Living with chronic obstructive pulmonary disease (COPD) means facing daily challenges that often aren’t visible to others. Shortness of breath is the most recognized symptom, but many people also manage fatigue, emotional health concerns, and other complications that are easy to overlook. COPD affects more than the lungs, and many of its impacts remain unseen.

The iceberg image below shows COPD’s less visible symptoms. Like an iceberg, COPD has many effects that aren’t visible — and what’s seen on the surface doesn’t reflect the full scope of what’s happening underneath. Click on each symptom to learn more about how COPD can affect the body and everyday life.

This list doesn’t include every possible symptom. What would you add based on your own experience?