If no improvement after inhaler, then usually there is no asthma component, the higher the improvement, the higher the asthma component. Some people are allergic to the ingredients in albuterol
, this may be a possibility, therefore causing more labored breathing.
Did you have a CT scan? With COPD, staying away from anyone with a cold is imperative and cleansing hands constantly and wiping down grocery carts, etc.
Keep pushing until you get answers.