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Beyond the Smoker

Lung cancer.

It isn't only a smoker's disease.

Overview

What is lung cancer?

Lung cancer is the leading cause of cancer death globally, and it's rising rapidly in India. While smoking remains the biggest risk factor, a growing number of cases are diagnosed in non-smokers, driven by air pollution, second-hand smoke, and occupational exposures. Early detection is challenging because symptoms often appear late, which makes awareness even more critical.

Risk Factors

  • Smoking (cigarettes, bidis, hookah, cigars), primary risk factor
  • Second-hand smoke exposure
  • Air pollution (PM 2.5 from traffic, industry, and biomass cooking)
  • Occupational exposure to asbestos, radon, arsenic, diesel exhaust
  • Family history of lung cancer
  • Previous radiation therapy to the chest
  • Personal history of tuberculosis or COPD
  • Indoor coal or wood smoke (common in rural Indian kitchens)

🔍 Symptoms to Watch

  • A new cough that doesn't go away after 3 weeks
  • Worsening of an existing chronic cough
  • Coughing up blood, even a small amount
  • Shortness of breath, especially with mild exertion
  • Chest pain that is sharp, dull, or constant
  • Hoarseness or persistent voice changes
  • Unexplained weight loss and fatigue
  • Recurring lung infections (pneumonia, bronchitis)

🩺 Screening & Detection

  • Low-dose CT scan: Recommended annually for adults aged 50–80 with a 20+ pack-year smoking history.
  • Chest X-ray: Not routinely recommended for screening, but used in symptom investigation.
  • Sputum cytology: Occasionally used in high-risk groups.
  • There is currently no broad population-wide screening for non-smokers in India, but awareness of symptoms is essential.

🛡 Prevention

  • Don't smoke. If you smoke, quit. Free helplines and apps can help.
  • Avoid second-hand smoke. Make your home and car smoke-free zones.
  • Reduce indoor air pollution, use cleaner cooking fuels (LPG, electricity) instead of wood or coal
  • Use air purifiers in polluted cities
  • Wear protective gear at jobs with chemical or particulate exposure
  • Test homes for radon if in high-risk areas
  • Eat a diet rich in fruits and vegetables

When should you see a doctor?

A cough that's lasted more than 3 weeks, coughing up blood, or unexplained breathlessness, see a doctor without delay. Don't dismiss it as 'just a smoker's cough.' Early diagnosis changes everything.

Talk to Care2Cure →
A note: The information on this page is for awareness and education only. It is not a substitute for professional medical advice. If you have concerns about your health or any symptoms, please consult a qualified oncologist or your primary doctor. Care2Cure is happy to help you connect with a specialist, just email care2cureorg@gmail.com.
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