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!

7 dangerous things that smoking does to your skin

Most people think that having a smoking habit adversely affects only the lungs and the heart. But apart from known links to lung cancer and heart disorders, smoking also causes skin damage. The intensity of damage is directly proportional to the number of cigarettes one smokes in a day and the number of years one has been smoking for.

Here are 7 of the horrible things that smoking does to your skin

1. Premature ageing: the process of skin ageing is accelerated by a smoking habit. The chemicals that are ingested through the smoke cause your skin to age much faster, making it look loose, dull and coarse, with uneven colouring. Most smokers have a muted orange or grey tinge to their complexions.

2. Wrinkles and lines: the nicotine from smoke constricts blood vessels in the outer layers of the skin, thereby cutting off the supply of oxygen and nutrients. This causes the skin to develop visible fine lines and wrinkles at a faster rate.

3. Scarring and pigmentation: since blood is not flowing properly to the outer layers of the skin, it is more susceptible to broken capillaries and veins, which can cause dark scarring and pigmentation on the face and other areas.

4. Darkening of the lips: constant exposure to heat from smoking causes stark darkening and pigmentation in the lips, which also become dry and coarse.

5. Delayed wound healing: the presence of nicotine, tar and other chemicals in the blood causes cuts and wounds on the skin to heal at a much slower pace with an increased risk of infection, blood clot formation and death of skin tissue.

6. Increased risk of skin disease: smoking makes the skin prone to various diseases and conditions like psoriasis, which happen as nicotine adversely affects the body's immune system.

7. High chances of skin cancer: skin cancer and oral cancer are the two lesser known variants of the diseases that can be caused by smoking. Skin cancer is far more common among smokers than among non-smokers.

The harmful effects of smoking on the skin are not entirely discernible until after 10 years of prolonged smoking. Fortunately, your skin starts to heal itself when you kick the habit.

If you would like to consult with me privately, please click on 'consult'.
Related Tip: E-cigarettes : Good Or Bad?

7 Dangerous Changes that Smoking Causes to Your SKIN

Smoking can affect your health in all respects, and it is no different when it comes to your heart. Smokers are almost twice as likely to have heart problems compared to individuals who do not smoke.

How does smoking cast an impact on your cardiac health?
Smoking increases the risk of developing various kinds of cardiovascular issues such as stroke and coronary heart disease. It damages the lining of the arteries which, in turn, paves the way for building up of fatty substances called atheroma which narrows down the artery. This may lead to heart attack, stroke, and angina.

Tobacco contains carbon monoxide which reduces the amount of oxygen in the blood. This indicates that the heart has to work harder for supplying the required amount of oxygen. Cigarettes also contain nicotine which stimulates the production of adrenaline. This instigates the heart to beat at a faster pace and raises the blood pressure.

The chemicals present in the smoke of tobacco can harm your blood cells and retard the normal functioning of the heart. When not inhibited, it can lead to atherosclerosis. Atherosclerosis is an ailment in which a waxy material, termed as plaque builds up in the arteries and limits the flow of blood to different parts of the body.

When plaque builds up for a long span of time, it causes coronary heart disease, and you are likely to experience symptoms such as heart failure, chest pain, heart attack, arrhythmia and heart failure and even death.

Smoking is a major risk factor for another fatal ailment called the peripheral artery disease or PAD. PAD is a clinical condition where the accumulation of plaque in the arteries inhibits carriage of oxygen-rich blood to the head, different organs, and limbs.

With regular smoking, the blood is more susceptible to clotting which surges the risk of having a stroke or heart attack.

Is there any effect of second-hand smoking?
Second-hand smoking, also referred to as passive smoking means inhaling the smoke ejected while smoking. When a person is regularly exposed to smoke, he or she is likely to have low levels of good cholesterol, damaged heart tissues, and high blood pressure. Various researchers are of the opinion that second-hand smoke of tobacco is a viable cause of heart ailments in nonsmokers. This means, if you are a smoker, you are definite to harm the members of your surroundings.

Why should you quit smoking?
One of the best ways to decrease the risk of having cardiac ailments is to stop smoking. In case you have never smoked, you should never think of starting it for the same reason. You should also try to avoid second-hand smoke by avoiding going to a smoking zone. It would be a great idea to avoid the company of smokers for the periods when they are smoking.
Stay away from smoking for your heart health.

Can Smoking Affect Your Heart?

Every packet of cigarette comes with the warning 'Smoking is injurious to health'. With every national budget plan, the prices of nicotine based additives are hiked. Yet, you cannot quit smoking because you find it extremely difficult to resist the nicotine urge. Ayurveda says that the root cause of addiction is mental stress due to one of the 3 Doshas that are Vata, Pitta, Kapha. People try to terminate them through temporary, addictive methods rather than a bit more natural, holistic methods. Here's how it can be easier for you to quit smoking by adopting Ayurvedic remedies.

Ayurvedic remedies:
1. Drink adequate amount of water, especially from a copper vessel. This helps to accumulate the wastes and release them.
2. Perform the Neti Kriya (inhaling saline water through one nostril and releasing it through the other and then reversing the procedure).
3. Performing the Bhastrika Pranayama twice every day, both in the morning and at night.
4. Consume 3 tablets or 1  teaspoon of triphala everyday before going to bed, to eliminate the deposited nicotine tar in your system.
5. Consumption of a measured mixture of ashwagandha, bala, shatavari and ginseng every day, or a chyawanprash containing these help in detoxification.

