Tuesday, February 11, 2014

What's Hookah?


What's Hookah?? In the past few years, instead of asking my patients "Do you smoke?" I have learned to ask  "Do you smoke? (pregnant pause)...ANYTHING?" I found that asking in that manner greatly increases my yield. Couple that with Colorado's legalization of marijuana, and more people are freely sharing the full extent of their substance use with their doctors. Which left me asking the question, "what's hookah?" (I could add here that I was also asking "what's shisha" and "what's snus"?)

Hookahs are water pipes used to smoke flavored tobacco. The flavors are often sweet- chocolate, cherry, licorice or fruit flavored. The heat source is charcoal, and the vapor/smoke goes through a water basin before being inhaled. A common misperception is that this "purifies" the tobacco, so that the smoke is no longer harmful. Hookahs can have multiple tubes allowing several people to inhale at one time, or users can pass around the mouthpiece and take turns inhaling (obviously sharing germs as well as the hookah vapor).  Hookah bars seem to be multiplying across the United States, especially in college towns. Austin, Texas, is no exception. A 2013 study of 7 large universities showed that 1 in 10 college students used hookah.

Although hookahs has been around for centuries, we certainly do not have a plethora of double-blind, placebo-controlled meta-analysis studies to clarify exactly the specific health risks of long term use of hookah. What do we know?


  • Hookah smoke is "at least as toxic as cigarette smoke" (CDC, 2013)
  • Hookah tobacco and vapor contain the same poisons that cause mouth, lung and bladder cancer
  • Hookah sessions are usually much longer than cigarette breaks- often up to an hour, increasing the toxin exposure up to ten times higher than traditional smoking
  • The nicotine in hookah tobacco and vapor is very addictive (just as in cigarettes)
  • Smoke from the heat source, charcoal, can cause carbon monoxide poisoning
  • Gum disease is 5 times more common in hookah users than cigarette smokers
BOTTOM LINE: Hookah (water pipe) smoking is NOT a "safe" alternative to cigarette smoking- don't take up this habit! 

3 comments:

Unknown said...

Hookah used the very past days for the purpose of smoking.I think this is one the best platform for every one.Hookah was a bad thing for health.Cigarette and Hookah is same thing and same purpose.E-cigarette is best approach with compare to original cigarette.Original cigarette is bad thing for your health.my suggestion is that every smoker should smoke E-cigarette.I wanna discus on this topic.Thanks for sharing this information.

Unknown said...

Best approach, i think e-cigarettes are very beneficial with compare to original cigarette.E-cigarettes are money saving and not bad for the health of smoker.i think original cigarettes are effected on your health.I think this is important information for every one.My suggestion is that every smoker should use e-cigarette.Thanks for sharing this information.

Anonymous said...

Ecigs have become one of the popular smoking products that are being widely used all over the world at an increasing rate than traditional tobacco smoking products such as paper cigarettes, cigars or pipes. Unlike tobacco smoking, PV Juice,electronic cigarette is a carbon free smoking product that has a long lasting sensational effect on the user and gives more joy and effective health.