the Long-Term Effects of Cigar Smoking on Lung Health - Pulmonology

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Tobacco Issues


Hello, Doctor.
I would like to ask you something.
About a year ago, due to my lack of understanding, I bought a pack of small cigars from a convenience store.
I smoked them like cigarettes, inhaling into my lungs, and each time I would smoke one by one.
There was one occasion when I smoked two in a row, and after one and a half cigars, I felt dizzy and nauseous, which made me stop.
Since that incident, I have quit smoking.
However, during that time, I sometimes experienced difficulty breathing at night, feeling like I couldn't get enough air.
This symptom was intermittent, initially occurring about once every week or two, and later decreasing to about once every few months.
The last time I experienced this was about four months ago.
At that time, I thought it was due to having contracted COVID-19, but later, while chatting with friends, I realized it might be related to inhaling the cigars, as they are not meant to be inhaled.
I haven't smoked since that last time, which was a year and a half ago.
I am concerned about whether this could cause irreversible damage.
If not, is there a way to help my lungs gradually become healthier or how to take care of them? Thank you, Doctor, for your hard work.
🙏

Mr. Zhang, 20~29 year old female. Ask Date: 2023/12/27

Dr. Cai Zongwei reply Pulmonology


Hello: The notion that "cigars are harmless if not inhaled" is an internet myth.
Keeping it in the mouth creates an illusion (as the thoracic movement generates negative pressure, causing inhalation through the mouth and nose, which will inevitably lead to some degree of entry into the lungs; even if most remains in the oral cavity, it can still be absorbed through the mucous membranes).
If you experience difficulty breathing, please seek medical attention to investigate the cause (examine the heart, lungs, blood, or other related areas).
For accurate information, please refer to the National Health Service website: https://health99.hpa.gov.tw/news/15677

Reply Date: 2023/12/27

More Info


Cigar smoking, like cigarette smoking, can have significant long-term effects on lung health, even if the individual has since quit. The inhalation of smoke from cigars exposes the lungs to a variety of harmful substances, including nicotine, tar, carbon monoxide, and numerous carcinogens. While you mentioned that you stopped smoking a year and a half ago, it’s important to understand the potential consequences of your past smoking habits and what you can do to support your lung health moving forward.


Understanding the Effects of Cigar Smoking
1. Respiratory Issues: Cigar smoke is often denser than cigarette smoke, and it can lead to chronic respiratory problems. Even if you did not smoke cigars regularly, the acute exposure you experienced could have caused temporary inflammation and irritation in your airways. This might explain the episodes of breathlessness you experienced after quitting. The lungs can take time to heal after exposure to smoke, and symptoms like shortness of breath can occur as your body adjusts.

2. Lung Function: Long-term smoking can lead to decreased lung function, which may manifest as chronic obstructive pulmonary disease (COPD) or other respiratory conditions. While you may have experienced some symptoms, the fact that they have become less frequent over time is a positive sign. The lungs are resilient, and many individuals notice improvements in lung function after quitting smoking, although some damage may be irreversible.

3. Cancer Risk: Cigar smoking is associated with an increased risk of lung cancer, as well as cancers of the mouth, throat, and esophagus. The risk is dose-dependent, meaning that the more you smoke, the higher your risk. However, quitting smoking significantly reduces this risk over time.


Steps to Support Lung Health Post-Smoking
1. Regular Exercise: Engaging in regular physical activity, such as cycling, can help improve lung capacity and overall cardiovascular health. Exercise encourages better circulation and can help your lungs function more efficiently. Aim for at least 150 minutes of moderate aerobic activity each week.

2. Healthy Diet: A nutritious diet rich in antioxidants can support lung health. Foods high in vitamins C and E, such as fruits and vegetables, can help combat oxidative stress caused by smoking. Incorporate foods like berries, citrus fruits, leafy greens, nuts, and seeds into your meals.

3. Stay Hydrated: Drinking plenty of water helps keep the mucous membranes in your lungs moist, which can aid in the clearance of mucus and other irritants.

4. Avoid Pollutants: Minimize exposure to secondhand smoke, air pollution, and other environmental toxins. If you live in an area with poor air quality, consider using an air purifier in your home.

5. Breathing Exercises: Techniques such as diaphragmatic breathing or pursed-lip breathing can help improve lung function and increase oxygen intake. These exercises can be particularly beneficial if you experience shortness of breath.

6. Regular Check-ups: Schedule regular visits with your healthcare provider to monitor your lung health. They may recommend pulmonary function tests to assess your lung capacity and function.

7. Consider Professional Help: If you continue to experience breathing difficulties or have concerns about your lung health, consider consulting a pulmonologist. They can provide specialized care and may suggest treatments or therapies to improve your lung function.


Conclusion
While the effects of your past cigar smoking may linger, the fact that you have quit is a significant step toward improving your lung health. The body has an incredible ability to heal, and with time, proper care, and lifestyle changes, you can support your lungs in recovering from the damage caused by smoking. Stay proactive about your health, and don’t hesitate to seek medical advice if you have ongoing concerns.

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