Quit21

9 months after quitting smokingAirways that clear themselves

In shortBetween three and nine months the NHS says coughing, wheezing and breathing problems improve, and lung function can rise by up to ten per cent. Some damage does not reverse. A cough lasting over three weeks is worth a doctor's visit.

What's happening in your body

Somewhere between three and nine months, according to the NHS, coughing, wheezing and breathing problems improve, and lung function can rise by up to ten per cent. The American summaries of the Surgeon General's 1990 report describe the cilia, the tiny hairs that sweep mucus out of the airways, regaining normal function over the same period. That matters beyond comfort. In the same account, airways that clear themselves properly lower the risk of infection.

What to expect

The morning cough, if you had one, is likely to be gone or much weaker, and effort costs less breath than it did. Some people notice that colds reach the chest less often. Others notice little, especially after many years of heavy smoking, because some damage does not reverse. That is not a reason for alarm, but it is a reason not to ignore symptoms.

A cough that has lasted more than three weeks, breathlessness that is getting worse, coughing up blood or chest pain are worth a visit to a doctor, whatever the smoking history.

Try this

Think back to the last chest infection or long cough you had as a smoker, how long it lasted, and keep that as the comparison for the next one.

What else you could do

If a cough or breathlessness has not improved at all in nine months, ask a doctor about a simple breathing test called spirometry. It gives you a number to compare against later. And keep moving, because regular activity is the most direct way to find out what your lungs can do now.

Sources. NHS Better Health, Quit smoking. US Department of Health and Human Services, 1990. Willemse et al., 2004.