Why Do I Experience Chest and Abdominal Pain When Quitting Smoking? - Smoking Cessation

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Chest and abdominal pain without smoking?


Hello, doctor! I started smoking in the first year of junior high school.
Recently, I want to quit smoking, but after not smoking for 3 to 4 days, I start to experience chest and abdominal pain.
My father has the same issue.
Why does this happen?

Jie Rui, 10~19 year old female. Ask Date: 2016/11/27

Dr. Cai Fushun reply Smoking Cessation


These symptoms may be due to withdrawal symptoms caused by nicotine metabolism.
It is recommended to visit a hospital or clinic's smoking cessation program for evaluation.

Reply Date: 2016/11/27

More Info


When you quit smoking, experiencing chest and abdominal pain can be quite common and is often attributed to nicotine withdrawal symptoms. Nicotine is a highly addictive substance found in tobacco, and when you stop using it, your body goes through a series of physiological changes as it adjusts to the absence of nicotine. This adjustment can lead to various withdrawal symptoms, including pain in the chest and abdomen.

Firstly, let's delve into the mechanism behind these symptoms. When you smoke, nicotine stimulates the release of neurotransmitters in the brain, such as dopamine, which creates feelings of pleasure and reward. Over time, your body becomes dependent on nicotine to maintain these feelings. When you stop smoking, your body craves nicotine, leading to withdrawal symptoms. These can manifest as physical discomfort, including chest tightness or pain and abdominal pain, as your body reacts to the absence of nicotine.

The chest pain you are experiencing could also be related to anxiety and stress associated with quitting smoking. Many individuals find that they experience heightened anxiety levels when they stop smoking, which can lead to muscle tension and discomfort in the chest area. Additionally, the act of smoking can have a calming effect for many, and without it, feelings of anxiety may surface, contributing to physical sensations of pain.

Abdominal pain can also occur due to changes in your digestive system. Smoking affects gastrointestinal function, and when you quit, your body may take time to readjust. You might experience symptoms like bloating, gas, or changes in bowel habits, which can lead to discomfort in the abdominal area. Furthermore, some individuals may experience increased acid production in the stomach, leading to gastritis or acid reflux, which can cause pain in the abdomen and chest.

It's also worth noting that if you have been a long-term smoker, your lungs and overall respiratory system may have been affected. Quitting smoking can lead to a process of lung recovery, which might cause temporary discomfort as your lungs begin to clear out mucus and other debris accumulated from years of smoking. This can lead to sensations of tightness or pain in the chest.

Given that both you and your father have experienced similar symptoms when attempting to quit smoking, it may be beneficial to consider a structured smoking cessation program. These programs often provide support, counseling, and sometimes medication to help manage withdrawal symptoms more effectively. Medications such as nicotine replacement therapy (NRT) can help ease the transition by providing a controlled dose of nicotine without the harmful effects of smoking. Other medications may also be prescribed to help manage anxiety and discomfort during the withdrawal phase.

In conclusion, the chest and abdominal pain you are experiencing after quitting smoking is likely due to a combination of nicotine withdrawal, anxiety, and the physiological changes your body is undergoing as it adjusts to life without tobacco. It is essential to seek medical advice if these symptoms persist or worsen, as a healthcare professional can provide tailored support and treatment options to help you through this challenging process. Quitting smoking is a significant step towards better health, and while the journey may be uncomfortable at times, the long-term benefits far outweigh the temporary discomfort.

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