When man first started using tobacco, he probably did not know that it would grow to be an epidemic that could cause multiple health issues. Be it smoking or chewing, tobacco has severe negative effects on health. Take any of the current lifestyle diseases from diabetes to obesity, the common risk factor is tobacco abuse. In addition, depending on the form of tobacco used, specific organs are affected. For instance, chewing tobacco leads to oral cancer while smoking causes lung cancer.

The statistics around tobacco abuse are extremely startling and can be read below:

A total of about 90 trillion rupees are spent on various tobacco products.
About 1.4 trillion is spent on healthcare-related to conditions caused by tobacco abuse.
India has about 120 million tobacco users.
More than 7 million people die every year due to tobacco usage.
The Government has levied a GST of 28% on cigarettes, making them unaffordable, which is one of the ways to promote quitting.
For those who want to quit but are not able to, there is a quit-line setup, which is toll-free, 1800-11-2356 and is accessible from 8 a.m. to 8 p.m.
Tobacco is a menace in all the strata of society. The lower economic classes are adversely affected both due to lack of knowledge and healthcare facilities. Therefore, the government uses the World No Tobacco Day (WNTD) that is observed by all members of the World Health Organization as an opportunity to drive this awareness.

This is celebrated on May 31st every year. Some measures that are taken to promote 'say no to tobacco' campaign are listed below.

In 1975, the Cigarettes (Regulation of Production, Supply, and Distribution) Act was introduced, which made it mandatory for cigarette packs to have a warning stating  Smoking Kills  or  Smoking is injurious to health. 
Marketing campaigns are shown in the movie theatres at the beginning of movies which depict the hazards of tobacco
Smoking is banned in most public areas, and warnings are on display.
Children below 18 are not sold tobacco products. If in doubt, the seller can ask for age identification.
Schools and colleges do not have tobacco selling within 100 meters of the campus.
The price increase ensures that not everybody has easy access to cigarettes.
Celebrities promote quitting tobacco and smoking by talking about their personal stories.
How can a healthcare professional help you?

A healthcare professional plays a vital role in a smokers life, as it the healthcare professional that can increase the odds of quitting with guidance, medication, and support. 

What should a healthcare professional do?

Identify people who smoke 
Motivate them to quit or think about quitting
Refer a person who smokes for treatment and support
Support ongoing abstinence
What is the right smoking cessation strategy?

Ask: Every smoker to visit a healthcare professional
Advice: Urge the smoker to leave smoking
Assess: Assess whether the person is willing to quit in 30 days
Assist: Plan and help Rx Quit
Arrange: Arrange a follow-up through phone or SMS or in-person
What is that people who smoke need help with?

First and  the foremost challenge are the withdrawal symptoms 
Urge to smoke and borderline depression with a possibility of relapse
People who have high pre-abstinence nicotine intake
How to get over the initial withdrawal discomfort?

Behavioural support is of proven efficacy
Can be delivered in different formats
Face-to-face
Telephone
Internet
Nicotine replacement therapy and nortriptyline are of proven efficacy
Facts On Nicotine Replacement Therapy (NRT)

There are no real contradictions related to NRT
No drug interactions 
Side effects, if there are any are localized e.g.
Taste of oral products
Hiccups with the mouth spray 
Skin irritation with patch 
Treatment for quitting Nicotine  - Medications: Medicines which are useful adjuncts in the determined but unsuccessful quitters are Varenicline and Bupropion. 

Though smoking out in the open has reduced, there are miles to cover when it comes to eradication of tobacco. 

World No Tobacco Day - Making An Effort To Control Tobacco Usage!

Multiple Sclerosis is a condition of the immune system, where it attacks the central nervous system and destroys the protective sheath of nerve fibers. This is why, it is known as an autoimmune disease. It is a disabling disease for the spinal cord and the brain. If treatment is not begun in right earnest, the disease may damage the nervous system and disabled people.

However, there is no cure for Multiple Sclerosis in modern medicine. Doctors can at most reduce the pace of progression of the disease, but not halt it. Nevertheless, Ayurveda may have an answer to this dreaded disease.

