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!

Pulmonary Function Tests or PFTs are a set of tests that are used to determine, measure or observe the functioning of the lungs. The most common pulmonary function tests used are spirometry, gas diffusion, and lung plethysmography. 

Highlights of pulmonary function tests

A spirometry test is used to measure the amount of air inhaled and exhaled. It also measures the amount of time taken to complete a respiration cycle.
A lung plethysmography measures the amount of air in the lungs after the patient has taken a deep breath. It also measures the amount of air that remains in the lungs after the patient has exhaled as much air as possible.
What does a Pulmonary Function Test measure?
Pulmonary function tests would not only check how well the person is breathing but also how effectively the lungs are able to conduct oxygen to the rest of the body. In addition to air flow, these tests would measure the size and volume of the lung and lung diffusion.

These tests can also be used to measure

Total Lung Capacity   the amount of air present in the lungs after breathing in deeply
Forced Vital Capacity   the amount of air that can be exhaled after breathing in deeply
Minute Volume   the amount of air exhaled per minute
Vital Capacity   the total volume of air that can be breathed out after inhaling as much as possible
Tidal Volume   the amount of air inhaled or exhaled when breathing normally
Maximum voluntary ventilation   the amount of air that can be inhaled and exhaled in one minute
Functional Residual Capacity   the amount of air that remains in the lungs when breathing normally
Forced Expiratory Flow   the flow or volume of air during an exhalation
Peak Expiratory Flow Rate   the rate at which a person can exhale
When are Pulmonary Function Tests recommended?
A physician might recommend a patient undergo a PFT as part of a routine physical check-up. This test would be advised if the patient is experiencing any symptoms associated with lung problems or disorders such as asthma, respiratory infections, chronic obstructive pulmonary disease, COPD. A doctor would also use these tests to monitor and check whether a certain treatment prescribed for a lung disease or condition is working effectively.

Pulmonary function tests are safe as they are non-invasive but it is important to follow the instructions of the doctor or technician before, after and during the test. It is important to make your doctor aware of any surgeries, respiratory infections, chest pains or heart attacks that you might have experienced before the test. If you are taking any medications you might need to follow the advice of the doctor as to whether you can take them before the test.

Your doctor would also advice you on how to prepare for the test such as not eating a large meal, avoiding caffeine and wearing loose-fitting clothes. If you have any doubts, concerns or queries discuss them with your doctor.

Pulmonary Function Tests - Why Is It Required?

An allergy occurs when your body s immune system reacts abnormally to certain substances or chemicals (known as allergens) that may actually be harmless.

Respiratory allergies are one of the most common forms of allergy seen in people of all ages. This type of an allergy occurs when the immune system reacts negatively to airborne substances, for example, dust. Although normally these substances do not pose a threat to your body, the antibodies consider allergens dangerous and release chemicals (histamines) to fight it. This response of the body to an allergen is expressed in the form of symptoms like a rash and is known as an allergic reaction.

Causes of Respiratory Allergy-
Some of the common causes of respiratory allergy are-

Dust/pollen- when you are exposed to dust mites that are usually found indoors
Mold- when you inhale mold spores
Pet dander- when you inhale or come in contact with pet dander/saliva
Apart from these, exposure to certain irritants such as fumes and smoke may also trigger a respiratory allergy in individuals.

Symptoms to watch out for-
The symptoms of respiratory allergy in each person may vary from those in another. Usually, the symptoms affect the airway, skin, or eyes.

Coughing/sneezing
Nasal congestion/discharge
Difficulty breathing
Runny/blocked nose
Watery, itchy eyes
Swollen eyelids
Sinus pressure
Severe allergic reactions may also lead to chest tightness, asthma, and conjunctivitis.

