Category: Uncategorized

  • My partner smokes

    My partner smokes

    Living with a partner who smokes often creates tension between concern and respect for personal choice. Pressuring or blaming rarely works, as smoking is tied to routine, identity, and dependence. Productive conversations start with empathy, good timing, and listening, focusing on shared concerns rather than accusations. Lasting change depends on the smoker’s own motivation, supported by patience and mutual understanding. Above all, smoking is an addiction, not a simple habit, and successful quitting often requires support from a health professional as well as encouragement from a partner.

    Living with someone who smokes can be complicated. It is rarely just about the smell of tobacco or the smoke lingering in the air. It often touches deeper concerns: health, shared space, future plans, and sometimes fear. Many people find themselves caught between the desire to protect their loved one and the risk of turning every conversation into a source of tension.

    Resistance to change is a natural human reaction, and smoking is no exception. For many smokers, cigarettes are tied to routine, stress relief, social moments, and identity. Asking someone to quit can feel, to them, like an attack on personal freedom or a denial of comfort in an already demanding world. This is why pressure, ultimatums, or repeated reproaches so often backfire. They may provoke defensiveness, silence, or even increased smoking.

    Starting a conversation requires timing and tone more than arguments. Choosing a calm moment, away from conflict, makes a difference. Speaking from personal feelings rather than accusations helps keep the discussion open. Saying “I’m worried about your health” or “I find it hard to live with smoke at home” invites dialogue, while blame tends to shut it down. Listening matters as much as speaking. Many smokers are already aware of the risks and feel trapped between guilt and dependence.

    Effective approaches are rarely dramatic. Small, realistic steps are often better accepted than grand demands. Agreeing on smoke-free spaces, acknowledging attempts to cut down, or simply recognizing how difficult quitting can be can shift the dynamic from confrontation to cooperation. Change is more likely when the smoker feels respected rather than judged.

    At the heart of lasting change is inner motivation. No one quits smoking successfully just to please someone else, at least not for long. The decision has to come from within. A partner can help by gently encouraging reflection: What does smoking bring? What does it take away? How might life look without it? These questions open doors without forcing answers.

    Mutual support plays a crucial role. Quitting smoking is not a solitary act; it affects daily routines, moods, and relationships. When partners face it together, the burden is lighter. Support may mean patience during irritability, celebrating progress rather than perfection, or adjusting shared habits that trigger smoking. It also means acknowledging that setbacks happen and do not equal failure.

    Perhaps the most important point is often overlooked: smoking is not just a habit, it is an addiction. Nicotine changes the brain, creates dependence, and makes quitting far more complex than simple willpower. Treating nicotine addiction as a medical issue rather than a moral weakness changes the conversation. Health professionals are trained to help, with counseling, medications, and strategies that significantly improve the chances of success.

    Loving someone who smokes can be frustrating, worrying, and at times exhausting. Yet approaching the issue with empathy, patience, and realism can transform conflict into collaboration. When smoking is understood as an addiction and quitting as a process that deserves support and professional care, the path forward becomes clearer, and more hopeful, for both partners.


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  • Angina pectoris

    Angina pectoris

    Angina pectoris is chest pain caused by reduced blood flow to the heart, most often due to narrowed coronary arteries. Smoking is a major cause and greatly worsens prognosis. With proper treatment and, above all, quitting smoking, symptoms can be controlled and the risk of heart attack and early death can be significantly reduced.

    Angina pectoris is often described as a warning signal from the heart. It is not a heart attack, but it is closely linked to the same disease process and should never be ignored. The term refers to chest pain or discomfort caused by reduced blood flow to the heart muscle, most commonly as a result of narrowed coronary arteries.

    Angina is widespread, particularly in countries with aging populations. Millions of people worldwide live with this condition, and it is more common after the age of 50. Men are affected earlier in life, while women tend to develop symptoms later, often after menopause. Despite advances in prevention and treatment, angina remains a major contributor to disability and healthcare use because it signals underlying coronary artery disease, one of the leading causes of death globally.

