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!

On an average a person consumes nearly 800 calories daily from added sugar. This does not just include natural sugar found in fruits or milk but the processed sweet sugar as well, that is added to cakes, tea, coffee, confectionery and even pasta sauce and salad dressing. However, it is possible that you can limit your sugar intake or even quit it to get some truly amazing benefits.

When you take this hard decision, you may experience withdrawal symptoms such as mild depression, anxiety or restlessness. But if you remain adamant and continue with your decision, your body will soon show some incredible results that you couldn't have imagined.

Here are a few of them:

1.&nbsp;Your heart will beat happily

Sugar raises insulin levels that activate the responses of sympathetic nervous system thereby elevating your bp and heart rate. When you cut down on sugar, your ldl cholesterol will decrease by 10% and triglycerides will reduce by 20-30%. And your risk of heart attack will reduce manifold.

2.&nbsp;Your weight fluctuations will be gone

With the exception of fruits, sugar is mostly present in processed or high-carb foods that contain loads of other unwanted constituents like fat etc.

So when you quit sugar, your body has to no longer worry about those unwelcome calories and your weight will stop moving right and left across the scale.

3.&nbsp;Digestion will become efficient

When you quit sugar, the digestive system becomes more efficient. Since your stomach and intestines have to no longer worry about those difficult to digest processed foods, their abilities and functioning improves. Even your colon begins to work better, may be you take more trips to the restroom, so things get even more on track.

4.&nbsp;No more acne troubles

Sugar triggers acne troubles. When you cut it down, you will no longer be troubled by those zits that dampen your looks. Your skin will actually clear up, cracks will disappear and you will get a healthier skin.

5.&nbsp;You will no longer have sweet craving

With sugar, there is a huge negative, as you enjoy sweets, you crave for more sweets. But if you quit sugar, slowly you will begin to avoid foods that contain sugar and as a result, whenever you will eat anything that has sugar, it will taste over sweet and you will not be able to have large portions. This means no more cravings for sugar!

If you would like to consult with me privately, please click on'consult.

5 Wonderful Things That Happen to Your Body When You Quit Sugar!

The Interstitium is a network of tissues in the lungs. It supports the functioning of microscopic air sacs in the lungs, known as Alveoli. Tiny blood vessels travelling through the interstitium help in exchange of gases between blood and air. In ILD or Interstitial lung disease, this important function of the lungs is disturbed. This can lead to ILD, including Sarcoidosis.

In general, the symptoms of ILD include shortness of breath, dry and non-productive cough and unexplained weight loss.

Causes Of Interstitial Lung Disease

It is estimated that regular exposure to irritants through inhalation, at work or otherwise, can precipitate ILD. Bacteria, Viruses, and Fungi are known to cause Interstitial Pneumonias. The following irritants can cause ILD:

  Silica dust
  Asbestos
  Coal dust and other dusts, such as those inhaled during working in mines
  Talc
  Bird proteins (such as Chicken or Pigeon food)
  Grain dust inhaled from farming

Drugs such as Amiodarone, Nitrofurantoin, Bleomycin etc. may also cause Interstitial Lung Disease. However, a fair chunk of the causes of Interstitial Lung Disease are unknown.



About Sarcoidosis

In Sarcoidosis, there is growth of tiny inflammatory cells in different organs of the body, such as the Lymph nodes, Skin, Eyes and the Lungs. Lungs are the most common organs which Sarcoidosis affects.

Symptoms of ILD and Sarcoidosis

  Symptoms may include Fever, Fatigue, Shortness of breath, Weight loss, Persistent cough, Swollen lymph nodes, Chest pain, Wheezing etc.
  There may be reddish-purple bumps on shins or ankles, sores on nose, ears and cheeks, growth of nodules under the skin, etc.
  The patient may have Blurred vision, Eye pain, Severe redness and Sensitivity to light.
  A patient may also suffer from Chest pain, Shortness of breath, Fainting, fatigue, Irregular heartbeats, Palpitations, Swelling due to Accumulation of Fluid, etc.

Treatment of ILD and Sarcoidosis

  Antibiotics for Interstitial Pneumonia condition
  Corticosteroids or Immunosuppressants for skewed immune response
  Oxygen inhalation for low oxygen level in body due to ILD
  Antioxidants to reduce the rate of decline in lung function.