How Homeopathy treats Respiratory Allergy-

Homeopathy treatment is based on a paradoxical theory- a substance that triggers a set of symptoms is also capable of curing them. Homeopathy thus aims to evaluate what is causing the illness and eliminate its underlying causes.
As stated above, allergies are the result of an unknown immune response to an otherwise harmless substance. This usually occurs if you have a weak immune system. Homeopathy works to improve and boost your immune system, so you do not encounter allergic reaction to such conditions in future.
Medications and drugs used in conventional treatment methods often lead to side effects, but Homeopathy uses natural ingredients and substances, and hence these are 100% safe for consumption.
Allergies are usually curable, only if one takes prompt action. Allergic reactions, if left untreated for long, can quickly aggravate to cause a life-threatening condition like anaphylaxis. So if you see any of the above symptoms, consult a doctor as early as possible.


Can Homeopathy Treat Respiratory Allergies?

When you suffer from dry, chronic cough along with shortness of breath, it is normal to get worried and annoyed. You will want to know the cause and the cure. Note that it might be due to a condition called the interstitial lung disease.

Including almost more than 200 different lung conditions, interstitial lung disease refers to the inflammation and scarring caused in the lungs, which leads to less oxygen entering the blood. Mainly affecting the interstitial part of the anatomic structure of the lungs, which is responsible for the oxygen flow into the blood, interstitial lung disease can damage other parts of the lungs too, such as the lung lining, the airways or the blood vessels. The following is a brief account of the types, causes, symptoms, and treatment of ILD.

Types
Interstitial lung disease can be of various kinds, though all of them leads to the thickening of the lung s interstitial part. Some of the types of ILD are 

Nonspecific interstitial pneumonitis
Idiopathic pulmonary fibrosis
Acute interstitial pneumonitis
 Hypersensitivity pneumonitis
Asbestosis
Sarcoidosis
Cryptogenic organizing pneumonia or COP, etc. 
While some of the ILD types are short lived, some are irreversible and chronic.

The primary causes of interstitial lung disease are viruses, fungi, and bacteria. Regular exposure to inhalable irritants such as talc, silica dust, asbestos, coal dust or any other kind of metal dust, bird proteins of pigeons, chickens or any exotic birds, grain dust, etc. can also cause interstitial lung disease. Though rare, sometimes it is the intake of particular drugs that may cause ILD. For the majority of interstitial lung diseases, the exact cause is not always known.

Both men and women of any age can develop this disease, and it is more common in people with rheumatoid arthritis, lupus, scleroderma, and autoimmune disease. Some of the primary symptoms and signs of interstitial lung disease are nonproductive dry cough, shortness of breath, and considerable weight loss. While for some types of ILDs the symptoms develop slowly and gradually over months, for others, such as the acute interstitial pneumonitis or interstitial pneumonia, the symptoms develop more rapidly, within days or a few hours.

For identifying the presence of ILD, doctors usually rely upon chest X-ray, CT scan or computed tomography, pulmonary function testing, high-resolution CT scan, and lung biopsy. In case no apparent cause behind the disease is found from the tests, a patient's history of being exposed to certain chemical environments is then taken into consideration.

Depending on the type and severity of the disease the treatment options vary from one to another. While for some taking prescribed drugs can offer a solution to prevent the lungs from deteriorating further, for some a complete lung transplant may become the only solution. Treatments like pulmonary rehabilitation and oxygen therapy can also be ideal, based on the condition of the lungs.

Thus, if one is constantly exposed to lung irritants and experiences the symptoms of interstitial lung disease for more than eight weeks, he/she must seek the advice of a pulmonologist without delay as the condition may lead to severe complications when left untreated.

Interstitial Lung Disease - Understanding Its Types!

Do you know about a condition called cystic fibrosis that makes your baby s skin taste very salty after birth? The condition changes over time, in which the body makes sweat and mucus, and also affects the digestive system and lung functioning. The condition generally occurs because of a flawed gene. This is a severe and life-threatening disease that affects different people in different ways.

Causes
The gene, called CTFR is present in all humans. It makes a protein that controls the amount of water and salt, which get moved in and out of your cells. In the case of cystic fibroids, the CTFR gene is broken. This happens when a person inherits two bad copies of this specific gene. One bad CFTR gene may cause your cells to make the wrong or imbalanced amount of water and salt. Because of this, your body becomes unable to get the supply of sufficient nutrients and oxygen that are lost through sweating.

