UPMC Health Plan: Where You Belong Home About Us Careers Contact Us Search My Account
Online Access Plan Options Health & Wellness Find a Doctor

Health & Wellness

Worksite Programs
OnLine Tools
Health Assessment and Screening
Integrated Care Management
Health Management
Preventive Care

GO! SLOW! WHOA! Healthy Eating with UPMC MyHealth

Get Moving Pittsburgh

Health Plan Spotlight

Sign up for our e-Newsletters

Ready to Quit?

< Ready to Quit Smoking?

Signs of Recovery

When you quit using tobacco, you may feel uncomfortable "withdrawal symptoms" as your body gets used to being tobacco-free. Withdrawal symptoms usually occur when people quit after many years of smoking or after smoking many cigarettes each day.

You may have these feelings within a few days or weeks after quitting. Most withdrawal symptoms decrease sharply during the first few days, followed by a continued but slower decrease in the next 2 to 4 weeks. It is important to remember that these feelings are temporary. By following the suggestions below, you can minimize or reduce the discomfort you may feel.

You may have none, one, or many of these feelings. They may occur a few days or weeks after quitting smoking. Most withdrawal symptoms decrease sharply during the first few days, followed by a continued but slower decrease in the next 2 to 4 weeks. It is important to remember that these feelings are temporary. By following the suggestions below, you can minimize or reduce the discomfort you may feel.

Symptom

Cause

Ways to Handle

Craving for a cigarette

May last 2-3 days but can come back.

  • Physical addiction to nicotine, a highly addictive drug; your body misses and wants nicotine.

  • Habits and psychological dependence.
  • Wait out the urge; it usually lasts only 3-5 minutes.

  • Drink plenty of fluids, especially water and fruit juice.

  • Get some exercise — go for a walk.
Feeling anxious, nervous or restless, grumpy, angry or sad

May last 2-4 weeks.

  • Physical addiction to nicotine.

  • Psychological dependence on nicotine.

  • Empty hands.
  • Express the emotions when you can.

  • Ask others to be patient with you.

  • Try deep breathing or relaxation exercises.

  • Take a walk or a hot bath.

  • Cut back on caffeine — coffee, tea, cola, and chocolate.
Having trouble thinking clearly or concentrating

May last 10 days or up to 4 weeks.
  • Brain must adjust to no stimulation from nicotine.

  • Withdrawal from carbon monoxide (a component in cigarette smoke).
  • Try deep breathing exercises.

  • Take frequent breaks or break work into small blocks of time.

  • Go easy on the caffeine; too much can interfere with concentration.

  • Don't expect too much of yourself, especially in the first 3 days.
Feeling hungry

May last longer than four weeks.
  • Removing nicotine from your system may cause increased appetite and hunger pangs.

  • You may miss putting something into your mouth.

  • Your sense of taste and smell improve.
  • Eat several small meals each day.

  • Snack on low- or no-calorie snacks, such as fresh vegetable sticks, pretzels or sugarless gum.

  • Increase your physical activity, especially if you are concerned about weight gain.

  • Drink plenty of water to feel full. Drink a glass of water before meals.
Sleepy, weak, no energy

May last 2-4 weeks.
  • You are no longer using nicotine, which acts as a stimulant.
  • Get extra sleep; take naps.

  • Increase physical activity to give yourself a natural energy boost.
Not being able to sleep (trouble falling asleep, or staying asleep or waking up too early)

May last 1-2 weeks.
  • Nicotine affects brain function and affects sleep patterns. Your brain needs to readjust and that takes some time.

  • Vivid dreams about smoking are common.
  • Increase your activity while awake (but don't do vigorous exercise after 6 p.m.)

  • Don't go to bed until you feel tired.

  • Try deep breathing to relax before bedtime.

  • Do not eat or drink anything with caffeine after 6 p.m.

  • Drink warm milk or take a warm bath before going to bed.

  • Call your doctor if sleep difficulties persist.
Increased coughing, dry throat, nasal drip

Can last from a few days to a few weeks, or longer in some cases.
  • The cleaning system of your airways does not work well when you smoke.

  • A cough is a sign that the lungs are cleaning themselves of tar, particles, and extra mucus.
  • Drink plenty of fluids. Water helps to thin and loosen mucus.

  • Use cough drops to soothe your throat.

  • Do not use medications to stop the cough.
Headache

May last several days.
  • Removal of nicotine from the body.

  • Better circulation to the brain.
  • Relax in a warm bath.

  • Try deep breathing exercises.

  • Use your usual headache medication.
Constipation, gas, upset stomach

May last 1-2 weeks.
  • Nicotine has different effects on the digestive system.

  • It stimulates the large intestine and moves food quickly. This effect is especially true for the first cigarette of the day.

  • Repeated cigarettes may slow digestion.

  • The body needs time to adjust to working without nicotine.
  • Drink plenty of fluids.

  • Eat foods that are high in fibers - fresh fruits, vegetables, and wholegrain cereals.
Light-headedness, dizziness

May last 1-2 days.
  • More oxygen reaches the brain since there is less carbon monoxide in the blood.
  • Sit down and relax.

  • Change position slowly.

  • These feelings are usually temporary and will soon pass; however, if they persist or are severe, call your doctor.
Tingling in the arms or legs, tremors, shakiness

May last up to 2 weeks.
  • Nicotine causes the narrowing of the blood vessels, decreasing circulation to the arms and legs.

  • Carbon monoxide interferes with the supply of oxygen in the blood, also decreasing the oxygen to the arms and legs.

  • These feelings are a sign of improved circulation.
  • Tense and relax muscles.

  • Sit down.

  • These feelings are usually temporary and will soon pass; however, if they persist or are severe, call your doctor.
Dry mouth, bad taste in mouth, or sore throat, gums, or tongue
  • Smoking irritates the mouth and throat.

  • At the same time, it also numbs these areas.

  • Without the numbing effect of smoking, you may feel soreness for a few days until healing occurs.
  • Try sucking on hard candy or throat lozenges.

  • Use mouthwash or oral antiseptics.
Itchy or irritated scalp, hands, or feet
  • Better circulation.
  • Massage the area.

Find out more:



< Ready to Quit Smoking?