Sir, I have Heart Disease (Single Vessel Disease - Mid LCX 100% Block) from May 2015. I have treated well and I am continuing the medicine but I didn't control the smoking habit. How can I solve the problem permanently. So please give the best suggestion for me.

Dr. Saul PereiraPsychologist47yrs exp

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Please read a book by Dr. Dean Ornish on, Reversiing the Heart Disease to understand how exactly the nicotine acts to lead to blocked vessels. You have to stop smoking immediately. If it is really so difficult you may need to admit yourself to a rehabilitation center and go through a 6 month or less program to get you out of this very unhealthy habit. The urge to discontinue is hampered by many factors but the worst of them is the conditioning. In fact these conditions can exist all through the day unlike other addictions. But your desire to want to stop is the most important factor. It is important to find out about the ill-effects of smoking to have a really scary but true. The nicotine in tobacco smoke stimulates the heart reason that alarms you about continuing in the habit. The information is beat to raise the blood pressure in no time at all. So you must avoid it like the plague: it is just very bad medicine for you. In fact it is highly toxic too. You will need to stop smoking or consuming any tobacco related items with immediate effect. You should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need. You may also take hard candy or chewing gum. If the urge is too strong, then use nicotine chewing gum or nicotine patches, for a little while until the smoking drive reduces, substantially. You may also join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i.e. at least for the first 21 days. Above all announce it to everyone that you have quit smoking. Here?s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world ? you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. Counseling is very useful in the initial stages and when temptations are at their highest. 

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