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Overview

Quit Smoking - Treatment, Procedure And Side Effects

What is the treatment?

A lot of people are addicted to the fatal habit of smoking. However, there are many treatments available that can wean an individual off smoking. If one categorizes them, the treatments would fall under the following heads:

  • Pharmacological ways – These ways are typically the ways that would involve nicotine replacement therapy (NRT). This type of therapy would aim to replace the deadly nicotine with something, which is similar in the chemical structure. However, the ill effects of nicotine will be eliminated. The prolonged use of NRT will eventually wean the individual out of nicotine.
  • Home remedies - These will take a longer time for an individual to wean from nicotine, although this therapy is considered the best in the longer run. There are minimal side effects when home remedies are applied. Individuals are usually distracted from nicotine during the therapy. Detoxifying drinks are administered for the body to release the inhaled toxins.
  • Placebo & rehabilitation therapy - Placebo treatments are the kind of therapies, which will mock the smoking activity. The individual will be subjected to something called electronic cigarettes. Smoking the same will not generate the nicotine smoke, but psychologically, the individual will have the satisfaction of smoking.

How is the treatment done?

There are many ways to quit smoking. The various weaning ways will have set procedures and rules to be followed. The individual undergoing that treatment is kept under strict supervision and denied nicotine completely. Let us look deeper into the treatment ways!

- Nicotine Replacement Therapy(NRT) - The treatment will allow the body to absorb lower doses of nicotine except for the tar. Tar is nothing but carbon monoxide, which is the trouble creator. This therapy will eliminate sudden withdrawal symptoms, bad moods, and cravings. NRT molecules are available in different forms which aim to eliminate smoking. The various forms are:

  • Inhalators
  • Skin patches
  • Chewing gums
  • Tablets, syringes and lozenges

Patches will have a low speed of nicotine release. The patches are often advised to be taken off in the night. Chewing gums, inhalators and tablets have a higher rate of release, and might elevate the cravings. Only a single type of NRT will not be enough to wean out the bad habit. However, a combination of the above examples can together be taken up to 8-12 doses to show up any visible effect.

- Home remedies - Home remedies basically aim to heal the damage that has been caused by the hard part of the nicotine toxin. This toxin will permeate the body and cause damage to the cells, especially of the lungs. A home remedy with water is one of the widely used weaning methods. The absorption of extra amounts of water will force the toxin out of the body. Tobacco and nicotine in synergy cause a lot of damage to the cells. The same can be revived or reversed using water. Drinking water at regular intervals and under prescribed levels will ensure complete flush out of the toxin.

Who is eligible for the treatment? (When is the treatment done?)

Ideally, an individual who has reached the highest level of nicotine contamination is eligible for treatment. However, upon doctors’ advice, all addicted individuals need not undergo treatment. The “quit smoking” treatment will again invite a sudden toll in the body. The changes, though for long-term benefits, will push the body into accepting the same. Weaning a bad habit will trigger bad moods and hyperactive individual nature.

Treatment should be taken under supervision and care. The withdrawal symptoms can be severe, and one need to be patient. Getting a high fever or a strong headache are signs of the weaning process and hence, you should not panic.

Who is not eligible for the treatment?

The people who should be exclusively refrained from this treatment are:

  • Pregnant women
  • Children below 18 years
  • Breastfeeding women
  • People suffering from kidney problems and
  • People who encounter problems like epilepsy and eating disorders

The above categories of individuals refrain from such treatments because putting the body in a strict routine is not possible with them. A pregnant woman cannot be exposed to those patches and strict diet as she will have her own drugs to be administered. A combination of both will have ill-effects on the little one.

Are there any side effects?

Well, every treatment administered to the human body will end up in side effects. The severity of the side effect might differ from one to another. Since, NRT is the widely-used method of weaning, side effects related to the drug used are common. The possible side effects are:

  • Sickness: The state of being sick is the trend while under the therapy. The main reason behind this are the withdrawal symptoms and effects of the drug. The body will tend to feel weak and lean as the sudden kick from nicotine will be missing. The slow release of nicotine will make the body weak.
  • Constipation: Another most occurring side effect is constipation. This condition is due to the pharmacodynamics going inside the body due to the drug. Excretions will be affected majorly, as the therapy will try to eliminate the contamination of nicotine from all the major biochemical pathways.