    The root cause of angina is usually atherosclerosis, a gradual buildup of fatty deposits inside the arteries that supply the heart. Smoking plays a central role in this process. Chemicals in tobacco smoke damage the lining of blood vessels, promote inflammation, and accelerate plaque formation, while also increasing the tendency of blood to clot. High blood pressure, elevated cholesterol, diabetes, physical inactivity, and chronic stress further increase the strain on the heart. When the heart muscle needs more oxygen, such as during physical exertion or emotional stress, narrowed arteries may not be able to deliver enough blood, triggering pain.

    Prevention begins with addressing these risk factors, and quitting smoking stands out as the single most powerful step. Stopping smoking improves blood vessel function and reduces the risk of progression to heart attack. Regular physical activity, a balanced diet low in saturated fats and salt, weight control, and effective management of blood pressure and diabetes all contribute to protecting the heart. For people with angina, these measures are not optional lifestyle advice but an essential part of treatment.

    The symptoms of angina are often described as pressure, tightness, or a squeezing sensation in the chest, sometimes spreading to the arms, neck, jaw, or back. Shortness of breath, nausea, sweating, or unusual fatigue may accompany the pain. In many cases, symptoms appear predictably with effort and ease with rest. However, angina can sometimes be less typical, particularly in women and people with diabetes, which can delay recognition and diagnosis.

    Doctors diagnose angina by combining a careful clinical history with tests that assess how the heart functions under stress. An electrocardiogram may show changes during pain or exercise, while imaging tests can reveal areas of the heart that receive too little blood. In some cases, coronary angiography is needed to directly visualize narrowed arteries and guide treatment decisions.

    The outlook for people with angina varies. Stable angina, when symptoms are predictable and well controlled, can often be managed for many years. However, angina also signals a higher risk of heart attack, heart failure, and sudden cardiac death, especially if risk factors such as smoking persist. Without proper treatment and lifestyle changes, the disease tends to progress as arterial narrowing worsens over time.

    Treatment aims to relieve symptoms, improve quality of life, and reduce the risk of serious complications. Medications can lower the heart’s oxygen demand, improve blood flow, and prevent clot formation. In more severe cases, procedures to open or bypass blocked arteries may be necessary. Yet even the most advanced treatments cannot fully counteract the harm caused by continued smoking. Patients who quit smoking after an angina diagnosis significantly reduce their risk of heart attack and death.

    Survival rates for people with angina have improved markedly with modern care, but they depend heavily on individual choices. Those who stop smoking, adhere to treatment, and manage other risk factors can expect a near-normal life expectancy in many cases. By contrast, continued tobacco use sharply worsens outcomes, making angina not just a medical condition but a powerful reminder that quitting smoking is a decisive step toward protecting the heart and prolonging life.


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  • Laryngeal cancer

    Laryngeal cancer

    Laryngeal cancer affects the voice box and is most often caused by smoking and heavy alcohol use. Persistent hoarseness is the most common early sign, along with throat discomfort or difficulty swallowing. When detected early, the disease is highly treatable and survival rates are high; outcomes are poorer when diagnosis is delayed. Prevention through avoiding tobacco and excessive alcohol, and prompt medical attention for lasting voice changes, are key to saving lives.

    Laryngeal cancer affects a vital organ: the larynx, often called the voice box. Located at the top of the windpipe, the larynx plays a central role in breathing, speaking, and swallowing. When cancer develops there, it can profoundly alter daily life, sometimes in ways that are both visible and audible.

    Laryngeal cancer is far more common in men than in women, a difference that largely reflects patterns of tobacco and alcohol use. The disease is usually diagnosed after the age of 50, though cases in younger people are not unheard of.

    The causes of laryngeal cancer are well established. Tobacco is by far the leading risk factor. Cigarettes, cigars, pipes, and even some smokeless tobacco products expose the lining of the larynx to carcinogenic substances that, over time, can trigger malignant changes. Alcohol acts as a powerful accomplice: heavy drinking combined with smoking multiplies the risk. Other factors can also play a role, including occupational exposure to certain chemicals, such as asbestos or wood dust. Infection with the human papillomavirus, better known for its link to cervical cancer, has also been implicated in a subset of cases.