Modern Treatment for Multiple Sclerosis:

Modern medicine focuses on speeding up recovery from episodes like pain in the body, electric-shock sensations during certain movements, tremors, problems with coordination, etc. Other aspects of treatment include slowing the progress of the disease and managing the symptoms of the disease. People who are afflicted with only mild symptoms usually don t need any treatment. However, for those who have severe symptoms like jerks, slurred speech, etc., Ayurveda may be the answer.

Ayurvedic Interpretation:

In Ayurveda, the malady is interpreted as an energy disorder. Practitioners consider this problem as one arising from improper digestion. Improper digestion leads to toxin formation. If the toxins are not removed, they accumulate in various tissues of the body. According to the tenets of Ayurveda, these toxins obstruct the movement of certain energies. This precipitates neuromuscular disorders.

Ayurvedic Remedy for Multiple Sclerosis:

Ayurvedic remedies for Multiple Sclerosis involve removing the toxins and restoring digestive capacity. It uses herbal remedies for that purpose. However, the task of removing the toxins is a comprehensive one. The toxins need to be eliminated from the tissues and at the same time they need to be prevented from accumulating in the tissues. This can be done by bringing in improvement in metabolism. In fact, this is the touchstone of Ayurvedic remedies for Multiple Sclerosis. Ayurvedic practitioners use Aloe Vera gel to detoxify and improve metabolism in patients suffering from Multiple Sclerosis. Natural minerals and vitamins of Aloe Vera also help in strengthening the immune system and putting a brake on its autoimmune activities.

Lifestyle Changes:

While various remedies help to expel toxins and prevent build-up toxins, patients need to bring in a change in their lifestyle in order to bring in long-standing improvements in digestive capacity and metabolism.

Dietary Habits:

Stuff like green tea has huge potential in prevention and treatment of Multiple Sclerosis and other neurodegenerative diseases. In fact, a certain chemical known as epigallocatechin-3-gallate has the ability to prevent the T-cells of immune system from attacking the nerve sheath.

Avoid stimulants like alcohol or coffee, fermented foods, peanuts, acidic foods, etc. One should also avoid or quit cigarettes.

Foods that are helpful are whole grains, almonds, Chlorella, Spirulina, Ghee, etc. Eating food which increases the metabolism and digestion of the body will also be helpful for this situation.

Conclusion:

While modern medicine does not have an answer to Multiple Sclerosis, Ayurveda offers a glimmer of hope. Patients need to bring in a comprehensive change in their lifestyle that includes improving lifestyles and taking specific food and drinks that help in fighting the disease. One should always consult a doctor if the symptoms are visible.

Multiple Sclerosis - What Should You Know?

Facing a major crisis in life? Here are 5 ways to deal with one

Life is a mixture of good and bad times and everyone experiences a crisis at some point in their lives. A life crisis is a situation when everything in your life seems to fall apart, followed by a major event or a series of events such as the loss of a job, death of a family member, a relationship break-up, divorce, to name a few. Whatever the reason may be, each crisis tests your ability to cope with grief. 

Here are some tips on how to face a life crisis bravely and bring your life back on track.

1. Don't run away from the problem
It's very common for people to want to run away from problems when situations are not in their favour. Instead, face the difficulties bravely and try to find ways to deal with it. Accept that it has happened and focus on the next logical course of action.

2. Rule out the negative self-assumptions with logical reasons
After experiencing a major loss in life, it's not uncommon to have negative self-assumptions or feelings of guilt. You may feel traumatised due to the happenings in your life and may start believing that the world is no longer a safe place. This can lead to frustration and sense of futility. In such a situation, don't panic unnecessarily, and give yourself logical reasons instead to prove that most of your negative assumptions are not true.

3. Seek the help of your family and friends
Spend more time with your family and friends, but do not always discuss the negativities you are facing in life. Instead of always telling them how terrible you feel, enjoy some light moments with them. This will help you cultivate a feeling of having a strong and secure support network.

