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An acute exacerbation of COPD is defined as increased shortness of breath, increased sputum production, a change in the color of the sputum from clear to green or yellow, or an increase in cough in someone with COPD.
Chronic Cough Is the First Symptom. Cough is the first sign of COPD. According to the Mayo Clinic, COPD is diagnosed if your cough is persistent for three months (or longer) out of a year for at least two years. The cough may persist every day, even if there are no other symptoms of illness, such as a cold or the flu.