Am I Experiencing Depression or Withdrawal Symptoms from Quitting Smoking? - Family Medicine

Share to:

Could you please tell me if my symptoms are indicative of depression or withdrawal symptoms from quitting smoking?


Hello, doctor.
In early September, during a routine ultrasound examination for fatty liver and gallstones, the doctor mentioned that it seemed like I had a tumor in my kidney.
I became very anxious and worried, which caused discomfort in my stomach (something I rarely experienced before).
I took this opportunity to quit smoking.
Two weeks later, the results of the CT scan confirmed that it was a misinterpretation from the ultrasound, and there is no tumor in my kidney.
However, since then, I have been very concerned about the topic of "cancer" (perhaps because I read many articles linking cancer to smokers), and now I easily become paranoid.
If my stomach feels uncomfortable, I suspect it might be stomach cancer; if I notice fresh blood in my stool (due to hemorrhoids...
it only happened once, and it was quite painful), I worry it could be colon cancer.
Recently, with the weather getting colder, I have a slight sore throat and suspect it might be nasopharyngeal or oral cancer.
It has been a month, and I find myself overthinking everything, which makes my heart race uncomfortably.
What is happening to me? Is this anxiety from quitting smoking or a side effect of eating lighter for weight loss? Or could I be developing depression? My wife says I seem a bit distracted and have become fatigued and negative.
What is wrong with me? By the way, I have been smoking intermittently for about ten years, averaging less than a pack a day (around 15 cigarettes).
I haven't smoked since early September.
Can withdrawal symptoms last this long? I apologize for bothering you...
I am just a worried and fearful person.

Hong, 30~39 year old female. Ask Date: 2012/10/01

Dr. Gao Qingyun reply Family Medicine


Hello, please rest assured and do not worry.
Based on your questions, our recommendation is to seek assistance from a smoking cessation clinic in conjunction with appropriate medications to help you quit smoking, which can increase the success rate of cessation and alleviate withdrawal symptoms.
Additionally, regarding your concerns about tumors, we suggest discussing this in person with a physician, who can conduct a thorough medical history inquiry and physical examination to arrange appropriate tests for accurate diagnosis.
Wishing you safety and health.
Sincerely, Dr.
Gao Qingyun, Department of Family Medicine, Taoyuan Hospital, Health Department.

Reply Date: 2012/10/01

More Info


It sounds like you are going through a challenging time, and I commend you for your decision to quit smoking. Quitting smoking can lead to a variety of withdrawal symptoms, and it’s not uncommon for individuals to experience anxiety, mood swings, and even physical discomfort during this transition.
Based on your description, it seems that you are experiencing a combination of anxiety and withdrawal symptoms. When you quit smoking, your body goes through a significant adjustment period as it reacts to the absence of nicotine, which is a highly addictive substance. Common withdrawal symptoms include irritability, anxiety, difficulty concentrating, sleep disturbances, and physical symptoms such as headaches and gastrointestinal issues. These symptoms can last for several weeks, and in some cases, they may persist for a month or longer, especially if you have been a long-term smoker.

Your heightened anxiety about health issues, particularly cancer, may also be exacerbated by the stress of quitting smoking. It’s not unusual for individuals who have recently quit smoking to become hyper-aware of their health, especially if they have had recent medical scares. This increased vigilance can lead to what is often referred to as "health anxiety," where you may find yourself worrying excessively about potential health problems, even when there is no evidence to support those fears.

The symptoms you describe, such as feeling fatigued, having difficulty concentrating, and experiencing a sense of unease, can also be indicative of depression. It's important to note that anxiety and depression can often coexist, and the stress of quitting smoking can trigger or exacerbate underlying mental health issues. If you find that your mood continues to decline, or if you experience persistent feelings of sadness, hopelessness, or a lack of interest in activities you once enjoyed, it may be beneficial to seek professional help.

