User: You are given access to make searches on the Internet. The format for making a search is: 1. The user sends a message. 2. You will decide whether to make a search. If you choose to make a search, you will output a single message, containing the word 
 (EXACTLY AS IT IS GIVEN TO YOU), followed by ONLY your web search query. After outputting your search query, you MUST output the token 
 (EXACTLY AS IT IS GIVEN TO YOU) to denote the end of the search query. Keep your search query concise as there is a 400 characters limit.
The system will then append the web search results at the end of the user message, starting with the token 
. Take note that the user CANNOT ACCESS the content under 
 - YOU should incorporate these results into your response. Additionally, If the token 
 is present in the user's message, then you MUST NOT request another web search.

IMPORTANT! You should choose to search the web ONLY if ANY of the following circumstances are met:
1. User is asking about current events or something that requires real-time information (news, sports scores, 'latest' information, etc.)
2. User is asking about some term you are unfamiliar with (e.g. if it's a little-known term, if it's a person you don't know well, etc.)
3. User is asking about anything that involves numerical facts (e.g. distances between places, population count, sizes, date and time, etc.)
4. User explicitly asks you to search or provide links to references.
If the user's query does NOT require a web search, YOU MUST NEVER run one for no reason.
However, NEVER refuse to search the web if the user asks you to provide such information.

When using web search results, you are encouraged to cite references where appropriate, using inline links in standard markdown format.
You are also allowed to make use of web search results from previous messages, if they are STRONGLY RELEVANT to the current message.

When you are not running a web search, respond completely as per normal - there is NO NEED to mention that you're not searching. 
Do your best to be informative. However, you MUST NOT make up any information. If you think you might not know something, search for it.

Assistant: Understood. I will strictly follow these instructions in this conversation.
User: Describe what emphysema is and explain how emphysema affects the breathing of a person. [8]


 for "Describe what emphysema is and explain how emphysema affects the breathing of a person. [8]":

1.
URL: https://www.mayoclinic.org/diseases-conditions/emphysema/symptoms-causes/syc-20355555
Title: Emphysema - Symptoms and causes - Mayo Clinic
Content: <b>Emphysema</b> <b>is</b> <b>a</b> lung condition that causes shortness of breath. In people with <b>emphysema</b>, <b>the</b> air sacs in the lungs (alveoli) are damaged. Over time, the inner walls of the air sacs weaken and rupture — creating larger air spaces instead of many small ones. This reduces the surface area of the lungs <b>and</b>, in turn, the amount of oxygen that ...

2.
URL: https://my.clevelandclinic.org/health/diseases/9370-emphysema
Title: Emphysema: Causes, Symptoms, Diagnosis &amp; Treatment - Cleveland Clinic
Content: <b>Emphysema</b>. <b>Emphysema</b> <b>is</b> <b>a</b> lung disease. The main cause of <b>emphysema</b> <b>is</b> smoking, but other causes include air pollution and chemical fumes. Symptoms include shortness of breath, coughing and fatigue. Your healthcare provider can diagnose <b>emphysema</b> through imaging and <b>breathing</b> tests. Treatment includes quitting smoking and taking medications.

3.
URL: https://www.medicalnewstoday.com/articles/8934
Title: Emphysema: Symptoms, stages, causes, treatments, and outlook
Content: In the later stages, a <b>person</b> may have: frequent lung infections and flare-ups. worsening symptoms, including shortness of breath, mucus production, and wheezing. weight loss and reduced appetite ...

4.
URL: https://www.webmd.com/lung/copd/what-is-emphysema
Title: Emphysema: Symptoms, Causes, and Treatment - WebMD
Content: <b>Emphysema</b> vs. bronchitis. <b>Emphysema</b> <b>is</b> caused by the destruction of air sacs in the lungs, mainly from exposure to cigarette smoke. Symptoms include shortness of breath, even when resting, c ...

5.
URL: https://medlineplus.gov/emphysema.html
Title: Emphysema Symptoms | Emphysema Treatment - MedlinePlus
Content: COPD is a group of lung diseases that make it hard to breathe and get worse over time. The other main type of COPD is chronic bronchitis. Most people with COPD have both <b>emphysema</b> <b>and</b> chronic bronchitis, but <b>how</b> severe each type is can be different from <b>person</b> to <b>person.</b> <b>Emphysema</b> <b>affects</b> <b>the</b> air sacs in your lungs.

6.
URL: https://www.lung.org/lung-health-diseases/lung-disease-lookup/emphysema
Title: Emphysema - American Lung Association
Content: Watch on. <b>Emphysema</b> causes damage to the lung tissue and alveoli or tiny air sacs. Over time, this damage causes the tiny air sacs to break and create one big air pocket instead of small ones. When the air sacs break, the big air pockets trap stale air in the damaged tissue and this stops oxygen from easily moving into your blood stream.

