welcome to hcm,
I really appreciate your concern,
Emphysema is structural lung disease.
In this lung parenchyma and airways are permanently dilated due to structural damage.
Most common cause for this is cigarette smoke But as you never smoke it can occur due to other causes like alpha 1 antitrypsin defeciency,
Other causes are recurrent
lung infection, pollution, chemical exposure, familial, congenital, severe allergies etc.
And for diagnosis you need to
consult pulmonologist and get done
1. Clinical examination of respiratory system
2. Chest
x ray 3. PFT (Pulmonary Function Test).
Chest x ray is needed to rule out other Pulmonary causes.
PFT is must for the diagnosis of emphysema.
It will also tell you about severity of the disease.
And treatment of emphysema is based on severity only.
With proper inhaled treatment prognosis is good.
Please let me know if you have any further queries,
Thanks.regards