Common Questions About Quitting Smoking and Lung Health - Smoking Cessation

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Questions related to smoking cessation?


Hello, Doctor: I have been smoking intermittently for about 10 years (around 10 cigarettes a day).
A month ago, I made the decision to quit smoking.
However, after researching online, I realized the significant harm smoking causes to the body, and I regret having smoked in the past.
Recently, I've been very worried about whether I might develop lung cancer, to the point where I can't sleep and my mind is racing with thoughts.
I'm feeling anxious, so I would like to ask you the following questions:
1.
From your professional perspective, do you think I have a high chance of having lung cancer? (I do not have a cough, phlegm, or any other obvious symptoms.)

2.
I have been jogging early in the morning for the past month, and in the last couple of days, after jogging, I noticed that when I clear my throat, the phlegm is clear with white foam, and there are some particles that look dirty.
Is that toxins being expelled? Is this normal?
3.
I read online that the toxins accumulated in the lungs from previous smoking do not get expelled.
Is this true?
4.
Recently, I have been so anxious about possibly having cancer that I have become neurotic, constantly checking my mouth and throat for abnormalities, examining my phlegm for any irregularities, and inspecting my stool for any signs of issues...
I feel really exhausted and down.
Is this related to withdrawal symptoms from quitting smoking?

Xiao Ke, 30~39 year old female. Ask Date: 2012/10/05

Dr. Cai Fushun reply Smoking Cessation


Smokers have a cancer risk that is 2 to 20 times higher than non-smokers, and the general population also has a possibility of developing cancer.
Statistical data shows that after quitting smoking for 20 years, the cancer risk gradually decreases to about twice that of non-smokers.
A single cigarette contains over 4,700 substances, and long-term smokers' bodies become accustomed to these components.
Therefore, initial withdrawal may lead to symptoms such as anxiety, depression, insomnia, and tension.
If these symptoms can be overcome, successful cessation of smoking is achievable.
It is recommended to visit a nearby hospital's smoking cessation clinic, where professional physicians and health educators can assist you in overcoming these symptoms.
Wishing you success!

Reply Date: 2012/10/05

More Info


Dear Friend,
It's great to hear that you've made the decision to quit smoking after ten years of smoking about ten cigarettes a day. This is a significant step towards improving your health, and I commend you for it. Let's address your concerns one by one.

1. Risk of Lung Cancer: While smoking is a major risk factor for lung cancer, the absence of symptoms such as persistent cough, phlegm, or other noticeable discomforts is a positive sign. The risk of developing lung cancer increases with the duration and intensity of smoking, but it does not mean that every smoker will develop cancer. It's essential to remember that many factors contribute to cancer risk, including genetics, environmental exposures, and overall health. Since you have quit smoking, your body will begin to heal, and your risk of lung cancer will decrease over time. Regular check-ups with your healthcare provider can help monitor your lung health.

2. Phlegm After Running: The clear and white foamy phlegm you are experiencing after running could be a normal response as your lungs begin to clear out mucus and other irritants accumulated from smoking. When you exercise, your respiratory system works harder, which can stimulate the clearing of mucus. The "dirty" appearance may be due to the presence of particles that your body is expelling. This process is part of your lungs' natural healing mechanism, and while it may seem concerning, it is often a sign that your body is working to recover from the effects of smoking.

3. Toxins in the Lungs: It is true that when you smoke, harmful substances accumulate in your lungs. However, your body has a remarkable ability to heal itself once you stop smoking. The cilia (tiny hair-like structures in your lungs) begin to function better, helping to clear out mucus and toxins. While some toxins may remain for a while, many will gradually be expelled from your body over time. Staying hydrated and maintaining an active lifestyle can support this detoxification process.

4. Anxiety and Withdrawal Symptoms: Your feelings of anxiety and the obsessive checking of your body for signs of illness are not uncommon among those who quit smoking. Nicotine addiction can lead to withdrawal symptoms, which may include anxiety, irritability, and changes in mood. These feelings can be exacerbated by the stress of worrying about potential health issues. It’s important to find healthy coping mechanisms, such as engaging in physical activity, practicing mindfulness or relaxation techniques, and seeking support from friends, family, or professional counseling if needed.
In summary, while your past smoking history does carry some risk, your current actions—quitting smoking and engaging in regular exercise—are powerful steps toward reducing that risk. It's normal to feel anxious during this transition, but with time and support, these feelings can diminish. If your anxiety continues to interfere with your daily life, consider speaking with a healthcare professional who can provide guidance and support tailored to your needs.

Take care of yourself, and remember that you are on a positive path toward better health!
Best wishes,
Doctor Q&A Teams

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