What are the post-treatment guidelines?

A typical “quit smoking” treatment would last for about 8-12 weeks. However, the real care and struggle come post treatment. The adopted ways are quite easy to give away unless the following guidelines are adhered to:

  • Stay away: Keeping yourself away from areas and groups that are smoky is a mandate. It is necessary that you keep away from people who smoke. Passive smoking is again deadly! Post treatment, the body signals will move towards returning to smoke. This happens due to the undying need for nicotine. Exposure to surrounding nicotine can trigger the need back.
  • Eat healthy: Eating healthy food like fruits, vegetables and juices will bring back the health to normal. All the side effects that were evident should vaporize. Fruits and other veggies will also improve one’s immunity and help fight any infections.

How long does it take to recover?

As soon as the therapy ends, a new phase of recovery begins. Your strict routine and medications will slowly take turns to heal the damaged lung and associated respiratory system. At the beginning, withdrawal symptoms will take charge and make things a little difficult for you. Bad mood and behavioral changes are inevitable. However, complete healing might take 2-3 years’ time. Momentary relief will start within a few weeks of treatment.

What is the price of the treatment in India?

Generally, Indians always keep a mindset of being reasonable in everything that they do. The skin patches used as NRT will cost about INR 700-800. Overall, the treatment would cost around $10-12. The same might vary due to the differences between the treatment centers.

Are the results of the treatment permanent?

Well, the results of the treatments are permanent and will not turn temporary until one decides to. Quit smoking will become a part of your routine and you should exactly know what do to keep yourself in that. The treatment requires commitment and discipline. With the right attitude, the results can be forever. Temporary relief will become permanent with only your discipline. Results can reverse at any point if you fall weak and give into your old bad habits.

What are the alternatives to the treatment?

This kind of addiction seldom finds alternatives. Nevertheless, there are a few ways that will let you quit smoking. They are:

  • Psychological training will train your mind to learn the ill effects of smoking. Your mind will be filled with so much of negativity about smoking that you will be forced the habit.
  • Fear is another weapon! Animated effects of smoking in lungs and respiratory systems will scare the smoker.
Safety: Medium Effectiveness: Medium Timeliness: Medium Relative Risk: Medium Side Effects: Medium Recovery Time: High Price Range: RS. 700 - Rs. 800

Popular Health Tips

World No Tobacco Day - Making An Effort To Control Tobacco Usage!

M.D - Respiratory Medicine
Pulmonologist, Hyderabad
World No Tobacco Day - Making An Effort To Control Tobacco Usage!

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 current lifestyle diseases from diabetes to infertility 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.

  1. 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.”
  2. Marketing campaigns are shown in the movie theaters at the beginning of movies which depict the hazards of tobacco
  3. Smoking is banned in most public areas, and warnings are on display.
  4. Children below 18 are not sold tobacco products. If in doubt, the seller can ask for age identification.
  5. Schools and colleges do not have tobacco selling within 100 meters of the campus.
  6. The price increase ensures that not everybody has easy access to cigarettes.
  7. Celebrities promote quitting tobacco and smoking by talking about their personal stories.
  8. Restaurants have separate smoking sections where children are not allowed to sit
  9. Tobacco in form of beedi and gutkha also needs to be targeted, as the lower income groups often use these. Also, beedi is sold as single units, so cost is not a deterrent.

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
  • Advise: 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?

  • Behavioral 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
  • Electronic cigarette: Electronic cigarettes are not as effective as imagined and have few side effects 

Though smoking out in the open has reduced, there are miles to cover when it comes to eradication of tobacco. 

2770 people found this helpful

4 Easy Ways To Quit Smoking!

MS - General Surgery
General Surgeon, Chennai
4 Easy Ways To Quit Smoking!

How Smoking Impacts Your Organs?

As you inhale cigarette smoke, about 7000 carcinogens stir the crevices of your body. In India, about 3,00,000 people die every year due to smoking-related issues.