Changes in diet:
1. Avoid consumption of alcohol and other addictive drugs, such as coffee, sugar, etc. because they increase the urge to smoke.
2. Decrease intake of fatty foods because your metabolism rate is lower than at most other times, so you might risk gaining weight during this period.
3. Try a vegetarian diet because it increases the Sattvik quality of your mind. Every fresh food item contains prana or life which rejuvenates both your body and mind.
4. Chew anti-nicotine gums or suck on cinnamon sticks which curb your urge to smoke.
5. Keep eating low-calorie food items like carrots, apples or celery.
6. Incorporating regular exercise in your routine may help you to quit smoking more easily. It controls weight gain, which is a side-effect of quitting, and also offers you a fit and healthy lifestyle.
7. Meditating and doing yoga regularly helps in relaxing your mind. Yogic postures like Sabasan help attain internal peace and divert your mind from craving to smoke.

Besides these techniques, there are various other ways like taking help from a professional ayurvedic counselor, which will help you quit smoking, socializing with friends or spending quality time with your family, will keep your mind diverted from the stress of quitting.

Ayurveda and Smoking - Ayurvedic Medicines to Quit Smoking

Smoking and its effect on tooth

Smoking is a phenomenon where the smoke emanated from a burning substance, usually tobacco, is inhaled. Smoking is a major cause for multiple diseases such as lung cancer, mouth cancer, blood pressure disorders etc.

Smoking tends to limit the capabilities of the immune system and this makes it easier for various diseases to affect the body. Smoking can lead to problems in the teeth where the gum tissues that attach the bone with the teeth are affected. This may cause the blood flow to the gums to be impaired and affect the functioning of the teeth.

The changes that the teeth undergo due to smoking are -

1. It may increase teeth sensitivity.
2. Smoking causes the teeth to be pulled away from the gums.
3. It can result in swollen and bleeding gums.
4. It may cause pain while chewing food.
5. Bone loss around the jawline occurs in smokers.
6. It can result in stained teeth and bad breath.

Disorders related to the teeth caused by smoking

There are various disorders of the teeth which are directly linked to smoking, they are -

-Mouth cancer - in this condition tumors are formed in the mouth
-It can cause plaque to accumulate in the teeth
-It may cause gum disease that can result in tooth loss
-It may interfere with healing period of any dental treatment
-It reduces the success rates of teeth implants
-Sweeteners present in the tobacco can also cause tooth decay

The effects of smoking on the tooth can be minimized by avoiding smoking altogether. Apart from that, following proper dental hygiene such regular brushing and flossing of the teeth will keep the teeth healthy. Avoiding smoking also reduces chances of lesion leukoplakia (white patches near teeth and gums).




Smoking and Its Effect on Teeth

The Mind of a Smoker 

There are a few instances when our body and mind refuse to acknowledge rationality, and quickly give in to carvings. Alcohol abuse, junk foods, depressant medications are a few of them. Among these, the most harmful is undoubtedly, smoking. In today's time, almost everyone knows about the ill-effects of tobacco. But despite our knowledge, we continue to give in and smoke. Let us have a look in depth about the usage, and the various steps one can use to come out of this dangerous habit. 

Ill-Effects of Smoking 

Smoking is dangerous for your health, and quitting can vastly reduce your risk of getting a disease related to the heart or lung. There is also a 50% chance that your life expectancy will be less due to smoking. On an average, a smoker has 10 - 12 years of lesser life expectancy than that of the nonsmoker. Also, quitting tobacco products can greatly reduce your chances of getting cancer. A smoker is always in the higher risk group of getting a tumor in the voice box (larynx), mouth, throat, intestines, kidney, and pancreas. Smoking can also hamper your sexual urge and erectile strength. Pregnant women who smoke carry a greater risk of having babies with many complications. 

How to Curb Smoking 

Quit smoking, and you can see visible differences right away. Your breathing will improve, and your asthma symptoms will likely to get better once you quit. Apart from a healthier you, you can also avoid health complications for your family members. Passive smoking is as harmful as active smoking, and a passive smoker is also easily susceptible to the complications of that of a smoker. Do not opt for lighter nicotine content cigarettes, as they have advertised that they contain less tar and nicotine. They simply do not, and they are equally harmful to you. Once the decision has been made, quit it altogether. Also stay away from chewing tobacco products. There are many ways by which you can quit smoking. Consult with your doctor in case you need medications for staying away. 

There are safe non-nicotine gums and chewing tablets for curbing the smoking feel and sensation. There are also self-help groups and treatment centers that can rehabilitate you from your habits. Indulge yourself in activities that keep you happy and passionate. Try signing up for your favorite sports and keep yourself occupied at all times. Always be positive, and do not give into temptation. Believe in yourself and always remember that you are also spoiling the health and wealth of your near and dear ones. Your children follow you, and they can easily be misguided. Be a role model to them and quit smoking, and inculcate the healthy habit now and forever.

Strategies and Medications to Stop Smoking, and Benefits of Stopping Tobacco Use!

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