Get checked: If you think you may have emphysema, get checked out. There are no signs that are particularly early. COPD can creep up on you, so that by the time you're diagnosed the COPD is at least moderate in severity. The ealiest sign would be a decrease in exercise tolerance, but a number of other conditions cause that too. A hyperexpanded chest is a more advanced sign. Most importantly if you smoke stop!
Answered 4/24/2015
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