    Because the main causes are known, prevention is straightforward. Avoiding tobacco dramatically reduces the risk, and the benefits begin soon after quitting. Limiting alcohol consumption adds further protection. Workplace safety measures that reduce exposure to harmful fumes and dusts matter as well.

    The first signs of the disease are often subtle, which explains why diagnosis can be delayed. Persistent hoarseness is the most common warning sign, especially when it lasts longer than a few weeks and has no obvious cause. A sore throat that does not go away, difficulty or pain when swallowing, a sensation of a lump in the throat, chronic cough, or ear pain can also be clues. In more advanced stages, breathing may become difficult, or a mass may be felt in the neck due to spread to nearby lymph nodes.

    When such symptoms raise suspicion, diagnosis usually begins with a careful examination of the throat by an ear, nose, and throat specialist. Using a small camera passed through the nose or mouth, the doctor can visualize the larynx directly. If an abnormal area is seen, a biopsy is required to confirm the presence of cancer. Imaging tests such as CT scans, MRI, or PET scans help determine how far the disease has spread, information that is crucial for choosing the best treatment.

    The course of laryngeal cancer varies widely. Tumors confined to the vocal cords tend to be detected earlier, because even small lesions can affect the voice. These early-stage cancers generally have an excellent prognosis. Cancers that arise above or below the vocal cords may grow larger before causing symptoms and are therefore more often diagnosed at a later stage. Over time, untreated cancer can invade nearby tissues or spread to lymph nodes and distant organs, making treatment more complex and outcomes less favorable.

    Treatment depends on the stage of the disease, the exact location of the tumor, and the patient’s overall health. For early cancers, radiation therapy or limited surgery can often eliminate the tumor while preserving the voice. More advanced cases may require a combination of surgery, radiotherapy, and chemotherapy. In some situations, part or all of the larynx must be removed to control the disease, a life-saving operation that has profound consequences for speech and breathing. Advances in reconstructive surgery, voice rehabilitation, and assistive technologies have greatly improved quality of life for people who undergo such procedures.

    Survival rates reflect this wide spectrum of disease. When laryngeal cancer is diagnosed at an early stage, five-year survival can exceed 80 or even 90 percent. For cancers detected later, especially those that have spread beyond the larynx, survival drops significantly, often to around 40 percent or less. These figures underscore a simple but crucial message: early detection saves lives.

    Laryngeal cancer is a disease in which prevention, awareness of symptoms, and timely medical attention make a tangible difference.


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  • Write a testimonial

    Write a personal story or testimonial about your experience with smoking and smoking cessation, to share your experience and encourage others to stop.

  • Women’s health and smoking

    Women’s health and smoking

    In this section, you will find information on the specific health issues faced by women who smoke:


  • Cigarettes

    Cigarettes

    All you need to know about what is in a cigarette, how it is made, and what is in the cigarette smoke


  • Nicotine

    Nicotine

    In this section, you will find several articles explaining everything you need to know about nicotine: a test to help you determine how much nicotine you need, the amount of nicotine in a cigarette, the optimal nicotine concentration for your e-liquids, and the effects of nicotine on health, nicotine salts.

  • Health effects of e-cigarettes

    Health effects of e-cigarettes

    E-cigarettes are often presented as a safer alternative to traditional cigarettes. But how do they truly compare across the spectrum of our health? Let’s delve into the known effects, always drawing comparisons to the harms of combustible tobacco.

    Sensory Experience: Taste and Throat Hit

    One of the initial appeals of e-cigarettes lies in their diverse flavor profiles, ranging from tobacco to mint to fruits to desserts, a stark contrast to the often harsh, smoky taste of traditional cigarettes. E-cigarettes offer a “throat hit” that mimics smoking, it’s produced by nicotine. Traditional cigarettes deliver this sensation through the burning of tobacco and the inhalation of hot smoke and tar.

