<s>[INST] My doctor said I have COPD and have me on an inhaler but I still have a lot of shortness of breath, no energy if I do any work I don t have a cough or mucus. I don t have a lot of burping could it be something else. I do take an acid reflux pill everyday 40 mg [/INST] Hi, sorry for your symptoms, COPD is a very annoying illness and consists is irreversible damage of the lungs. You have to know that he most important intervention is to stop smoking. Treatment is very complex, and it depends on every case. Inhalers could be of short or/and long action such as beta agonists (albuterol, terbutalin), ipatropium, geotropism, inhaled steroids (fluticasone budesonide). There are oral Chat Doctor. Supplemental oxygen is an effective treatment too. Very often happen that a patient uses various  </s>