Q. Will smoking cessation cause strained bowel movements?

Answered by
Dr. Ashaq Hussain Parrey
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 07, 2018

Hello doctor,

My age is 39 years. I have quit smoking, cold turkey after smoking for almost 18 years. It is my 29th day of being smoke-free. Everything was going fine until last 7 to 10 days my bowel movement has been strainful. Few days I have seen very small sized hard stools and sometimes small stool with very little water. I started taking Metamucil. However, the stomach felt bloated severely after eating anything. I sometimes feel a sudden hunger spike that becomes uncontrollable and once I eat, the stomach swells like a balloon. I also started taking one capsule of Triphala to ease out my symptoms. From past 4 to 5 days, I have started feeling fatigue and a very strong one like light handedness and no energy in my legs. I had a sore inside my mouth and that has healed significantly now. The acid reflux is there, especially while making out with my partner I felt food coming up. The consistency of stool after eating Metamucil has been more like rubber shaped long zig zag sausage with uneven and weird cracks and sometimes mucus as well. I feel gas below my stomach and sometimes have to strain hard to pass. I got my CBC done two days back (normal report), kidney, liver, thyroid (normal), Hb (normal), sugar (normal). I also got my FOBT stool test done (negative report). Are the above symptoms cigarette withdrawal symptoms? Or stomach bug? or IBS? I take the following tablets daily. one Magnesium tablet, one Menevit tablet (for sperm health and male fertility), one Omega 3 1000 mg capsule, one 64 Billion Probiotic capsule.



Welcome to icliniq.com.

I went through your post, it is normal to have hard stools after quitting smoking for that you have to add a salad, do exercise, and take enough water. It is a temporary phenomenon which usually settles in three months till intestines adapt nicotine free blood. You have started laxative Metamucil which has caused gastritis. You need to stop that and continue Nexium at least 10 days daily before breakfast. That will take care of the issue. There is no need to take omega, probiotics, Menevit or Magnesium tablets. Do not take unnecessary medicines. It is not IBS.

Thank you doctor,

Why do I have fatigue? It is like I feel a bit shaky if I move my head. Is this all part of withdrawal symptoms? Also, I am eating pitted prunes. Is that fine? Do I need to avoid anything in terms of food or anything else? Dairy products? Yogurt. Please advise.



Welcome back to icliniq.com.

The only significant side effect of stopping smoking is weight gain. Fatigue is also a manifestation of stopping smoke which can last 6 to 8 weeks. You should take enough fruits and vegetables, do regular exercise that will help you reduce such symptoms.

Was this answer helpful?


Related Questions:
What is the treatment for COPD?

Smoking cessation is the best policy to halt the progression of the disease ...   Read full

Why is my 3.5 year old daughter having irregular bowel movement and mucus in stool?

.. pass hard stools or normal stools with irregularity? Any history of blood in stools? Does she also complain of pain during defecation around the anal area? Has she ever passed stools in bulk sometime? Did you get her thyroid profile done? Does s...   Read full

How can I manage constipation with hard stools and frequent urination?

.. with Iron and Calcium supplements. Take fiber rich diet and plenty of fluids. Take laxatives and cranberry juice for constipation and bladder symptoms. You can have an active bladder and chronic constipation. Get a urine examination, thyroid profi...   Read full


This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

7 Days COVID Care
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read

Frequently Asked Questions About COVID-19 Vaccines
COVID-19 vaccines can be a real lifesaver. Read this to know the answers to the common questions and doubts on COVID-19 ...  Read more»
Female Sexual Arousal Disorder: Break the Shackles and Seek Help!!
This article throws light on Female Sexual Interest/Arousal Disorder, a common but least discussed sexual health topic a...  Read more»
Covaxin Vs Covishield
The coronavirus vaccines, Covaxin and Covishield, have received a green signal for restricted emergency use in India. In...  Read more»

Ask your health query to a doctor online?

Ask an Internal Medicine Physician Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.