4. Take a short vacation
Take a break from work and spend few days out of your town. It will help rejuvenate your soul and re-energise you to deal with the crisis situation. Vacations prove to work wonders to your physical and mental health, reducing depression and the stress you face to a considerable extents. 

5. Keep a record of your progress
Record whatever positive happens to you each day, even if it's a small thing. Write about how you feel while experiencing and recovering from this crisis. This not only helps in bringing about a positive mind-frame, but also keeps your mind away from the painful events, speeding the healing process.




Facing a Major Crisis in Life? Here are 5 Ways to Win Over It.

An event or an accident that leaves us overwhelmed can lead to post traumatic stress disorder, also known as ptsd. A particularly stressful situation or event that has created terror or been overly dramatic or dangerous can lead to stress and anxiety long after the individual has physically come out of the situation. This kind of a traumatic condition is usually what characterises ptsd. This condition is something that is persistent, and can linger on for a long time, calling for medical supervision and care. Here's a list of things you need to know about ptsd.


	Duration: post traumatic stress disorder usually lasts up to six months. Yet, there are cases where it lingers on and requires treatment for some particular types of symptoms or behavioural changes. Usually, the patient's behaviour is a result of one or more of the symptoms discussed below.
	Re-experiencing symptoms: these symptoms include flashbacks and life like re-imagination in the form of dreams and nightmares. In many cases, the patient may remember and re-experience the entire scene or series of events that have led to the trauma in the first place. This can be triggered by a memory or association with words, events and other such things that have to do with the memory of the traumatic episode.
	Avoidance symptoms: a traumatised patient may go out of his or her way to avoid things that are remotely close to the traumatic incident. They may fear a reoccurrence or a reminder of the event and may avoid addressing the trauma altogether. Patients suffering from this symptom may have created a mental block, and may not be able to remember the exact details of the event. They may also feel emotions like fear, guilt, depression and even worry, over the past incident which led to the trauma in the first place.&nbsp;
	Arousal symptoms: arousal or reactivity symptoms may trigger the same reactions that the person showed during the traumatic experience. These may include being on edge constantly in anticipation of a reoccurrence, or even getting startled by the slightest thing since the mind is already occupied with thoughts of the event, constantly. Anger and emotional outbursts may also be caused due to these symptoms.
	Mood symptoms: mood swings are the most common outcome of these symptoms. The patient may experience a complete lack of enthusiasm and drive to indulge in activities like hobbies and socialising. Also, the patient may end up harbouring feelings of negativity towards family, friends and strangers, besides going through phases of guilt and self blame for the occurrence of the traumatic event.


Ptsd can be a debilitating disorder in the emotional sense, and should be treated by a psychiatrist in case it lingers on for more than six months.


All About Post Traumatic Stress Disorder

Schizophrenia has been recognized as a mental disorder that combines symptoms like hallucinations with distorted thinking and others like fright and severe paranoia. This condition is one that gets progressively worse over time and leads to delusional thinking. Oversleeping and complaining of fatigue are usually the earliest signs of this condition's onset. Eventually, it becomes a debilitating factor in the life of the patient, who will not be able to function in a normal way due to the severe symptoms.

Read on to know more about the types and causes of this condition:

