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Coughing after quitting smoking: What's the deal?

By Mayo Clinic staff

Original Article:  http://www.mayoclinic.com/health/quit-smoking/AN01787
  • With Mayo Clinic internist and director of the Nicotine Dependence Center

    Richard D. Hurt, M.D.

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Question

Coughing after quitting smoking: What's the deal?

I quit smoking six weeks ago, but now I'm coughing a lot — which didn't happen when I was smoking. What's going on?

Answer

from Richard D. Hurt, M.D.

Although it's not common, some people seem to cough more than usual soon after stopping smoking. The cough is usually temporary and might actually be a sign that your body is starting to heal.

Tobacco smoke slows the normal movement of the microscopic hairs (cilia) that line your lungs. When you stop smoking, the cilia become active again. As the cilia recover and the mucus is cleared from your lungs, you might cough more than usual — perhaps for several weeks.

In the meantime, you can speed the process by staying well hydrated. Drink plenty of fluids, such as water and juice. You might also increase the humidity in the air with a humidifier or vaporizer.

Consult your doctor if the coughing lasts more than a month or you cough blood.

Next question
Quit smoking, gain weight: Is it inevitable?
References
  1. Rigotti NA, et al. Benefits and risks of smoking cessation. http://www.uptodate.com/home. Accessed Dec. 19, 2012.
  2. Warner DO, et al. Cough following initiation of smoking abstinence. Nicotine and Tobacco Research. 2007;9:1207.
  3. Gratziou C. Respiratory, cardiovascular and other physiological consequences of smoking cessation. Current Medical Research and Opinion. 2009;25:535.
  4. Cough. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/cough/cough_all.html. Accessed Dec. 19, 2012.
  5. Silvestri RC, et al. Evaluation of subacute and chronic cough in adults. http://www.uptodate.com/home. Accessed Dec. 19, 2012.
  6. Hurt RD (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 2, 2013.
AN01787 Feb. 13, 2013

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