Symptoms
There are several symptoms associated with cystic fibroids that include the following:

It is likely for you to cough up thin mucus, along with shortness of breath, and wheezing.
The development of polyps in your nose is indicated.
Sinus infections, pneumonia, or bronchitis may occur.
Your stool may be oily, bulky, and with a foul odor.
Liver diseases and gallstones may develop later in life because of cystic fibroids.
Treatment
There is no certain treatment for cystic fibroids. However, there are various treatment procedures that are used for providing relief to the symptoms of the condition. This allows an affected patient to breathe easily, feel better, and experience lesser stomach infections. You can opt for airway clearance technique that helps you with your breathing. The procedure involves the clearance of mucus from your lungs. This procedure is carried out in several ways and special devices may be used during the proceedings.

Certain inhaled drugs like steroids, salt solutions, and antibiotics are used for thinning your mucus layers, and for clearing lung infections.
If your pancreas do not work properly, you may be prescribed enzyme pills for the digestion of fats and protein, and for the absorption of more nutrients from the food you consume.
You may also be prescribed vitamin A, D, and E supplements for getting these nutrients, which are not being absorbed by your intestine.
You must consult a doctor on experiencing any symptom of cystic fibrosis in your baby. This will allow the condition to be diagnosed at an early stage, thereby preventing further worsening.

Cystic Fibrosis - 5 Strange Signs You Must Know About!

Interstitial lung disease is an umbrella term that includes a number of conditions that causes scarring of the tissues of the lungs. This scarring can hamper your breathing and therefore cause less oxygen to be present in your blood.

When you are exposed to hazardous materials like asbestos for long periods, you can get interstitial lung disease. Even autoimmune conditions like rheumatoid arthritis can result in this condition. 

Once the tissues of your lungs are scarred, chances are that it can t be reversed. While medications can slow the progress of the but you won t be able to regain the full functionality of your lungs. In such cases, you can consider a lung transplant.

What are the signs?

You will difficulty in breathing   it may be aggravated when you exert yourself or you may experience shortness of breath during rest periods. A dry cough is another sign of this condition.

What causes it?

Interstitial lung disorders occur when you ve had an injury in your lungs that set off an abnormal healing process. With the healing not happening in a normal way, the tissues around your air sacs tend to thicken and get scarred. The does not allow oxygen to get into your blood.

There are certain triggers for this condition  

If you are exposed to certain pollutants or toxins like silica dust, bird dropping and grain dust for long periods.

Medications like chemotherapy drugs, anti-inflammatory drugs and heart medications.

If you have the following medical disorders   scleroderma, rheumatoid arthritis, mixed connective tissue disease, dermatomyositis, Sjogren's syndrome and sarcoidosis.

What is the treatment? 

First, a doctor will carry out diagnostic tests to identify the cause of the problem. The following tests are usually performed  

Blood tests to detect autoimmune responses to pollutants

Imaging tests like CT scan and echocardiogram

Tests like oximetry and spirometry to determine your lung s capacity

Surgical biopsy and bronchoscopy to analyse your lung tissue

Once the diagnosis is done, the doctor can suggest any one of them or a combination of the following methods  

1. Medications 

Corticosteroids are used to suppress the immune system. GERD can also damage your lungs, so you may be given medicines to reduce stomach acid if you have an excess of it.

2. Oxygen therapy

Oxygen therapy can help you with breathing and help you sleep better. But it won't stop damage to the lung tissues.

3. Pulmonary rehabilitation

Pulmonary rehabilitation can help you perform your daily tasks without any hitch. It includes exercise, breathing techniques, eating healthy and emotional support.

Surgery

If nothing else works, then the doctor may recommend a lung transplant. 

Moreover, there are certain lifestyle remedies that you can adopt  

Avoid smoking as it can aggravate your condition.

Eat a healthy and nutritious diet.

Take vaccines for respiratory infections like the flu and pneumonia.

The best way to deal with this disorder is to not have it at all. But with proper treatment, your symptoms can be reduced.

Interstitial Lung Disease - Know More!

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