Hi Dear , Welcome to HCM. Understanding your concern. Brief answer - carbon Monoxide Poisoning Detailed answer - As per your query you have symptoms of carbon monoxide poisoning which means when ever you smoke hookah your coals are not well ventilated and you don t inhale them too hard that is why carbon monoxide from coke comes along and combines with oxygen of your body and cause carbon monoxide poisoning which causes symptoms of dizziness, disorientation because that acts like a poison. I would suggest you to make sure your coals are well ventilated and you must come in air twice thrice while having hookah. Stretch you legs for a while. Yes it is very common. Don t worry about symptoms it will resolve in few days and make sure you avoid nicotine buzz whenever you will have hookah. Hope your concern has been resolved. Please write a review about your experience with me and do click at i find this answer helpful if its valuable for you. Get Well Soon. Best Wishes, Dr. Harry Maheshwari