    Effects on Breath and Oral Health

    Switching to e-cigarettes generally leads to an improvement in breath odor compared to the persistent stale smell associated with cigarette smoking. The tar and chemicals in traditional cigarettes famously stain teeth and contribute to gum disease and halitosis (bad breath). E-cigarettes still contain nicotine, xxx.

    Lungs and Respiratory System

    Traditional cigarettes are notorious for their devastating impact on the lungs, causing chronic bronchitis, emphysema, and a dramatically increased risk of lung cancer. They introduce thousands of chemicals, including known carcinogens, directly into the delicate lung tissue. E-cigarettes, while free of tobacco combustion byproducts like tar and carbon monoxide, are not harmless to the lungs. The heated aerosols contain xxx. These can cause xxx.

    Heart and Circulatory System

    Traditional cigarettes pose significant risks to the heart and circulatory system. This chronic stress on the cardiovascular system can lead to an increased risk of heart attacks and strokes. Traditional cigarettes compound this risk with carbon monoxide, which reduces the blood’s oxygen-carrying capacity, and other chemicals that promote atherosclerosis (hardening of the arteries). While e-cigarettes eliminate carbon monoxide, xxx.

    Brain:

    Addiction

    Mood

    Nicotine’s impact on neurotransmitters can affect mood regulation, potentially contributing to or worsening feelings of depression and anxiety, rather than alleviating them.

    Cancer Risk

    Traditional cigarettes are a leading cause of cancer, responsible for cancers of the lung, throat, mouth, esophagus, bladder, and many others, due to the myriad of carcinogens produced during combustion. E-cigarettes, by contrast, do not involve combustion and therefore eliminate exposure to many of the tar and tobacco-specific carcinogens found in traditional smoke. However, xxx. The full extent of this risk is still under investigation.

    Appetite and Weight Gain

    Smoking traditional cigarettes is known to suppress appetite and increase metabolism, leading to a tendency for smokers to weigh less than non-smokers. Consequently, quitting smoking often results in weight gain, a significant concern for many who are trying to quit. Nicotine in e-cigarettes also has appetite-suppressing effects. Therefore, the overall health benefits of avoiding traditional cigarettes far outweigh potential concerns about weight changes.

    Effects on Mothers: Fertility, Pregnancy, and Breastfeeding

    Traditional cigarette smoking poses serious risks during conception, pregnancy, and breastfeeding. For fertility, smoking can negatively impact both male and female reproductive health, making conception more difficult. During pregnancy, exposure to smoke can lead to complications such as premature birth, low birth weight, and developmental issues in the fetus. During breastfeeding, nicotine passes into breast milk, which can affect the infant’s sleep patterns, heart rate, and overall well-being. While traditional cigarettes introduce thousands of additional harmful chemicals beyond nicotine, the presence of nicotine in e-cigarettes still makes them a significant concern for pregnant and breastfeeding mothers.

    Therapeutic Effects of Nicotine on Certain Diseases

    Interestingly, nicotine itself, separate from the harmful delivery mechanisms, has shown some intriguing therapeutic potential in specific contexts. Research has explored its effects on cognitive function, attention, and memory, leading to studies on its potential role in treating conditions like Parkinson’s disease, Tourette’s syndrome, and even some aspects of Alzheimer’s disease. The mechanism involves nicotine’s interaction with specific receptors in the brain. However, it is crucial to emphasize that these are areas of ongoing scientific investigation, typically involving controlled doses of pharmaceutical-grade nicotine, not through smoking or vaping. The potential benefits are being studied in a medical context, completely detached from recreational use.


  • Lung cancer

    Lung cancer


    Lung cancer is the leading cause of cancer death in men and women worldwide. The most significant and controllable factor behind this devastating disease is smoking. Understanding the risks, symptoms, and consequences of lung cancer is an important and necessary step in deciding to quit smoking.

    What Causes Lung Cancer?

    The primary cause of lung cancer is exposure to cancer-causing substances (carcinogens), which inflict damage upon the cells lining the lungs.

