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!

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?

Every smoker knows smoking is not good, yet the addiction stays. This addiction can lead to a variety of problems that can damage their body in  at times, irreparable ways. The tar in cigarettes is particularly damaging. It can lead to reduction in oxygen consumption and replenishment in the body and makes open or more susceptible to diseases such as emphysema and bronchitis. However the biggest killer is 'nicotine. There are ways to offset nicotine intake.

Adopt these methods to detox your body of nicotine.
 
1) Drink lots of water -  Having a lot of water helps. Lime water, chamomile or green tea help a lot in flushing out the nicotine that has accumulated your body for over the years.

2) Take diet rich in nutrients and fibres - Nicotine addiction and if you quit, smoking withdrawal may lead to unbalanced diet and weight gain. So, ensure that you consume enough fibre for regular bowel movement to clean out your system. Berries, grapes, mangoes and a variety of antioxidants are a must have.

3) Avoid these foods - There are certain foods you should consider avoiding. For instance, alcohol. Also, avoid soda, caffeine and fried foods as well.

4) Exercise - Strengthen the capacity of your lungs through deep breathing and other cardio-strength training exercises.

5) Make 'No Smoke' a Goal - The only long term help in detoxifying your body from nicotine is to remain smoke free. While your determination plays the most important role here, some people can leave it without many hassles, while others witness severe withdrawal symptoms. You can also opt for a nicotine patch or gum to help you with it.

If you have any further questions on issues related to smoking or other general health queries, click on 'consult.

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Can't Stop Smoking? Atleast Follow This Advice.

Ready to Quit? Then Expect this!

Withdrawal Symptoms: Be aware that the withdrawal symptoms may begin as soon as four hours after the last cigarette, generally peak in intensity at three to five days, and disappear after two weeks. Withdrawal

Symptoms can be

Physical like Headache, tingling in the hands and feet, sweating, gastro-intestinal (cramps, nausea) and/or Mental like tension, craving, anxiety to withdrawal, feelings of dependency, temper tantrums, irritability, intense needs, , insomnia, mental confusion, strong emotional and mental responses like feelings of being an infant.

Plan to Quit:

Before you plan to quit, ask a few questions to yourself like,

Do I really want to stop smoking?
What is holding me back?
What are the Real problems/excuses?
Do I accept that there is no miracle cure?
  Be clear about your reason &amp; readiness to stop.
  Draw up an action plan.
  Set a date and stick to it.
  Plan what you will do instead of smoking.
  Give up completely.
  Don t allow even a quick puff.
  Make quitting number one priority.
  Particularly in the first crucial week.
  Plan it with your friends, agree to support each other and make a pact not to let each other down.
  Make sure all cigs are destroyed.
  Get rid of all smoking reminders.
  Stay away from people who smoke.
  Keep busy.
  Pamper yourself.
  Decide what you are going to do with the saved money and put it aside.
  Try to avoid danger areas.
  Find activities that focus the hands and mind but are not taxing or fattening: computer games, solitaire, sewing, crossword puzzles, etc.
  Set quitting goals on a day to day basis and reward yourself when they are met.
  Think repeatedly about the advantages of quitting.
  Do deep breathing exercises.

Intense Cravings:

When the cravings become uncontrollable, try these 5 D s
  Delay
  Deep breathing
  Decide
  Drink water
  Do something else

Pharmacological Agents:

Your physician can prescribe you one of the following treatment options to help you quit.

Nicotine replacement in the form of Nicotine patches, gums.
Medication like Bupropione hydrochloride (Zyban) and Verenicline,(Champix)
Always Remember: MOTIVATION IS THE ONLY KEY TO SUCCESS !

Quitting Smoking - Know Everything About It!

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 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

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