How Does Hookah Make You Feel?
July 28, 2025
Hookah smoking has existed for centuries, traditionally practiced in Middle Eastern, South Asian, and North African cultures. Today, it’s become increasingly popular around the world—especially among young adults who enjoy it at hookah lounges, social gatherings, or even at home.
A typical hookah pipe is made up of a bowl (which holds the flavored tobacco), a water-filled base, a hose, and a mouthpiece. When charcoal is placed on top of the bowl to heat the tobacco, the smoke travels through the water before it’s inhaled.
Many people try hookah for the flavorful experience, others for the social vibe, and some for the perceived relaxing effects. But what does hookah really do to your body and mind during and after a session? Let’s explore that in detail.
How Does Hookah Make You Feel During and After Use?
1. Immediate Sensations: What Happens in the First 10–20 Minutes?
Shortly after you start smoking hookah, the most common sensations include light-headedness, slight dizziness, or a buzzing feeling in the head. These initial reactions are mostly caused by the nicotine absorbed into your bloodstream and the carbon monoxide you inhale from the burning charcoal.
If you’re new to hookah, you might also feel:
- A mild head rush or floating sensation, especially after deep inhales.
- A sense of relaxation or mental slowing, which can be falsely interpreted as a stress-reducing benefit.
- Dry mouth or mild throat discomfort, particularly if the session lasts over 30 minutes.
- A warming sensation in the chest, which may feel pleasant to some but irritating to others.
Environmental factors such as room ventilation, your hydration level, and whether you’ve eaten can amplify or reduce these effects.
2. Nicotine’s Role: Changes to the Brain and Mood
Nicotine is a central nervous system stimulant. When inhaled through hookah smoke, it quickly reaches your brain and prompts the release of neurotransmitters such as dopamine and norepinephrine. These chemicals play a role in:
- Mood regulation
- Concentration
- Feelings of pleasure or reward
Initially, you may feel a boost in alertness or a temporary mood lift. For some users, this can also lead to increased sociability and reduced inhibitions in group settings. However, these effects are short-lived. As the nicotine wears off, you might experience a dip in mood or energy, especially if your body starts craving more.
Over time, your brain adapts to the frequent presence of nicotine, reducing its sensitivity. This leads to tolerance, where you need more nicotine to feel the same effects, and eventually dependence. That’s why people who smoke hookah regularly may start feeling anxious or irritable between sessions.
Psychological Effects: Is Hookah Really Relaxing?
Hookah is often thought of as a relaxing activity, and in many ways, the ritual and environment contribute to that perception more than the substance itself. Soft music, dim lights, aromatic smoke, and good company all play into a sense of calm.
However, the relaxing feeling attributed to hookah is complex. It comes from:
- Deep breathing: Inhaling and exhaling slowly while smoking mimics breathing exercises used in mindfulness.
- Temporary stress relief: Nicotine triggers the release of dopamine, which gives you a short-term “feel good” effect.
- Social interaction: Group smoking can help people feel more connected and less anxious.
That said, nicotine also activates your body’s stress response system. With repeated use, your baseline stress level can actually increase, leading to irritability, restlessness, and anxiety when not smoking.
So while hookah may appear calming on the surface, the internal effects on your nervous system tell a different story.
Physical Effects: What Your Body Experiences
1. Respiratory Changes
Despite popular belief, the water in a hookah pipe does not filter out harmful substances. In fact, hookah smoke contains:
- Tar: A sticky substance that coats the lungs and airways.
- Carbon monoxide (CO): A poisonous gas that binds to hemoglobin, reducing oxygen supply to your body.
- Heavy metals: Including arsenic and lead, absorbed through the burning of charcoal and tobacco.
- Volatile organic compounds (VOCs): Some of which are linked to cancer.
As a result, your respiratory system may experience:
- Coughing fits, especially with deep inhalation.
- Shortness of breath, due to reduced oxygen in the bloodstream.
- Wheezing or chest tightness, especially after prolonged or frequent sessions.
If you already have asthma or other respiratory conditions, these effects can be more severe and long-lasting.
2. Heart Rate and Blood Pressure
Nicotine stimulates the adrenal glands to release epinephrine (adrenaline), which temporarily boosts:
- Heart rate (sometimes by 10–20 beats per minute)
- Blood pressure, increasing the risk of strain on arteries
- Circulating glucose levels
This “fight or flight” response can make you feel more awake, but it’s taxing on your cardiovascular system, especially if experienced regularly.
People with existing heart conditions may be at greater risk of complications, including elevated heart strain or irregular heartbeat.
Duration and Frequency: How They Shape the Experience
The way hookah makes you feel can change drastically depending on how long and how often you smoke.
- Short sessions (10–20 minutes) may produce only mild effects like a light buzz or slight relaxation.
- Standard sessions (45–60 minutes) often result in stronger physical reactions, including dizziness, increased heart rate, and more noticeable mood shifts.
- Extended sessions (1–2 hours) can cause significant exposure to toxins, raising the risk of nausea, headaches, and longer-term health concerns.
