Shortness of breath: The most common symptom of emphysema is shortness of breath. It often comes on gradually, occurring at first only with activity. As the disease progresses, shortness of breath (dyspnea) also occurs at rest.
Cough: A persistent cough is very common and is sometimes difficult to distinguish from a smoker's cough.
Production of sputum or phlegm
Wheezing. Emphysema, at least in the early stages, can be somewhat difficult to distinguish from asthma. The difference is that with asthma the airway obstruction is reversible whereas with emphysema it is not.
Frequent respiratory infections such as bronchitis or pneumonia
Chest pain
Cyanosis: Blueness of the fingers and lips
Exercise intolerance: Some people do not notice shortness of breath directly, but instead note that they are unable to as physically active as they once were, for example, it becomes difficult to walk as far or to climb as many flights of steps.
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