Yes, it is possible to develop black lung disease from smoking. Black lung disease, also known as coal workers' pneumoconiosis (CWP), is a lung disease caused by long-term inhalation of coal dust particles. Smokers who are exposed to coal dust, either through their work or through secondhand exposure, are at an increased risk for developing the disease.
The most common symptom of black lung disease is a persistent cough that may be accompanied by shortness of breath, chest pains, and difficulty breathing. In more severe cases, the symptoms may include anemia, fatigue, and weight loss. In addition, black lung disease can cause scarring of the lungs, which can lead to a more serious condition called progressive massive fibrosis (PMF).
To diagnose black lung, a doctor will usually order a chest x-ray and may also order a CT scan or a pulmonary function test (PFT). In addition, a doctor may take a sample of your sputum to look for evidence of coal dust particles. Once the diagnosis is confirmed, treatment may include medications to reduce inflammation and scarring, as well as oxygen therapy and lifestyle changes to reduce exposure to coal dust.
The best way to prevent black lung disease is to avoid exposure to coal dust. If you are employed in an occupation that involves coal dust, be sure to wear a mask and other protective gear to reduce your exposure. Additionally, if you are a smoker, it is important to limit your exposure to secondhand smoke as much as possible.