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COPD

Smoking is by far the most common cause of COPD. The risk goes up the more you smoke and the longer you smoke.

COPD is one of the leading causes of death in the United States. It includes both chronic bronchitis and emphysema. Most people with COPD have both of these conditions, but how severe they are varies from person to person.

When you have COPD, the small airways in your lungs are damaged. This damage makes it hard for your lungs to get oxygen to the rest of your body. Early symptoms can include noises in your chest (such as wheezing, rattling, or whistling), shortness of breath when you are active, and coughing up mucus (phlegm).

Over time, COPD can also make it hard to breathe when you are at rest, sometimes even if you are getting oxygen. COPD tends to get worse over time, especially if you continue to smoke. There is no cure for COPD, but some medicines might help with symptoms.

Chronic bronchitis

Chronic bronchitis is common in people who smoke for a long time. When you have chronic bronchitis, your airways make too much mucus, so you feel like you have to cough it out. Your airways become inflamed (swollen), and the cough becomes chronic (long-lasting).

The symptoms can get better at times, but the cough keeps coming back. Over time, the airways can get blocked by scar tissue and mucus, which can lead to bad lung infections (pneumonia).

There’s no cure for chronic bronchitis. But quitting smoking can help the damage from getting worse and keep symptoms under control.

Emphysema

In emphysema, the walls between the tiny air sacs in the lungs break down, which creates larger but fewer air sacs. This lowers the amount of oxygen reaching the blood. Over time, these sacs can break down so that a person with emphysema might struggle to get enough air, even when at rest.

People with emphysema are at risk for many other problems, including pneumonia. In later stages of the disease, a person often needs supplemental oxygen to help them breathe.

Emphysema can’t be cured, but it can be treated and slowed down if the person stops smoking.

Why do people who smoke have “smoker’s cough?”

Tobacco smoke has many chemicals and particles that can irritate the upper airways and the lungs. When you inhale these substances, your body tries to get rid of them by making mucus and causing a cough.

People who smoke will often have a long-lasting cough. This is sometimes called a “smoker’s cough,” and it is often worse in the morning. This chronic cough happens for many reasons.

Normally, tiny hair-like structures in the airways (called cilia) help sweep harmful material out of the lungs. But tobacco smoke slows this sweeping action, so some of the mucus and particles in the smoke stay in the lungs and airways. While a person sleeps (and doesn’t smoke), some cilia recover and start working again. After waking up, the person coughs because their lungs are trying to clear away the irritants and mucus that built up from the day before.

 “Smoker’s cough” can be an early sign of COPD.

How smoking tobacco affects your heart and blood vessels

Smoking tobacco damages your heart and blood vessels (cardiovascular system). This increases your risk of heart disease and stroke.

Coronary heart disease (CHD)

Coronary heart disease is when the arteries of your heart become narrow and can’t provide your heart muscle with enough oxygen. CHD is the main cause of heart attacks, and it’s the leading cause of death in the United States. Smoking increases your risk of CHD by damaging the blood vessels that supply the heart. .

Heart attacks and strokes

Heart attacks and strokes are more common in people who smoke. Smoking causes high blood pressure, lowers your ability to exercise, and makes your blood more likely to clot. It also lowers the levels of HDL cholesterol (good cholesterol) in your blood. All of this increases the risk of heart attacks and strokes.

Peripheral arterial disease (PAD)

Peripheral arterial disease is also more common in people who smoke. In PAD, plaque builds up in the arteries that carry blood to your head, organs, and limbs. This increases your risk of heart disease, heart attack, and stroke. It can also cause pain or weakness in your arms and legs, making it harder to walk and do usual activities.

Aortic aneurysm

Aortic aneurysm has been linked with tobacco smoking. This is a balloon-like bulge in the aorta, the main artery carrying blood from your heart to your other organs. It is caused by a weakening of the aorta wall. Aortic aneurysms can grow larger over time. They can be life-threatening if they rupture (break open).

Peripheral vascular disease (PVD)

Peripheral vascular disease is when blood flow to your arms and legs is decreased. This can lead to pain in your legs when you walk. It may also lead to open sores that don’t heal.

Because smoking affects blood flow, it can lower your body’s ability to heal from cuts. This is why many doctors won’t do certain operations on patients unless they stop smoking.

Smokeless tobacco and heart disease

Most research has focused on the impact of smoking tobacco on heart health. But smokeless tobacco can also increase your risk of heart disease.

Smokeless tobacco has been linked to a higher risk of death from coronary heart disease and stroke. This appears to be related not just to nicotine, but also to other chemicals found in smokeless tobacco products.

