Smoking and the Digestive System
Smoking can harm your digestive system in a number of ways. Smokers tend to get heartburn
and peptic ulcers more often than nonsmokers. Smoking makes those conditions harder
to treat. Smoking increases the risk for Crohn's disease and gallstones. It also increases
the risk of more damage in liver disease. Smoking can also make pancreatitis worse.
In addition, smoking is associated with cancer of the digestive organs, including
the head and neck, stomach, pancreas, and colon.
Smoking and heartburn
The stomach makes acidic juices that help you digest food. If these juices flow backward
into your esophagus, or food pipe, they can cause heartburn. They can also cause a
condition called gastroesophageal reflux disease (GERD). The esophagus is protected
from these acids by the esophageal sphincter. This is a muscular valve that keeps
fluids in your stomach. But smoking weakens the sphincter. Smoking also allows stomach
acid to flow backward into the esophagus.
Smoking and peptic ulcers
Smokers are more likely to develop peptic ulcers. Ulcers are painful sores in the
lining of the stomach or the beginning of the small intestine. Ulcers are more likely
to heal if you stop smoking. Smoking also raises the risk for infection from Helicobacter pylori. This is bacteria commonly found in ulcers.
Smoking and liver disease
The liver normally filters alcohol and other toxins out of your blood. But smoking
limits your liver’s ability to remove these toxins from your body. If the liver isn’t
working as it should, it may not be able to process medications well. Studies have
shown that when smoking is combined with drinking too much alcohol, it makes liver
Smoking and Crohn’s disease
Crohn’s disease is a chronic inflammatory bowel disease. This disease is an autoimmune
disorder of the digestive tract. For reasons that are not clear, it's more common
among smokers than nonsmokers. Although there are many ways to help keep Crohn’s flares
under control, it has no cure. Smoking can also make it harder to control Crohn's
disease and its symptoms.
Smoking and diseases of the colon
Smoking is one of the major risk factors for colon cancer. Colon cancer is the second
leading cause of cancer deaths. Routine screenings, such as a colonoscopy, can identify
small, precancerous growths called polyps in the lining of the colon.
Smoking and gallstones
Some research suggests that smoking increases the risk of developing gallstones. Gallstones
form when liquid stored in the gallbladder turns into material that resembles stones.
These can range in size from a grain of sand to a pebble.
Smoking and cancer of the digestive system
Smoking is a risk factor for mouth, lip, and voice box cancer, as well as cancer of
the esophagus, stomach, pancreas, liver, colon, and rectum.
The bottom line
If you smoke, try to quit. Seek medical help to stop smoking if you need help. Giving
up smoking will lower your risk for lung cancer and heart disease. It will also reduce
your risk for other digestive disorders.