For sure smoke inhaltion can cause repiratory symptoms - wheezing , shortness of breath and inflammtion of the lung tissue itself.
If you have pre-existing lung disease then it can also exacerbate any pre-existing symptoms for a period of time.
What it will not do is cause chroninc lung disease - such as emphysema or pulmonary fibrosis.
Please get back to me on this if you need to talk some more.
No any intensification of your symptoms brought on by your smoke inhalation should get back to your pre-exposure levels - your emphysema should not permanently deteriorate because of this.
Emphysema , as you will be aware , gets worse as time passes.