Smoking using a bong contrasts with smoking using a pipe or cigarette in two major ways. Bongs cool the smoke before it enters the user’s lungs and a large amount of smoke is inhaled quickly as opposed to the smaller, more frequent, inhalations of pipe and cigarette smoking.

The base is filled with water to the depth dictated by the bong. Water quality can include use of tap water, which may promote mineral buildup, or distilled water, which deposits less residue on the smoking equipment and is easier on lungs. Sometimes other liquids are used, e.g., lime water, giving the smoke a different taste. More rarely, liquids like Coca-Cola and herbal teas are used. However, such liquids can make cleaning difficult and time-consuming. Unless you use a specialised bong cleaning products.

The substance to be smoked is packed into the bowl and ignited. Cigarette lighters and matches are commonly used for ignition. Packing the bowl is a balance between filling it with enough substance to create a useful amount of smoke and leaving enough room for air to be sucked through the substance.

The user places his/her lips on the mouth piece, forming a seal, and inhales. An inhalation is known as a "hit." If the smoker is using a larger bong, the first hit contains no smoke; this type of hit is known as a "dry hit." Its purpose is to draw the clean air out of the chamber and to start drawing in smoke from the bowl. If a smaller bong is being used, the first hit should consume all the potential smoke. If two inhalations are made, this is known as a "double hit" and is considered to the actions of a greedy git if the bong is being shared.

Once enough smoke has collected in the chamber, the smoker inhales sharply, drawing the smoke into his/her lungs. This is repeated until the substance has been completely burned.

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