In terms of your physical symptoms, such as stomach discomfort and noticing blood in your stool, it’s crucial to consult with a healthcare professional. While it’s understandable to jump to conclusions about serious health conditions, only a medical professional can provide an accurate diagnosis and appropriate care. The fact that you have experienced these symptoms could be related to anxiety, dietary changes, or other benign causes, but it’s essential to rule out any serious conditions.

To summarize, it’s likely that you are experiencing a combination of withdrawal symptoms from quitting smoking and heightened anxiety related to health concerns. This is a common experience for many individuals who quit smoking, especially after a period of significant stress. I encourage you to reach out to a healthcare provider or a mental health professional who can help you navigate these feelings and provide support during this transition. They can also help assess whether you are experiencing symptoms of depression and recommend appropriate treatment options.

Remember, quitting smoking is a significant achievement, and it’s important to take care of your mental and physical health during this process. You are not alone in this journey, and there are resources available to help you through it.

Similar Q&A

Does Quitting Smoking Lead to Depression? Understanding Your Symptoms

Hello Dr. Tang: I have been smoking for 11 years, about a pack a day, but I quit half a month ago because I have been exercising and want to improve my physical fitness. However, since I stopped smoking, I haven't had the urge to sneak a smoke or any cravings, but my mind ha...


Dr. Tang Xinbei reply Smoking Cessation
Dear friend: I am glad that you are willing to start working towards overcoming the dangers of smoking. Of course, at the beginning, there will always be some discomfort testing the determination and willpower of those trying to quit. According to the Diagnostic and Statistical M...

[Read More] Does Quitting Smoking Lead to Depression? Understanding Your Symptoms


Understanding Withdrawal Symptoms When Quitting Smoking: What to Expect

Hello, doctor: I feel uncomfortable when I try to quit smoking. According to the information I found online, withdrawal symptoms include: poor mental state, insomnia, dry mouth, coughing, irritability, restlessness, increased anger, depression, feelings of frustration, diarrhea, ...


Dr. Tang Xinbei reply Smoking Cessation
Dear Xiao Lin, I am very glad that you have decided to quit smoking and that you are encouraging your boyfriend to quit as well. Working together and supporting each other will increase your chances of success! Quitting smoking can lead to withdrawal symptoms primarily caused by...

[Read More] Understanding Withdrawal Symptoms When Quitting Smoking: What to Expect


Understanding Withdrawal Symptoms: Are They the Same for Everyone Quitting Smoking?

Are the withdrawal symptoms the same for every person who quits smoking, or do they vary from individual to individual?


Dr. Chen Houliang reply Smoking Cessation
Hello: Common withdrawal symptoms associated with quitting smoking include insomnia, irritability, anxiety, difficulty concentrating, restlessness, decreased heart rate, low mood, and increased appetite or weight gain. Most individuals will experience at least four of the aforeme...

[Read More] Understanding Withdrawal Symptoms: Are They the Same for Everyone Quitting Smoking?


Understanding Withdrawal: Common Concerns After Quitting Smoking

Hello Director Li: I have been smoking for 22 years and just quit smoking about ten days ago. Recently, I have been feeling anxious, experiencing memory decline, and noticing a trend of weight loss (isn't it usually supposed to increase?). Thank you for your response, doctor...


Dr. Li Fuchun reply Smoking Cessation
I apologize for the delay in responding to your question due to a system issue. The discomfort you mentioned is a typical manifestation of "nicotine withdrawal syndrome." If there are no specific underlying medical issues, nicotine replacement therapy can be used to all...

[Read More] Understanding Withdrawal: Common Concerns After Quitting Smoking


Related FAQ

Withdrawal Symptoms

(Family Medicine)

Smoking Cessation

(Psychiatry)

Smoking Cessation

(Pulmonology)

Smoking Cessation Clinic

(Smoking Cessation)

Smoking Cessation Aids

(Smoking Cessation)

Weight Loss

(Family Medicine)

Breathing

(Family Medicine)

Health Check-Up Report

(Family Medicine)

Insomnia

(Family Medicine)

Weight Loss

(Traditional Chinese Medicine)