chesty cough, wheezing, and frequent chest infections.
Without treatment, the symptoms usually get progressively worse and may flare up at times.
So, see a GP if you have these symptoms, particularly if you're over 35 and smoke or used to smoke - the main cause of COPD, although some cases of COPD are caused by exposure to harmful substances and others are genetic.
Once again, there is no cure, but there are treatments available to manage the symptoms.
These include:
- Inhalers and medicines to help make breathing easier
- A pulmonary rehabilitation programme
- Surgery/lung transplant, but only in rare cases
Lung cancer
According to Cancer Research UK, there are around 50,200 new lung cancer cases in the UK every year - that's nearly 140 every day.
Few of those diagnosed are in the early stages, mainly because the symptoms of lung cancer only appear when the disease becomes more advanced.
At that point, symptoms can include a persistent cough - with or without blood, breathlessness, unexplained tiredness, and pain when breathing or coughing.
It's therefore vital to see your GP if you have such symptoms, particularly if you are 40 plus and smoke or have smoked in the past.
While people who have never smoked can develop lung cancer, smoking causes more than 70 out of 100 cases.
For those diagnosed with primary lung cancer, or cancer that started in the lungs, there are two main types: non-small-cell lung cancer and small-cell lung cancer.
The type and stage of lung cancer you have determines which treatments are recommended.
If the condition is diagnosed early and the cancerous cells are confined to a small area, surgery may be possible.
Other options include radiotherapy and chemotherapy to kill the cancer cells.
Pneumonia
Pneumonia fills tiny air sacs (alveoli) in your lungs with liquid, making it harder for you to breathe.
Most people get better in a matter of weeks with treatment, but pneumonia can cause serious health problems, especially for the elderly and otherwise unwell.
Symptoms include coughing, with or without phlegm, fever, fatigue, loss of appetite, and chest pain.
And the main causes are bacteria - usually an infection called pneumococcal - and viruses such as flu or Covid-19.
Pneumonia can also, however, be caused by fungal infections and by accidentally breathing food or drink into your airways instead of swallowing it.
Sleep apnoea
Obstructive sleep apnoea is a relatively common condition where the walls of the throat relax and narrow or close during sleep. This interrupts normal breathing and can lead to broken, un-restorative sleep.
Symptoms include:
- Feeling tired even after a long night's sleep
- Loud snoring
- Laboured breathing
- Gasping/snorting/pausing in breathing while asleep
The condition has been linked to obesity, drinking alcohol, smoking, and genetics, as sleep apnoea tends to run in families.
It's also more common among people with COPD.
Ways to treat it therefore include lifestyle changes such as exercising regularly and quitting smoking.
You may also be prescribed a CPAP machine that pumps air into a mask or a gum shield designed to keep airways open, both of which are worn while you sleep.
The deadly common denominator...
Many of the conditions described here are largely preventable if you avoid smoking.
If you already smoke, stopping now can help prevent further damage to your lungs before it starts to cause troublesome symptoms.
It could be the best move you ever make for your health.
About the author
Jessica Bown is a freelance writer and journalist.