Learn more: Health Risks of Smokeless Tobacco

How using tobacco can affect your sex life and reproductive system

Using tobacco can affect the reproductive health and sexual function of both men and women. It can also affect fertility, pregnancy, labor, and birth.

Women

Women who smoke are more likely to have trouble getting pregnant.

If you use tobacco while you’re pregnant, your fetus is exposed to nicotine and other chemicals that are known to cause genetic defects.  

Using tobacco while pregnant puts you at higher risk of:

Ectopic pregnancy

This happens when an embryo implants outside your uterus. It can be life-threatening for the pregnant woman.

Problems with the placenta

The placenta is an organ that connects your body to your fetus during pregnancy. Using tobacco when you are pregnant might cause the placenta to be too far down in your uterus (placenta previa). Or, it might separate from your uterus too early (placental abruption).

These can lead to serious bleeding, early delivery (premature birth), or other problems with the delivery. In some cases, you might need an emergency Caesarean section (C-section).

Prelabor rupture of membranes (PROM)

The membranes (a fluid-filled sac that holds the fetus) may break before the fetus is full term. This is called prelabor rupture of membranes (PROM). It can lead to an early or difficult labor, infection, and death of the fetus.

Premature birth, miscarriage, and birth defects

If you smoke while pregnant, you are more likely to have complications that affect your baby. This might include:

• Low birth-weight baby
• Premature birth
• Miscarriage or stillbirth
• Birth defects, including: cleft lip, cleft palate, internal organ deformities, or limb deformities

Babies of mothers who smoke during and after pregnancy are also more likely to die from sudden infant death syndrome (SIDS). These babies are also more likely to get lung infections, asthma, and have problems in school.

Men

Smoking can damage blood vessels anywhere in your body. Increased blood flow to the penis is a key part of male erections. Men who smoke have a higher risk of erectile dysfunction because blood vessels become narrower. The risk of erectile dysfunction increases the more you smoke and the longer you smoke.

Smoking can also make your sperm less healthy. This can reduce fertility (make it harder for you to father a child).It can also increase the risk of your partner having miscarriages and your child having birth defects.

Other ways tobacco use affects your health

Smoking and using other tobacco products harms nearly every organ in your body. It can affect your health in many ways.

Here are a few examples of the other ways using tobacco can affect your health:

• Increased risk of gum disease and tooth loss
• Lowered immune system function
• Increased risk of type 2 diabetes
• Decreased sense of smell and taste
• Premature aging of your skin
• Bad breath and stained teeth
• Lower bone density (thinner bones), which means a higher risk for broken bones, including hip fracture
• Higher risk of rheumatoid arthritis
• Increased risk for cataracts (clouding of the lenses of your eyes)
• Increased risk for age-related macular degeneration, which can lead to blindness
• Slower healing of wounds

Many of the health problems linked to smoking can also lower your quality of life. Tobacco-related illness can make it harder to breathe, get around, work, or play. Quitting tobacco, especially at a younger age, can reduce tobacco-related disability.

Learn more: How to Quit Using Tobacco

How using tobacco can affect children and teens

 Smoking cigarettes and using other tobacco products can cause health problems in children and teens. The same is true of children who are exposed to secondhand smoke from people in their home, in the car, or other places where smoking is allowed.

Over time, children and teens who smoke cigarettes, use other tobacco products, or are exposed to secondhand smoke can develop serious health problems, including later in life as adults.

Nicotine addiction

One of the most serious problems for children and teens who use tobacco is nicotine addiction. This often leads to long-term tobacco use as kids get older.

Brain development

Nicotine can also harm the brain development of children and teens. It’s important to know that most e-cigarettes and similar products also have nicotine.

Physical health problems

Children and teens who use tobacco, or who are regularly exposed to secondhand smoke, tend to have more health problems than kids who don’t.

These health problems can include:

• Coughing spells
• Shortness of breath, even when not exercising
• Wheezing or gasping
• Increased phlegm (mucus)
• Respiratory illnesses that are worse and happen more often
• Worse cold and flu symptoms
• More frequent headaches
• Reduced physical fitness
• Poor lung growth and function, which increases the risk of COPD later in life

Tobacco use and harmful behaviors in teens

Research has shown that teen tobacco users are more likely to use alcohol, cannabis, and illegal drugs compared to teens who don’t use tobacco.

Teens who smoke are more likely to have mental health problems such as depression, anxiety, ADHD, and other disorders that can cause the teen to be disruptive. This doesn’t necessarily mean that tobacco use causes these mental health problems or behaviors. But the behaviors are more commonly seen in teens who use tobacco.

In addition, using e-cigarettes (also known as vaping) might play a part in a child or teenager wanting to experiment with other tobacco products.

Learn more