Genetic Causes: Schizophrenia may be caused due to genetic factors and it may be a learned or inherited disorder. It is known to affect patients who have a parent or a sibling who may have suffered from this condition. Yet, one must also remember that Schizophrenia can only be influenced by genetics, and not determined by the same.
Environmental Causes: When there has been an exposure to a viral infection during the pre natal stage, the patient is susceptible to this condition. Also, it may affect children who have been subject to the loss of a parent or separation at an early age. Physical and emotional abuse in one's childhood may also bring on this condition. Low level of oxygen at the time of birth is one of the causes of this condition in many patients.
Anomalies in Brain Structure: When the brain ventricles of the patient are enlarged, he or she may be prone to this condition. Also, anomalies in the temporal lobes and amygdala have links with the onset of this condition.
Types: A wide variety of mental and medical conditions can manifest with psychotic symptoms that must be considered in the differential diagnosis of schizophreniform disorder. These include psychotic disorder due to another medical condition or its treatment; delirium or major neurocognitive disorder; substance/medication-induced psychotic disorder or delirium; depressive or bipolar disorder with psychotic features; schizoaffective disorder; other specified or unspecified bipolar and related disorder; depressive or bipolar disorder with catatonic features; schizophrenia; brief psychotic disorder; delusional disorder; other specified or unspecified schizophrenia spectrum and other psychotic disorder; schizotypal, schizoid, or paranoid personality disorders; autism spectrum disorder; disorders presenting in childhood with disorganized speech; attention-deficit/hyperactivity disorder; obsessive-compulsive disorder; posttraumatic stress disorder; and traumatic brain injury.
Since the diagnostic criteria for schizophreniform disorder and schizophrenia differ primarily in duration of illness, the discussion of the differential diagnosis of schizophrenia also applies to schizophreniform disorder. 

Brief psychotic disorder. Schizophreniform disorder differs in duration from brief psychotic disorder, which has a duration of less than 1 month.

Residual Schizophrenia is a condition where the patient does not experience the various debilitating symptoms of the condition, and is on the road to recovery. Yet, even in this type of Schizophrenia, the patient will not really show any interest in life and the activities around him or her. Finally, the last type of Schizophrenia is Schizoaffective Disorder which is characterised by the symptoms of Schizophrenia as well as the symptoms of major mood disorders. When combined, this condition can lead to major complications and complex behavior.

A patient suffering from this condition will need to see a mental health specialist like a psychiatrist or a psychologist on an immediate basis. The treatment will be carried out on a long term basis for the results to start appearing.

Schizophrenia - Know the Causes Behind it

Depression: Why is this Silent Killer Taking Our Youth Away?

Recently most of us were shaken by the death of the well-known television actress, Pratyusha Banerjee. Her sudden death has brought to light the very common yet under-addressed problem - Depression -  that a number of youths are living with.

Most mental and emotional health issues are inconspicuous in nature and, therefore, cause more harm than they otherwise should, most people still live with a number of symptoms of depression without even realizing it or do little to address it. When the depressive symptoms last for more than 2 weeks and affect the individual's personal, social or occupational life, it is known as clinical depression or major depression. There is often a delay in opting for the treatment because of the social taboo associated with depression.

Although cases of depression can vary from an individual to the other, there are signs that one can look out for, to identify a depressed person:

- Low mood most of the time of day along with frequent crying spells

- Feeling of unworthiness and low self-respect are very common in a depressed person. Due to these feelings, the affected person may become very critical and disapproving about himself or herself.

- Lack of enjoyment and loss of interest in a depressed person makes them no longer derive pleasure from things that once gave him or her happiness.

- Exhaustion and insomnia are signs that one should look out for in a depressed individual. These are usually due to changes in sleep patterns, from sleeping a lot because of feelings of constant fatigue or due to instances of wakefulness.

- From indulging in comfort eating to losing the will to eat, predominantly loss of appetite characterizes a depressed person.

- Difficulty in recalling details and tendency to over generalize as also problem-solving issues can point to the presence of depression

- Unexplained bodily pains and aches are another characteristics of the condition.  

What are the different types of depression?

Regarding the different forms of this mental health issue, it comes in several forms along with their distinct symptoms, effects, and causes. These are:

- Major depression

- Dysthymia

- Recurrent depressive disorder

- Seasonal affective disorder

- Bipolar disorder

How can it affect your life?

More than 90% people who commit suicide suffer from some form of psychiatric illness and depression is the most common reason. The despair that usually accompanies depression makes the thought of taking one's life as the only means available to escape the pain. In addition to suicidal thoughts, it can also affect one's functioning in day to day life if help is not sought in time.

Depression is as curable as any other illness. Both medical management and psychotherapy are helpful in treatment. Type of treatment depends on patient's condition, the severity of illness as well as availability.



Depression: Why is this SILENT KILLER taking our YOUTH away?

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