Sarcoidosis

  Though there is no cure for this disease, a patient may be treated through medicine if the disease starts affecting the functioning of other organs.
  The patient may be given Corticosteroids to Suppress Inflammation.
  If the condition is worse, the patient may also be given Immunosuppressants and other medicines to overcome specific organic problems.

ILD and Sarcoidosis are common diseases nowadays due to increasing pollution all around. In case of any of the symptoms of ILD and Sarcoidosis show up in a patient, it is highly recommended to get advice from an experienced Pulmonologist. The treatment is mostly antibiotic-based, and curbs the infection out of the body. The sooner the treatment can start, the better it is.

ILD And Sarcoidosis - Causes, Symptom And Treatment Of Them!

A heart attack can wreak havoc, throwing a person's life completely off balance. The condition, also known as Myocardial Infarction, often catches a person unawares. As per a survey, close to 7.35 lakhs people (both men and women) suffer from a cardiac arrest and associated disorders in the US every year. Early diagnosis and preventive measures can make a world of difference. Unfortunately, many people ignore or tend to miss out on the early symptoms characteristic of a heart attack.

A heart attack can be very much averted. All you need to do is, listen to your body and pay attention to the following warning signs. Act before it is too late.

Indigestion, nausea: Nausea, vomiting or indigestion is important, yet most commonly ignored early symptoms of a heart attack. More common in women than their male counterparts, the symptoms are often mistaken for over exhaustion or stomach upset. Nausea, in particular, can be triggered by many conditions and hence the negligence. A person may also complain of stomach ache or heart burns.Though the symptoms may appear to be nothing serious, seeking an immediate medical assistance will not hurt either. A little alertness will only help you in the long run.
Pain and discomfort in the chest: This is a warning that should be taken seriously by all means. The symptom can be an indication of a condition as serious as a blocked artery, an important trigger for a heart attack.
Dizziness: Seldom will you find people losing their sleep over something as common as dizziness. While the lack of a sound sleep can make a person feel dizzy and light headed, the symptom (often accompanied by chest pain) could also be an outcome of a low BP (triggered by improper functioning of the heart). Look for the symptoms carefully and act accordingly.
Sharp pain episodes: Many people experience a sharp pain that originates in the chest and gradually spreads outward towards the arms. The symptom is a clear indication of a heart problem, ignoring which will only spell doom. Sometimes the pain can also spread to the jaw or the throat.The symptom is a strong warning that your heart needs immediate care and attention.
Sudden and unexplained sweating: Sweating due to hot and scorching summer is understood but unexplained sweating can be dangerous.
Over exhaustion: If small or regular chores that you could do in the wink of an eye are suddenly leaving you tired and exhausted (climbing the stairs for instance), it is time for you to consult a doctor.
Irregular heartbeat: The irregular beating of the heart can also be an indication of a heart problem.
Swollen feet: A heart problem can interfere with the ability of the heart to pump blood. As a result, the affected person may have swollen feet, ankles, and legs.
Cough: A cough that lingers for long (often accompanied with a pink mucus) is an important indication of a damaged or diseased heart.

Heart Attack - Did You Know Your Body Starts Giving You Signs A Month Before?

Lungs are part of the respiratory system, and their main job is to bring fresh air into the body and remove waste gases from the body.

What do the Lungs do?

Lungs have a basic function of maintaining the process of gaseous exchange. The blood vessels in the lungs carry oxygen (O2) in the air we breathe to the cells and exchange it for the waste gas carbon dioxide (CO2). This exchange is needed for all our body cells to live.
Lungs help to bring air we inhale to the proper body temperature and moisturizes it to the right humidity level.
By coughing, sneezing, filtering or swallowing them, lungs protect our body from infections, pollutants and other harmful substances.
Lungs also support our sense of smell.

Now that we know the major role of our lungs play in keeping us healthy, it is important that we know the ways to keep them in best of health to lead a problem-free life.

