Smoking Cessation Challenges and Chest Pain Concerns - Smoking Cessation

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Doctor, I have been trying to quit smoking recently, but every time I finish a meal, I feel a greasy and salty sensation in my mouth, which makes me want to smoke.
I also feel the urge to smoke when I'm under stress or feeling down, so I still can't completely quit, although I've reduced the amount I smoke.
Additionally, I've been experiencing pain in my left chest cavity, especially in the mornings, for over a month now.
It was somewhat better last week, but it has started hurting again in the past few days.
I'm wondering if this could be related to my previous heavy smoking or if it might be chronic bronchitis.
Should I see a pulmonologist or a cardiologist for this issue?

Xiao Qiang, 20~29 year old female. Ask Date: 2002/01/08

Dr. Li Jiawen reply Smoking Cessation


Hello, the desire to smoke when under stress or after meals is a habit you had before quitting smoking, isn't it? Therefore, after quitting, you still encounter these two old issues.
I suggest you brainstorm and think of various methods to replace cigarettes during stressful times or after meals, such as exercising, brushing your teeth, or playing on the computer.
In short, you need to completely dismantle the old habits that trigger your urge to smoke and adopt new habits in your life.
Success is reserved for those who are prepared.
Keep it up! As for the cause of the pain in your left chest, please consult a cardiologist for their opinion.
Wishing you peace and joy.
Sincerely, Dr.
Li Chia-Wen, Director of Family Medicine, Taipei City Hospital.

Reply Date: 2002/01/08

More Info


It’s great to hear that you are making efforts to quit smoking, even if you are facing challenges along the way. Smoking cessation can be a difficult journey, especially for those who have been smoking for many years. The cravings you experience after meals or during stressful times are common among individuals trying to quit smoking. Nicotine addiction creates a strong psychological and physical dependence, making it hard to resist the urge to smoke, particularly in situations that trigger cravings.

When it comes to your left chest pain, it’s important to take this symptom seriously. Chest pain can arise from various causes, and while it may be related to smoking, it could also indicate other health issues. Chronic bronchitis, which is a common condition among smokers, can lead to symptoms such as chest tightness, coughing, and phlegm production. However, chest pain can also be associated with heart conditions, especially if it occurs frequently or is accompanied by other symptoms like shortness of breath, dizziness, or radiating pain to the arm or jaw.

Given that you have been experiencing this pain for over a month, it would be prudent to seek medical attention. You should consider visiting a healthcare provider who specializes in pulmonary medicine (chest medicine) or a general practitioner who can evaluate your symptoms. They may conduct a physical examination, take a detailed medical history, and possibly order imaging studies such as a chest X-ray or CT scan to assess your lung health. If there are any concerns regarding your heart, they may refer you to a cardiologist for further evaluation.

In terms of managing your smoking cessation, here are some strategies that may help you cope with cravings and improve your chances of quitting successfully:
1. Identify Triggers: Keep a journal to track when your cravings occur and what situations trigger them. This can help you develop strategies to avoid or cope with these triggers.

2. Substitute Activities: Find alternative activities to engage in when you feel the urge to smoke. This could include chewing gum, drinking water, or engaging in a hobby that keeps your hands busy.

3. Mindfulness and Relaxation Techniques: Practice mindfulness, meditation, or deep-breathing exercises to help manage stress and anxiety. These techniques can help you cope with the emotional aspects of quitting smoking.

4. Seek Support: Consider joining a support group or seeking counseling. Sharing your experiences with others who are also trying to quit can provide encouragement and motivation.

5. Nicotine Replacement Therapy (NRT): If you haven’t already, discuss with your healthcare provider the possibility of using nicotine replacement products such as patches, gum, or lozenges. These can help reduce withdrawal symptoms and cravings.

6. Professional Help: If you continue to struggle with quitting, consider seeking help from a smoking cessation program or a healthcare provider who specializes in addiction medicine. They can provide tailored support and may prescribe medications that can assist in the quitting process.

Remember, quitting smoking is a process that often involves setbacks. It’s important to be patient with yourself and recognize that each attempt brings you closer to your goal. Your health is worth the effort, and taking proactive steps to address both your smoking cessation and chest pain concerns is crucial for your overall well-being.

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