Thanks for your question on Healthcare Magic. I can understand your concern. Recurrent chest infections can cause emphysema without smoking habit. Get done PFT (Pulmonary Function Test). PFT will tell you about severity of emphysema and treatment is based on severity only. You will need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Deep breathing exercises and incentive spirometry are also beneficial to strengthen your lungs. Adult respiratory vaccines (pneumococcal and influenza) are advisable to prevent recurrent respiratory tract infection. Don t worry, with appropriate treatment you can t live normal life. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.