Do not smoke: Smoking increases the risk of lung cancer. Every time one smokes (cigarette, cigar, beedi) toxins like nicotine, carbon monoxide, and tar cause damage to the lungs. Over time these toxins irritate and inflame tissues leading to narrow airways which make it difficult to breathe. Smoking is also related to COPD (chronic obstructive pulmonary disease), pulmonary fibrosis and asthma. It is also advised to avoid passive smoking as it may damage the lungs as well.
Exercise more: Exercising will make the heart beat faster and lungs work harder, making them more efficient. During aerobic exercise, our breathing increases from 15 times a minute to about 40 - 60 times a minute, thus stepping up the exchange of O2 and CO2
Avoid exposure to pollutants: air pollutants can damage the lungs and accelerate aging. Reduce your exposure by avoiding:
Exercising near heavy traffic, as one tends to inhale the exhaust.
Pollutants at work by taking appropriate precautions.
Keeping indoor spaces well ventilated, clean (free from molds, dust, pet dander) and appropriately humid 30-50% relative humidity also helps.
Deep breething: Breathing deeply helps the lung to reach its full capacity.
Wash your hands regularly: Washing hands properly can help prevent a majority of infectious respiratory diseases like cold and flu.
Importance of diet in maintaining lungs health:
Eat right and keep yourself hydrated is essential for keeping your lungs healthy. Mentioned below are a few foods that are great for the lungs:

Cruciferous vegetables like cauliflower, cabbage, broccoli, kale. A review by Lam TK in 2009 stated that cruciferous vegetable intake may reduce lung cancer incidence.
Bright orange and red vegetables-like carrots, sweet potato, pumpkin, are rich in carotenoids, known to reduce the risk of developing cancer in the lungs.
Foods rich in omega-3 fatty acids have beneficial anti-inflammatory effects on human lung cells.
Spices like turmeric, ginger and garlic contain antioxidants and anti-inflammatory properties which are good for lung health.
Water keeps the blood flowing to and from the lungs. It also keeps mucous flowing and the lungs hydrated.

How You Can Keep Your Lungs Healthy?

The thyroid gland is an important hormone-producing gland and releases thyroxine, important for metabolism regulation. Increased or decreased amounts of it can cause symptoms starting from mood swings to altered reproduction.

One of the first symptoms of thyroid abnormalities is the presence of a thyroid nodule. These nodules can be cystic, firm, or solid depending on the underlying reason for the nodule. Hypothyroidism is more common than hyperthyroidism, and in an effort to produce more thyroxine, the gland swells producing the famous thyroid nodule. The nodule here is firm. In cases of infections, the nodules are more likely to be cystic. Cancerous thyroid nodules are hard.

In homeopathy, there is no general treatment and no specific remedies for any disease.

Rather, treatment is individualized. This means that the presentation of a disease in each patient is considered unique, and the homeopath prescribes remedies after an intimate consultation with each patient.

During the homeopathy consultation the homeopath considers more than just the symptoms of the disease. He also considers the disposition and constitution of the patient. This means that the homeopath approaches treatment by weighing the physical, mental and emotional states of the patient as well as the symptoms of the disease.

This approach leads to the prescription of a unique set of remedies for each patient. Therefore, two patients suffering from the same disease may receive two different sets of remedies from the same homeopath. Some of the proven homeopathic remedies for thyroid nodule are listed below-

Iodum: Hypothyroidism accounts for 80% of all nodules, and this is caused by iodine deficiency. Including iodine rich foods such as shellfish, iodized salt, and seafood will help compensate the reduced iodine levels in the body and improve production of thyroid.

Bromium: This gives the body the required amounts of bromium which is another nonmetal, similar to iodine. It is used to treat patients who present with symptoms of hyperthyroidism, including increased metabolic rate, heat intolerance and weight loss.

Calcarea carb: Obtained from oyster shells is useful in patients who present with symptoms of hypothyroidism. These people are depressed, nervous, fatigued with a poor body and mental response.

Lapis alba: Useful in tumours or nodules in a number of organs, it is also used when a patient presents with a thyroid nodule. It contains silico-fluoride salt of calcium and is useful in a number of cases where tumours are developing and also to resolve goitre.

Spongia: This marine creature soaks up the nutrients from under the sea and given its spongy nature, retains them for long periods. As it is rich in iodine and other nutrients, it is dried and used in powder form to treat thyroid nodules.

Lycopus: The flowering plant called bugleweed or Lycopus virginicus can be used in dried form or fresh form. Used as a tincture or a lotion, it is helpful in people who are irritable and present with respiratory problems. The nodules gradually reduce in size and the pulse and breathing improves.

Natrum muriaticum: In people with palpitations and exophthalmos, (bulging of eyes present along with swelling of the thyroid gland), who may also be very weak in appearance, Natrum can be used. If people have begun treatment with some other compound and discontinued, Natrum is indicated in these people too.

It is important to note, while these compounds are used, self-medication is not advised. Consult a specialized homeopath who will identify what will work for you, as each person requires customised treatment.

Treating Thyroid Nodules With Homeopathy

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