Concerns About Chest Discomfort After Years of Smoking: A Guide

Q: Concerns About Chest Discomfort After Years of Smoking: A Guide

Hello： 1. <br>I haven't heard of any issues with drug resistance; most cases are due to individual and environmental factors that make it difficult to adhere to treatment. <br>2. <br>If you experience deep headaches when coughing or straining, you should consult a neurologist. <b

I have been smoking for about 10 years and would like to have my chest examined due to discomfort?

Hello, Doctor.
I am currently 24 years old and have been smoking since middle school.
I have tried using Champix (varenicline) to quit smoking multiple times, but I ended up relapsing due to emotional issues.
I have some physical discomfort and questions I would like to ask you.
Thank you for your assistance!
1.
Will using Champix back and forth to quit smoking lead to drug resistance, ultimately rendering it ineffective?
2.
In recent years, I have often felt the urge to cough when smoking, and I experience pain near the brainstem.
Should I get this checked?
3.
If I want to see a pulmonologist to check the condition of my lungs, are there any out-of-pocket medical devices available for examination?
Thank you, Doctor, for your patience in reading and responding!

Niming, 20~29 year old female. Ask Date: 2021/07/01

Dr. Yang Wenda reply Pulmonology

Hello: 1.
I haven't heard of any issues with drug resistance; most cases are due to individual and environmental factors that make it difficult to adhere to treatment.
2.
If you experience deep headaches when coughing or straining, you should consult a neurologist.
3.
For early lung cancer screening, you can opt for low-dose screening at your own expense; however, given your age, you are not considered a high-risk group.
Quitting smoking completely is essential to alleviate concerns about lung health.

Reply Date: 2021/07/01

More Info

Dear patient,
Thank you for reaching out with your concerns regarding your smoking history and current health issues. It's commendable that you are seeking help and considering the impact of smoking on your health. Let's address your questions one by one.

1. Concerns about the effectiveness of smoking cessation medications like Chantix (戒必適): It is possible for individuals to develop a tolerance to certain medications over time, which may reduce their effectiveness. However, this is not universally the case for all patients. The effectiveness of smoking cessation aids can vary based on individual factors, including the duration of use, dosage, and personal health conditions. If you find that Chantix is becoming less effective for you, it may be beneficial to discuss this with your healthcare provider. They can help evaluate your situation and may suggest alternative medications or strategies to support your cessation efforts.

2. Symptoms of cough and head pain: Experiencing a persistent cough and pain in the head, particularly around the brainstem area, warrants further investigation. Chronic cough can be a common symptom among smokers and may indicate underlying respiratory issues, such as chronic bronchitis or even early signs of chronic obstructive pulmonary disease (COPD). The pain you describe could be related to tension or other factors, but given your smoking history, it is essential to rule out any serious conditions. I recommend scheduling an appointment with a healthcare provider for a thorough evaluation, which may include imaging studies or pulmonary function tests to assess your lung health.

3. Chest and lung examinations: If you are considering a visit to a pulmonologist (胸腔科) to assess your lung health, there are several diagnostic tests available. Common tests include chest X-rays, CT scans, and pulmonary function tests (spirometry). While some of these tests may be covered by insurance, others may require out-of-pocket expenses, depending on your insurance plan. It’s best to contact the clinic beforehand to inquire about the costs associated with specific tests. Additionally, discussing your symptoms and concerns with the pulmonologist will help them determine the most appropriate tests for your situation.

In summary, your health concerns are valid, especially given your history of smoking. It is crucial to take these symptoms seriously and seek professional medical advice. Smoking can lead to various health issues, and early intervention can make a significant difference in your overall health outcomes. Remember, quitting smoking is a journey that often requires multiple attempts and support, so don’t hesitate to reach out for help from healthcare professionals who can guide you through this process.

Wishing you the best on your path to recovery and improved health. Please take care of yourself and seek medical attention as needed.

Best regards.

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