    Smoking (Cigarettes, Cigars, Pipes) is, by far, the leading risk factor, responsible for about 80% of lung cancer deaths. The risk escalates directly with the total number of years and packs smoked. Carcinogens in tobacco smoke cause immediate and chronic changes to lung tissue; while the body attempts to repair this damage, repeated exposure ultimately causes healthy cells to begin growing out of control.

    Furthermore, breathing in secondhand smoke significantly increases the risk of developing lung cancer, even for individuals who have never smoked. Radon Gas, a naturally occurring radioactive gas released from the breakdown of uranium in soil and rock, is the second-leading cause of lung cancer and the leading cause among non-smokers. It can dangerously accumulate in homes, particularly in basements. Workplace Exposures to substances like asbestos, arsenic, chromium, and nickel compounds can also heighten risk, especially for those who also smoke. Previous radiation therapy or a family history of lung cancer are also acknowledged risk factors.

    Prevalence, Trends, and the Power of Quitting

    While lung cancer remains a major killer, the overall number of new cases and deaths is thankfully decreasing. This positive trend is largely attributed to fewer people smoking or starting to smoke.

    Lung cancer kills more people each year than breast, colon, and prostate cancers combined. The general lifetime risk of developing lung cancer is approximately 1 in 17 for men and 1 in 18 for women; however, for those who smoke, this risk is substantially higher.

    The most compelling statistic is the Quitting Effect: stopping smoking, even after many years, significantly lowers your risk. The risk of developing lung cancer drops by half within 10 to 15 years after quitting. For those diagnosed with Non-Small Cell Lung Cancer (NSCLC), former smokers have a lower chance of dying compared to current smokers, and the longer the duration of cessation prior to diagnosis, the better the survival outcome.

    Recognizing the Symptoms

    It is important to understand that many lung cancers do not cause symptoms until they have progressed to a later stage. Seeing a doctor if you experience any of the following persistent signs is crucial for the possibility of earlier detection:

    • A new cough that does not go away or gets progressively worse over time.
    • Coughing up blood (even a small amount) or rust-colored sputum (phlegm).
    • Chest pain that is often more intense with deep breathing, coughing, or laughing.
    • Persistent shortness of breath or wheezing.
    • Hoarseness.
    • Unexplained weight loss or loss of appetite.
    • A feeling of being very tired or weak.
    • Recurring infections like bronchitis or pneumonia.

    Types of Lung Cancer

    Lung cancer is mainly categorized into two groups, which require different treatment approaches:

    Type of Lung CancerPrevalenceKey Characteristics
    Non-Small Cell Lung Cancer (NSCLC)About 87% of all lung cancers.Grows and spreads more slowly than SCLC. Includes Adenocarcinoma (most common, often found in non-smokers as well), Squamous Cell Carcinoma, and Large Cell Carcinoma.
    Small Cell Lung Cancer (SCLC)About 13% of all lung cancers.Highly linked to heavy smoking; it is rare in never-smokers. It tends to grow and spread very quickly.

    Diagnostic Methods

    If lung cancer is suspected, a combination of tests will be utilized for both diagnosis and staging (determining the extent of the cancer).

    Imaging Tests such as a Chest X-ray or CT (Computed Tomography) Scan are used to identify suspicious areas. Low-Dose CT (LDCT) is the only recommended screening tool for high-risk individuals (those with a long smoking history, current smokers, or those who quit within the last 15 years, usually aged 50–80). A PET (Positron Emission Tomography) Scan is typically used to check for the spread of cancer to other parts of the body (staging).

    A Biopsy is the definitive and only way to confirm a cancer diagnosis. A small sample of tissue is removed using a procedure like a bronchoscopy or a CT-guided needle biopsy. This sample is then meticulously examined under a microscope. Furthermore, Molecular Testing of the biopsy tissue is essential for advanced cases, as it checks for specific gene changes (mutations) that can inform targeted treatment options, particularly for NSCLC.

    Treatment and Prognosis

    Treatment selection depends critically on the type of cancer, the stage at diagnosis, and the patient’s overall health.

