Expert: JM Starkman, MD - 8/23/2010

Question
I quit smoking 2 weeks ago. Soon after i stop smoking i end up with a cough and nasal congestion. I've been trying to clear it up for about 3 weeks, i also be to the doctors and was put on zpack and steroids and was told it was my ashma. Im do for surgery tomorrow and i still have a little cough and my voice is horse. Will i be able to still have my surgery?

Answer
Since the 1980's it has been well-known to anesthesiologists that the first few weeks after the cessation of a long-standing smoking habit that the body undergoes a "reactive" period.  As you described, it is marked by secretions, coughing and an exaggerated reactivity of breathing/airway structures.  The general recommendation has been to postpone surgery for 6-8 weeks until this period subsides, but logistically and practically this doesn't bode well for patients', surgeons', operating rooms', and anesthesiologists' schedules.  Anesthesiologists tend to proceed with scheduled surgery and utilize various drugs to dry hypersecretions and/or have bronchodilators and respiratory treatment options available to deal with more than just the most minor of complications.

See your anesthesiologist as soon as possible prior to surgery to formulate a plan that will be best for you and your doctors.

What ever you do--DO NOT start smoking again.