Smoking Cessation: Symptoms, Risks, and Health Checks - Smoking Cessation

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Examination, withdrawal symptoms?


I have been smoking for over 8 years (almost 9 years), starting at the age of 13 and quitting for a year and a half.
I read online that some people quit smoking without any withdrawal symptoms, but it could be a precursor to cancer.
I would like to ask: 1.
I did not experience withdrawal symptoms when I quit smoking (only had 1 or 2 dreams about smoking and then regretted it).
Does this count? At my age, could this be a precursor to cancer? 2.
I read that smoking under the age of 15 causes damage three times greater than that of smokers aged 18 and above.
I calculated my smoking index (400 is high risk), and mine is 120-130 (is this considered medium or low risk?).
However, if I account for my age when I started smoking, my smoking index should be multiplied by three, making it 360-390, right? Should I start getting low-dose CT scans and X-rays every year? Thank you.

david li, 20~29 year old female. Ask Date: 2017/09/09

Dr. Liu Yanxing reply Smoking Cessation


Quitting smoking for a year and a half is quite an achievement; please continue.
As for the lack of withdrawal symptoms and its relation to cancer, there's no need to worry too much.
If you're still concerned, please schedule regular check-ups with a pulmonologist.

Reply Date: 2017/09/09

More Info


Understanding smoking cessation is crucial, especially for someone with your experience of nearly nine years of smoking. It’s commendable that you are taking the initiative to learn more about the health implications of smoking and the process of quitting. Let's address your questions and concerns regarding smoking cessation, withdrawal symptoms, and health risks.

1. Withdrawal Symptoms and Cancer Risks: It’s not uncommon for some individuals to experience minimal or no withdrawal symptoms when quitting smoking. Withdrawal symptoms can vary widely among individuals and may include irritability, anxiety, cravings, and sleep disturbances. Dreaming about smoking, as you described, can be a psychological response rather than a physical withdrawal symptom. It’s important to note that the absence of withdrawal symptoms does not necessarily indicate that you are at a higher risk for cancer. Cancer development is influenced by various factors, including genetics, overall health, and lifestyle choices. While smoking is a significant risk factor for many types of cancer, particularly lung cancer, it does not mean that every smoker will develop cancer. Your age and the duration of your smoking habit are important, but they are just parts of a larger picture.

2. Smoking Index and Health Risks: The smoking index you mentioned (120-130) indicates a moderate risk level. If you are calculating your index based on the assumption that your risk is tripled due to starting smoking at a young age, you would indeed arrive at a higher number (360-390). However, it’s essential to understand that these indices are not definitive predictors of health outcomes but rather tools to assess risk. The best course of action is to quit smoking entirely, as this significantly reduces your risk of developing smoking-related diseases over time.

Regarding your concern about needing annual low-dose CT scans or X-rays, it’s advisable to consult with a healthcare professional who can assess your individual risk factors and recommend appropriate screenings. Generally, low-dose CT scans are recommended for individuals who have a higher risk of lung cancer, such as those with a long history of heavy smoking. Since you have quit smoking for a year and a half, your risk may be lower than that of someone who continues to smoke.

Health Checks and Monitoring: After quitting smoking, it’s beneficial to monitor your health regularly. Here are some recommended health checks:
- Regular Check-ups: Schedule annual check-ups with your healthcare provider to monitor your overall health.

- Lung Function Tests: These can help assess how well your lungs are functioning and detect any early signs of respiratory issues.

- Cancer Screenings: Depending on your risk factors, your doctor may recommend specific screenings, including low-dose CT scans for lung cancer, especially if you have a significant smoking history.

Conclusion: Quitting smoking is one of the best decisions you can make for your health. While it’s natural to have concerns about withdrawal symptoms and cancer risks, focusing on maintaining a smoke-free lifestyle is crucial. If you have any lingering concerns about your health or specific symptoms, don’t hesitate to reach out to a healthcare professional for personalized advice and support. Remember, the journey to better health is ongoing, and you are already on the right path by seeking knowledge and taking action.

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