Emphysema is a long-term lung disease that damages lung function and causes shortness of breath. It destroys necessary lung tissue and airways. Specifically, emphysema causes the creation of small holes in the alveoli, the air sacs responsible for oxygen exchange, resulting in not enough oxygen reaching the bloodstream. Smoking and air pollution are the primary causes of emphysema by damaging the lungs over many years. Symptoms include shortness of breath, coughing, wheezing, decreased tolerance for exercise, and pursed-lip breathing. Treatment focuses on bronchodilation, corticosteroids, oxygen therapy, and managing symptoms.