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.
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