Frequent use can also lead to build-up in the body of harmful compounds like carbon monoxide, which accumulates over time and reduces the body’s ability to transport oxygen efficiently.
Social and Cultural Influence on Perception
In many cultures, hookah use is seen as a symbol of hospitality or tradition. In modern social circles, it’s often linked to nightlife, relaxation, and group bonding. This framing can cause users to overlook the health risks and focus solely on the pleasant environment or flavor experience.
Studies suggest that peer influence plays a significant role in the decision to try or continue smoking hookah. When people see friends engaging in it without immediate consequences, they’re more likely to dismiss any negative sensations—like coughing or dizziness—as “part of the fun.”
This social normalization can reduce perceived risk and lead to more frequent use, even among individuals who would otherwise avoid cigarettes or other tobacco products.
Comparing Hookah to Other Tobacco Products
When comparing hookah to cigarettes, it’s important to look beyond appearances:
| Factor | Hookah | Cigarettes |
| Nicotine exposure | Can be higher per session | More frequent, shorter bursts |
| Smoke volume | Higher per session | Lower per cigarette |
| Carbon monoxide | Much higher from charcoal | Present, but less intense |
| Usage pattern | Social, long-duration | Individual, short-duration |
| Health risks | Lung damage, heart strain, cancer | Same risks, differently distributed |
Hookah may seem smoother or less harsh because of the water and added flavors, but this can cause deeper inhalation and longer smoke retention in the lungs—both of which increase harm.
After-Effects: What You Might Feel Hours Later
After a session, you might notice residual symptoms that aren’t immediately obvious while smoking:
- Headaches: A result of carbon monoxide reducing oxygen to the brain.
- Nausea: Especially common in first-time or infrequent users.
- Dry throat and dehydration, often from inhaling dry smoke for extended periods.
- Fatigue or sluggishness, especially if you’ve inhaled a lot of carbon monoxide.
- Anxiety or restlessness, particularly in users developing nicotine dependence.
These effects vary from person to person, but they become more likely and more intense with longer or more frequent sessions.
Risks Associated with Repeated Use
Repeated hookah smoking can lead to:
- Nicotine dependence, even if you only smoke socially.
- Decreased lung function, reducing exercise capacity and oxygen uptake.
- Higher risks of chronic diseases like bronchitis, heart disease, and cancer.
- Dental problems, such as stained teeth, gum disease, and bad breath.
Even those around you are at risk—secondhand smoke from hookah contains many of the same toxic substances as the smoke you inhale, putting non-smokers nearby at risk for similar health effects.
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Conclusion:
Hookah can make you feel relaxed, buzzed, or connected in a group setting—but these feelings are temporary and often come with hidden costs. The main sensations, like light-headedness or a sense of calm, are caused by substances that also harm your health with repeated use. Despite its social and cultural appeal, hookah carries real physical and psychological risks, especially when used regularly or for long durations. Understanding how hookah makes you feel includes not just the enjoyable moments during a session, but also what happens afterward—and over time.If you’re thinking about using hookah or currently do so, weighing the short-term sensations against the long-term impact is key to making informed choices.
Frequently Asked Questions
1. How does smoking hookah make you feel right away?
Most users report feeling light-headed, relaxed, or slightly euphoric shortly after beginning a hookah session. These effects are primarily caused by the nicotine and carbon monoxide in the smoke. Some people may also experience dizziness, a tingling sensation in the head, or a temporary sense of calmness. These feelings are typically short-lived and can vary based on individual tolerance and how much is smoked.
2. Does hookah really help with stress or anxiety?
Hookah may feel relaxing at the moment, especially when smoked in a calm, social environment. However, this sensation is often due to the setting and the slow breathing involved rather than any actual stress relief. Nicotine, which is present in hookah tobacco, can temporarily improve mood but often leads to increased anxiety and irritability over time. Therefore, hookah is not an effective or healthy method for managing stress or anxiety in the long term.
3. What are the physical effects of hookah smoking on the body?
The physical effects of hookah smoking include dry mouth, throat irritation, coughing, increased heart rate, and reduced oxygen levels. This is due to the combination of nicotine and carbon monoxide inhaled during the session. In longer or repeated sessions, users may also experience nausea, fatigue, or headaches. Over time, regular hookah smoking can lead to serious health issues such as lung damage, reduced lung function, and heart disease.
4. Is hookah less harmful than smoking cigarettes?
No, hookah is not less harmful than smoking cigarettes. While some people believe that the water in the hookah filters out harmful substances, this is a misconception. A typical hookah session can involve inhaling more smoke over a longer period than smoking a cigarette, leading to greater exposure to harmful substances such as carbon monoxide, tar, heavy metals, and nicotine. The health risks associated with hookah are comparable to or even greater than those linked to cigarette smoking.
5. Can you become addicted to hookah?
Yes, it is possible to become addicted to hookah. Hookah tobacco contains nicotine, which is a highly addictive substance. Regular use can lead to nicotine dependence, where the body begins to crave it to feel normal or relaxed. Even individuals who smoke hookah occasionally in social settings may develop a tolerance and experience withdrawal symptoms between uses. Addiction can develop gradually, especially with frequent or long sessions.
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