Sleep Disruptions and Health Concerns After Quitting Smoking - Cardiology

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After quitting smoking, I experienced a relapse with episodes of waking up due to breathing cessation?


I visited a doctor at the hospital who suggested that I might have hyperthyroidism because I experience heat and dizziness in the back of my head after being awake for 16 hours, making it difficult to lie down.
Additionally, I often feel a lot of heat in the back of my neck.
However, since I quit smoking, eat out infrequently, avoid bread, and have improved my daily routine, the heat has become much more manageable.
I also wear earplugs to avoid anxiety from dog barking, and since quitting smoking, I bought a thermometer to check my temperature when I feel heat in my head and neck, which only reads 36.1 degrees Celsius.
Although I no longer experience dizziness and the heat is now within an acceptable range, I still feel that the initial discomfort was more severe than just 36.1 degrees, but I did not record it at that time.
I notice that consuming salty foods definitely causes me to feel hot, and most processed foods lead to a similar reaction.
Eating out in moderation causes slight discomfort, but when I cook at home, such as boiling meat with a bit of sesame oil, I have no issues.
However, eating grilled salmon makes it difficult for me to sleep at night, possibly related to my emotional state before bed.
On days when I am awake for nearly 16 hours, I often experience multiple episodes of interrupted breathing while trying to sleep, leading to a racing heart.
I previously thought this was due to smoking too much, but I have not smoked for several days due to the dizziness and heat in the back of my head, and yet the symptoms have recurred, which worries me.
When I was close to quitting smoking, I only smoked one or two cigarettes a day, but now, after several days of not smoking, the symptoms have returned.
The only unusual thing I did that day was have grass jelly and garlic bread for dinner, which might be related to my low water intake of about 1.6 liters (I calculated that I only need 1.8 liters due to my slim build).
I haven't eaten out in a long time and have been cooking for myself because eating out clearly makes me uncomfortable.
Additionally, regarding my sleep, I usually take about an hour to fall asleep and often experience mental exhaustion before bed, relying on listening to bedtime stories to help me sleep.
I have also been trying to force myself to yawn through meditation, as I forgot how to yawn for about six months.
One day, after staying up for over a day, I could no longer feel sleepy.
Before my symptoms began, I loved eating salty popcorn, and when I felt hungry before bed, it made me uncomfortable.
Now, I can no longer eat processed foods; waking up after sleep leads to severe dizziness, and consuming them causes immediate heat in the back of my head.
Eating out causes a similar reaction, but it’s not as severe—just heat in the back of my head.
If I don’t force myself to sleep, I will keep waking up, but I managed to resolve this by listening to stories.
Initially, I would wake up after 3-4 hours of sleep, but after taking traditional Chinese medicine, I can now sleep for 7 hours (I read online that I need 8 hours of sleep for my age).
I used to be able to sleep for 9 hours, but my neighbors walking their dogs 24/7 made it difficult for me to fall asleep.
Since I started using earplugs recently, I have been able to sleep well.
Could this be cancer? I found online that these might be signs of cancer.

Niming, 20~29 year old female. Ask Date: 2023/01/16

Dr. He Dongjin reply Cardiology


Hello, you may want to consult a psychosomatic specialist.
There is no correlation between autonomic nervous system disorders and cancer.
Ping An Changhua Hospital cares about you.

Reply Date: 2023/01/16

More Info


Quitting smoking can lead to a variety of physical and psychological changes, including sleep disturbances, which can be particularly concerning for individuals who have been heavy smokers for an extended period. Your experience of insomnia, feelings of heat in the back of your head, and other symptoms may be related to the withdrawal process from nicotine, as well as other underlying health issues.

When someone quits smoking, they often experience withdrawal symptoms due to the absence of nicotine, which can include irritability, anxiety, and sleep disturbances. Nicotine is a stimulant that affects the central nervous system, and its absence can lead to a rebound effect, causing increased fatigue and difficulty sleeping. This is particularly true in the early days of quitting, as the body adjusts to the lack of nicotine. It's common for individuals to experience insomnia or fragmented sleep during this period, which can last for several weeks.

In your case, you mentioned that you have been experiencing sensations of heat in the back of your head and dizziness, which could be related to several factors. While it’s understandable to be concerned about serious conditions like cancer, it's essential to consider other possibilities first. For instance, hyperthyroidism (as you mentioned you might have) can cause symptoms such as increased heart rate, heat intolerance, and anxiety, which could contribute to your sleep issues. It’s crucial to follow up with your healthcare provider to evaluate your thyroid function and rule out any endocrine disorders.

Additionally, you noted that certain foods, particularly processed ones, seem to exacerbate your symptoms. This could indicate a sensitivity or intolerance to specific ingredients, which can also affect your overall well-being and sleep quality. Maintaining a balanced diet and avoiding processed foods may help alleviate some of these symptoms. Staying hydrated is also essential, as dehydration can lead to dizziness and fatigue.

Regarding your sleep issues, it’s good to hear that you have found some strategies, such as using earplugs to block out noise and listening to bedtime stories to help you relax. Establishing a calming bedtime routine can significantly improve sleep quality. Techniques such as mindfulness meditation, deep breathing exercises, or gentle stretching before bed can also promote relaxation and help ease the transition into sleep.

If you find that your sleep disturbances persist or worsen, it may be beneficial to consult a sleep specialist. They can conduct a thorough evaluation, which may include a sleep study, to determine if there are underlying sleep disorders, such as sleep apnea, that could be contributing to your symptoms. Sleep apnea, in particular, can cause fragmented sleep and lead to feelings of exhaustion during the day.

In summary, while your symptoms are understandably concerning, they may not necessarily indicate a severe condition like cancer. The withdrawal from nicotine, potential thyroid issues, dietary sensitivities, and sleep hygiene practices all play significant roles in your current state. It’s essential to continue working with your healthcare provider to address these concerns comprehensively. Quitting smoking is a significant step towards better health, and with the right support and strategies, you can navigate this challenging period successfully.

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