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!

The risks and harms of smoking are pretty much common knowledge to most people. Especially when the pack of cigarettes practically screams it out to you in bold letters. Yet, as statistics would say, smoking in young adults has been on the rise in the recent years. What makes them take this step? Maybe it is peer pressure, or maybe they do it for the thrill of it. Every country takes a great initiative in educating their population, yet some fail to understand the complexity of the situation.

Here are some of the reasons that will tell you that even a single puff of the deadly tobacco can severely harm your health and general well-being

Cigarette smoking is the leading cause of cancer. It can cause cancer in most organs of the body. Smoking cigarettes can cause the following
Nose cancer
Throat cancer
Larynx cancer
Mouth cancer
Oesophageal cancer
Lung cancer
Liver cancer
Cervix cancer
Stomach cancer
Kidney cancer
Colorectal cancer
Cervical cancer etc.
Smokers are more prone to respiratory diseases because smoking is capable of compromising the immune system of the body.
Autoimmune diseases such as Crohn s disease and Rheumatoid Arthritis are more likely to occur in smokers as their immune system is compromised by smoking.
Smoking has been linked to Diabetes type 2. This type of diabetes develops during adulthood. The more cigarettes a person smokes, the more likely is the person to develop this disease.
Smoking puts you at risk of developing several heart diseases such as angina, heart attacks, etc. because the nicotine in the body results in the lowering of good cholesterol. This causes deposition of bad cholesterol in the arteries.
Tobacco can cause tooth decay and several other oral problems such as gingivitis and other problems of the gum.
Cigarettes constrict your blood vessels. This constant narrowing of blood vessels can cause erectile dysfunction in men and leads to the infertility in both men and women. It also makes them difficult to achieve orgasms.
You might find yourself craving for cigarettes when you re stressed out. This is because the effect of nicotine in the cigarettes is lowered by the hormone produced during a stressful situation, i.e. cortisone.
Nicotine that causes momentary central nervous system stimulation can cause addiction and dependence.

How Smoking is Harmful For Your Health?

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?

What happens when you are addicted to a chemical substance? You lose control of your life. It doesn t matter what you are addicted to alcohol, nicotine or drugs the effects are the same. It is usually not easy to get rid of an alcohol and/or nicotine addiction. Most people find it difficult to give up these substances even after years in de-addiction therapy. Hence, it s prudent to let Ayurveda, the ancient science of healing handhold us in getting rid of addictions. 

Cigarette smoke contains over 4,000 chemicals, including 43 known cancer-causing (carcinogenic) compounds and 400 other toxins. These cigarette ingredients include nicotine, tar, and carbon monoxide, as well as formaldehyde, ammonia, hydrogen cyanide, arsenic, and DDT. Perhaps this list of ingredients that are found in cigarettes is enough to make you want to quit smoking for good! - Lowell Kleinman, M.D., and Deborah Messina-Kleinman, M.P.H 

Addiction - The Ayurvedic View
Ayurveda considers alcohol and nicotine consumed in large quantities as  Visha  or toxic. According to Ayurveda, alcohol has the following properties-

Light or Laghu
Hot or Ushna
Sharp or Tikshna
Drying or Visada
Rough or Ruksha
Expensive or Vikaasa
Swift or Aasuga
Sour or Amla
Subtle or Sookshma
These properties are all opposite to the qualities that ojas possesses. Ojas has all life-giving properties and alcohol and nicotine have life-negating qualities.

Why do humans get addicted to alcohol and nicotine?
Human brain produces Dopamine normally and what alcohol does is to activate the nervous system to promote dopamine formation. The brain thus remembers the taste of alcohol and nicotine by creating special cells called receptor cells. As a person increases the quantity of alcohol, these cells also increase in numbers. When the person wants to give up his addictions these receptor cells agitate and create withdrawal symptoms with unpleasant and even dangerous symptoms.

De-addiction - Ayurveda Way
De-addiction treatments in Ayurveda comprise the following:

Purification therapies or Panchkarma: These are used for getting rid of all toxins present in the patient s body. These must always be done under the supervision of an ayurvedacharya as they are quite potent. After Panchakarma, the patient is given vomiting therapy or Vamana, followed by purgative therapy or Virechana, Basti or enema therapy and administration of Nasya or nasal drops therapy. All these help in detoxifying the body and mind and prepare the patient for further de-addiction ayurvedic treatments like Rasayana therapies which nourish and strengthen the body after Panchkarma. For treatment of addictions, Rasayana treatments include changes in diet and use of oral herbal medicines both.
Herbal medicines used in de-addiction: A range of herbal medicines and their combinations are used in the treatment of addictive problems in Ayurveda and these are to be consumed orally. Ayurveda prescribes Chamomile and Ashwagandha in combination to heal the lungs. These help in cleansing lungs of smoke- related problems. Doctors also prescribe congestion relieving herbs like ginger and pepper mixed with honey or lemon. 
In addition, herbs to improve memory, concentration and to fight depression are also given. These are:

Shankhpushpi
Kanphool or dandelion
Brahmi
Ashwagandha
In addition, herbs to treat sleep disturbances like Jatamansi, Sarpgandha, Brahmi and Jaiphal are also prescribed. Since most addicts have impaired liver function, herbs that improve liver function like Aloe Vera, Punarnava, Long pepper, Kutki, Tulsi are given to revive the liver.

Ayurvedic View on Alcohol and Nicotine De-addiction

E-cigarettes : Good Or Bad?

E-cigarettes or electronic cigarettes are vaporizers powered by battery which instigates the feeling of smoking. Though it has emerged as a measure to quit smoking, it is not so successful in achieving the same. 

Check out its Benefits Vs Risks

BENEFITS.
1. Alternative to smoking - For those who find hard to quit smoking can replace this smoke and tobacco free device with the traditional cigarettes and can reduce the intake of smoke or tobacco to minimal.

2. Easy on the pocket book - The cost of e-cigarettes is relatively low than traditional cigarettes. Hence, it fits well under the budget of chain smokers.

3. Reduces the risk to diseases - Cigarette smoking is injurious to health. It can cause innumerable diseases from cancer, stroke, heart attack, pneumonia to osteoporosis, Alzheimer’s etc. E-cigarettes have reduced the risk of many of these diseases for the smokers.

4. Odor free Cigarette - The odor from a smoker after smoking is unbearable. E-cigarettes help get rid of the maleficent odor and so others won’t notice the smell.

RISKS.

1. E-liquids - E-cigarettes have e-liquids which are very harmfull for the body. A small amount of e-liquid is enough to kill a child or an adult. Hence, there is an increased risk to life of a smoker.

2. Lacks labeling - E-cigarettes do not have proper labeling, health warnings, directions to use and its safe disposal technique. Hence, it has an added risk to environment if the e-liquids get exposed/leaked.

3. High levels of Nicotine - Though it is a tobacco and smoke-free cigarette, over usage of the same can make you addicted to nicotine which has further negative impacts on your health.
Hence, e-cigarettes may help in quit smoking, it is equally hazardous to your health. 


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How Good Are E-cigarettes, Really?

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!

Don't wait any longer, manage your Smoking Cessation online with a Lybrate doctor today

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