    Treatment ModalityDescription
    SurgeryOften used for early-stage NSCLC to remove the tumor (e.g., lobectomy, pneumonectomy). It is rarely a primary treatment for SCLC.
    Radiation TherapyUses high-energy rays to kill cancer cells. It can be used alone, before or after surgery, or in conjunction with chemotherapy.
    ChemotherapyAnti-cancer drugs used to destroy cancer cells throughout the body. This is a primary treatment for SCLC.
    Targeted TherapyDrugs that specifically attack certain gene mutations in cancer cells, often used for advanced NSCLC.
    ImmunotherapyDrugs that stimulate the body’s own immune system to recognize and destroy cancer cells.
    Palliative CareFocuses on managing symptoms and improving the patient’s quality of life, especially in later stages of the disease.

    Survival and the Benefit of Early Detection

    The prognosis for lung cancer is heavily influenced by the stage at which it is found. Early detection drastically improves survival odds. The statistics below are the 5-year relative survival rates (the percentage of people who live for at least 5 years after diagnosis compared to the general population).

    Overall Survival Rates (All Stages, US data)1-Year Survival5-Year Survival
    All Lung Cancer CombinedApprox. 45% (UK data)Approx. 29.7% (US data)
    Survival by Stage at Diagnosis (US SEER Data)5-Year Survival Rate (NSCLC)5-Year Survival Rate (SCLC)
    Localized (confined to the lung)67%34%
    Regional (spread to nearby lymph nodes)40%20%
    Distant (spread to distant organs)12%4%

    The takeaway is clear: catching the cancer when it is Localized—which often occurs through screening for high-risk individuals—results in a significantly better outcome. Quitting smoking today is the single most important action you can take to lower your risk, improve your body’s ability to heal, and increase your chances of a better prognosis if a diagnosis does occur.


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  • Test your level of addiction to cigarettes

    Test your level of addiction to cigarettes

    The CDS test

    Answer these 5 questions to assess your level of addiction to cigarettes:

    Please rate your addiction to cigarettes on a scale of 0–1000 = I am NOT addicted to cigarettes at all
    100 = I am extremely addicted to cigarettes

    Addiction:
    0–20 = 1 point
    21–40 = 2 points
    41–60 = 3 points
    61–80 = 4 points
    81–100 = 5 points
    On average, how many cigarettes do you smoke per day? Cigarette/day :
    0–5 = 1 point
    6–10 = 2 points
    11–20 = 3 points
    21–29 = 4 points
    30+ = 5 points
    Usually, how soon after waking up do you smoke your first cigarette? Minutes :
    0-5 = 5 points
    6–15 = 4 points
    16–30 = 3 points
    31–60 = 2 points
    61+ = 1 point
    For you, quitting smoking for good would be: Impossible = 5 points
    Very difficult = 4 points
    Fairly difficult = 3 points
    Fairly easy = 2 points
    Very easy = 1 point
    After a few hours without smoking, I feel an irresistible urge to smoke Totally disagree = 1 point
    Somewhat disagree =2 points
    Neither agree nor disagree = 3 points
    Somewhat agree = 4 points
    Fully agree = 5 points

    Now add your points (maximum=25)

    Interpretation :

    5-10 points: Low level of addiction

    11-15 points: Moderate level of addiction

    16-20 points: Strong level of addiction

    21-25 points: Very strong level of addiction

    Our previous research found that a value of 16 or above indicates that your are strongly addicted to cigarettes.(a)

    This questionnaire is called the Cigarette Dependence Scale (CDS-5), it is a well-validated measure of dependence.(b)


    References:

    a) Etter JF, Comparing the validity of the Cigarette Dependence Scale and the Fagerström Test for Nicotine Dependence, Drug and Alcohol Dependence, Volume 95, Issues 1–2, 2008, Pages 152-159, ISSN 0376-8716, https://doi.org/10.1016/j.drugalcdep.2008.01.017.

    b) Etter, JF., Le Houezec, J. & Perneger, T. A Self-Administered Questionnaire to Measure Dependence on Cigarettes: The Cigarette Dependence Scale. Neuropsychopharmacology 28, 359–370 (2003). https://doi.org/10.1038/sj.npp.1300030


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