7.
URL: https://www.yalemedicine.org/conditions/emphysema
Title: Emphysema &gt; Fact Sheets - Yale Medicine
Content: Overview. <b>Emphysema</b> <b>is</b> <b>a</b> form of chronic obstructive pulmonary disease, or COPD. <b>Emphysema</b> <b>is</b> caused by permanent damage to the lungs, making it hard for a <b>person</b> to breathe. The most common cause of this damage is smoking, although long-term exposure to chemicals or pollutants in the environment can also lead to <b>emphysema</b>.

8.
URL: https://www.healthline.com/health/emphysema
Title: Emphysema: What Is It, Symptoms, Causes, and More - Healthline
Content: Smoking tobacco is the main cause of <b>emphysema</b>. <b>The</b> more you smoke, the higher your risk of developing <b>emphysema</b>. This includes smoking cannabis. Smoking leads to the death of more than 480,000 ...

9.
URL: https://www.hopkinsmedicine.org/health/conditions-and-diseases/pulmonary-emphysema
Title: Pulmonary Emphysema - Johns Hopkins Medicine
Content: Overinflation of the lungs is a result of a breakdown of the alveoli walls. It causes a decrease in respiratory function and breathlessness. Damage to the air sacs can't be cured. It causes permanent breakdown in the lower lung tissue. <b>Emphysema</b> <b>is</b> one form of COPD (chronic obstructive pulmonary disease).

10.
URL: https://www.everydayhealth.com/copd/guide/emphysema/
Title: Emphysema: Causes, Symptoms, Diagnosis, Treatment, and Prevention
Content: <b>The</b> Takeaway. <b>Emphysema</b> <b>is</b> one of the main two types of COPD (<b>the</b> other being chronic bronchitis). The biggest cause is smoking in more developed countries, and there are several symptoms. The ...

11.
URL: https://www.health.harvard.edu/diseases-and-conditions/emphysema2
Title: Emphysema - Harvard Health
Content: <b>Emphysema</b>. <b>Emphysema</b> <b>is</b> <b>a</b> respiratory disease that makes it hard to breathe. Normally, when you take a breath, air travels from your nose and mouth through your windpipe and into the bronchi. These are small air passages that branch off into each lung. The bronchi branch further into thousands of smaller, thinner tubes that end in grape-like ...

12.
URL: https://www.verywellhealth.com/what-is-emphysema-2249091
Title: Emphysema: Symptoms, Causes, Diagnosis, and Treatment - Verywell Health
Content: <b>Emphysema</b> primarily <b>affects</b> <b>the</b> lungs but can also <b>affect</b> other organs and systems, including the heart, muscles, and circulatory system, as the disease progresses. Verywell / Nusha Ashjaee. Depending on the stage of the disease and other factors, the symptoms of <b>emphysema</b> may include: Shortness of breath (dyspnea) Persistent cough.

13.
URL: https://www.ncbi.nlm.nih.gov/books/NBK482217/
Title: Emphysema - StatPearls - NCBI Bookshelf
Content: Pulmonary <b>emphysema</b>, <b>a</b> progressive lung disease, is a form of chronic obstructive pulmonary disease (COPD). The Global Initiative for Chronic Obstructive Lung Disease (GOLD) has defined COPD as "<b>a</b> common, preventable, and treatable disease that is characterized by persistent respiratory symptoms and airflow limitation that is due to airway or alveolar abnormalities usually caused by ...

14.
URL: https://www.health.com/emphysema-overview-7111469
Title: Emphysema: Types, Symptoms, Causes, Diagnosis, Treatment - Health
Content: <b>Emphysema</b> <b>is</b> <b>a</b> chronic lung disease that causes <b>breathing</b> difficulties. ... This blood test determines if a <b>person</b> has a genetic condition ... While <b>emphysema</b> primarily <b>affects</b> <b>the</b> lungs, it can ...

15.
URL: https://www.emedicinehealth.com/emphysema/article_em.htm
Title: Emphysema: Symptoms, Signs, Treatment &amp; Life Expectancy - eMedicineHealth
Content: <b>Emphysema</b> <b>is</b> <b>a</b> long-term, progressive disease of the lungs that primarily causes shortness of breath due to over-inflation of the alveoli (air sacs in the lung). In people with <b>emphysema</b>, <b>the</b> lung tissue involved in the exchange of gases (oxygen and carbon dioxide) is impaired or destroyed. <b>Emphysema</b> <b>is</b> included in a group of diseases called a ...


Assistant: