Chest Pain After Quitting Smoking: Is It Normal?

Chest pain

Hello, doctor.
I quit smoking about three months ago.
Shortly after quitting, I caught a cold and started coughing, which caused chest pain.
The coughing has since stopped, but the chest pain persists and seems to radiate around.
However, the pain is not severe; it's more of a dull ache that lasts no longer than five minutes.
Additionally, I've noticed an increase in anxiety and tension, and sometimes I feel so anxious that I have difficulty breathing and experience a sense of breathlessness.
Is this normal?
To provide more context: I am 188 cm tall and weigh 100 kg.
I am a carrier of hepatitis B.
In December, I underwent tests at the county hospital, including thyroid function tests, kidney function tests, liver function tests, a chest X-ray, a 24-hour Holter monitor, and an electrocardiogram (ECG).
In January, I had an echocardiogram, a chest X-ray, liver function tests, and an ECG at National Taiwan University Hospital.
On March 1st, I had another chest X-ray, arterial blood gas analysis, an ECG, and thyroid tests at Maokong Hospital.
My liver function is abnormal, being twice that of a normal person, but I am on medication (Poulican) to manage it.
My heart is slightly enlarged, but doctors at both National Taiwan University and Maokong have stated that given my physique, my heart is likely to be different from that of an average person, which is considered normal.

gentleman, 20~29 year old female. Ask Date: 2003/04/21

Dr. Ke Zhengchang reply Smoking Cessation

It is recommended to visit the pulmonary medicine clinic for pulmonary function tests and treatment (typically, the use of bronchodilators will provide improvement).

Reply Date: 2003/04/21

More Info

It's great to hear that you've made the decision to quit smoking, as this is a significant step towards improving your overall health. However, it's not uncommon to experience various symptoms after quitting, including chest pain, anxiety, and difficulty breathing. Let's break down your concerns.

Firstly, chest pain after quitting smoking can be a common experience. When you stop smoking, your body begins to heal, and this process can lead to various physical sensations, including discomfort in the chest area. This pain can sometimes feel like it radiates or shifts, which may be related to muscle tension or anxiety rather than a serious medical issue. It's important to note that while some discomfort is normal, persistent or severe pain should always be evaluated by a healthcare professional.

The anxiety and feelings of tightness in your chest that you are experiencing can also be linked to the withdrawal process. Nicotine affects the brain's chemistry, and when you stop using it, your body may react with increased anxiety, irritability, and even panic attacks. These symptoms can lead to hyperventilation, which may make you feel like you are struggling to breathe. Practicing relaxation techniques, such as deep breathing exercises, mindfulness, or yoga, can help manage these feelings.

Given your medical history, including being a carrier of hepatitis B and having undergone various tests for your heart and lungs, it's reassuring that you have been proactive about your health. The fact that your doctors have evaluated your heart and lung function and found no immediate concerns is a positive sign. However, if your symptoms persist or worsen, it would be wise to follow up with your healthcare provider for further evaluation.

Regarding your liver function, it's essential to continue monitoring this, especially since you mentioned it is elevated. Medications like Poulican can help manage liver health, but regular check-ups are crucial to ensure that your liver remains stable.

In summary, while the symptoms you are experiencing after quitting smoking can be distressing, they are often part of the withdrawal process and the body's adjustment to a smoke-free life. It is essential to stay in touch with your healthcare provider, especially if you have ongoing concerns about your chest pain or any other symptoms. They can provide you with the best guidance tailored to your specific health needs. Remember, quitting smoking is a journey, and it's important to be patient with yourself as your body heals.

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