Symptoms of Cystic Fibrosis
Symptoms of cystic fibrosis can range from mild to severe and often begin in early infancy. The hallmark of cystic fibrosis is the production of thick, sticky mucus, which affects the lungs and digestive system most severely. Symptoms can vary depending on the organs involved and the specific CFTR mutations a person carries.
Respiratory Symptoms
Persistent coughing, sometimes producing mucus
Frequent lung infections, such as pneumonia or bronchitis
Wheezing or shortness of breath
Sinus infections and nasal polyps
Gradual lung damage, leading to respiratory failure in severe cases
Children may exhibit a chronic cough from infancy, and breathing difficulties often worsen over time.
Digestive Symptoms
The thick mucus can block the pancreatic ducts, interfering with enzyme delivery needed for digestion:
Poor weight gain despite a good appetite
Greasy, foul-smelling stools
Frequent constipation or intestinal blockages
Malnutrition and vitamin deficiencies, especially fat-soluble vitamins (A, D, E, K)
In newborns, failure to pass meconium (first stool) may indicate intestinal obstruction
Other Common Symptoms | Symptoms of Cystic Fibrosis
Salty-tasting skin, due to high sodium in sweat
Delayed growth and puberty in children
Infertility in men (due to absence of the vas deferens)
Liver problems, including bile duct obstruction
Increased risk of diabetes, known as CFRD (cystic fibrosis-related diabetes)
Symptoms in Adults
Some individuals are diagnosed in adulthood with milder forms:
Chronic respiratory symptoms misattributed to asthma
Pancreatitis
Reduced fertility
Psychological Impact
The burden of daily treatments, frequent hospital visits, and uncertainty about health can cause:
Anxiety and depression
Social isolation, particularly during flare-ups
Emotional fatigue from managing a lifelong illness
In summary, symptoms of cystic fibrosis are diverse, chronic, and multi-systemic. Early recognition and intervention can significantly improve long-term outcomes and quality of life.
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