Here's a list of 5 such organs, which are the most affected by cigarette smoke.

1. Your lungs - Your lungs are probably the first organs to bear the wrath of cigarette smoke. Majority of the lung cancer cases are due to smoking. Other diseases include bronchitis and emphysema. This smoke paralyzes the cilia lining the inner walls so much so that it overproduces mucous. When the mucous builds, respiration suffers. Asthma and cancer follow.

2. Your Skin - Your skin also gets affected up to a huge extent if you smoke. You could have deep circles under your eyes, wrinkles on your skin, and stretch marks, if you continue smoking over time. Also, there lies the risk of major health issues like skin warts, psoriasis, skin cancer, and wounds, which may take longer to heal.

3. Your Penis - Studies revealed that you can take longer for an erection and find it difficult to maintain it if you are a heavy smoker. Studies have also revealed that men who quit smoking had longer and firmer erections.

4. Your Liver - Smoking increases the chances of you suffering from liver cancer dramatically. According to studies, half of the liver cancer cases are due to smoking. Obesity can also take place if you're a heavy smoker.

5. Your Eyes - Smoking affects your eyes to the extent of making you blind. Partial vision loss, glaucoma, cataracts, dry eye syndrome, and diabetic retinopathy are some of the other diseases you are susceptible to if you smoke.

Despite the negative effects, quitting smoking can save you from all of these potential health hazards.

Here are some ways to help you quit smoking.

1. Nicotine Replacement Therapy - There are a few nicotine replacement tools in the form of nicotine nasal sprays and nicotine inhaler, which you can use to quit smoking.

2. Chew on something - You should try to chew on some candy, or a gum, or anything crunchy and satisfying once you start getting restless for a cigarette or any other form of nicotine. That usually helps.

3. Relaxation techniques - If you are resisting tobacco strongly, it can be very stressful indeed. Take a break from whatever you are doing and go out for a walk, practice muscle relaxation, yoga or deep breathing to keep the craving out of the way.

4. Get involved in some physical work - Getting involved in some work will surely go a long way in reducing your craving. You can also try out physical exercises like squats, running, or jogging. Otherwise, you can also indulge in some needlework, or anything, which involves concentration or physical work. Consult an expert & get answers to your questions!

2985 people found this helpful

Smoking Effects And How To Quit Smoking

MBBS, MD - Psychiatry
Psychiatrist, Delhi
Smoking Effects And How To Quit Smoking

When you smoke, you not only harm yourself, but also the people around you. Your lungs aren’t the only organs affected by tobacco; smoking has lasting effects on the mouth, nasal cavity, stomach, pancreas, kidney, liver, rectum etc. Smoking affects you physical and mental health, and can easily become an addiction. 

Smoking increases a person’s risk of suffering from many types of cancer including oral cancer, stomach cancer, lung cancer etc, as well as the chance of having a stroke or cardiovascular disease. It can also cause diseases like Chronic Obstructive Pulmonary Disease and Emphysema. Smoking speeds up the ageing process, and triggers the formation of wrinkles. It can also cause cavities, gum disease and suppress appetite. Heavy smokers often have difficulties with their sexual functioning by having difficulty reaching an orgasm, and can even be infertile. Men may have difficulty maintaining an erection, while women who smoke are more likely to suffer from complications during pregnancy. Decreased bone density and weakened eyesight are some of the other long-term effects of smoking. 

When it comes to quitting smoking, there is no one technique that can work for everyone. Smoking is an addiction that becomes a part of your normal routine, and hence, quitting cigarettes can be very difficult for many people. To successfully quit smoking, one must address both the addiction, and the habits that accompany it. 

The first step to quitting smoking is to set a date for when you will have your last cigarette. Inform your friends and family about your decision, especially those who you used to smoke with and ask for their support. If you feel you may be tempted to smoke around certain people, it may be a good idea to avoid them for a while. 

Given that smoking is a habit, it is natural to crave nicotine. You may experience withdrawal symptoms such as irritability, frustration, restlessness, insomnia, fatigue, constipation headaches and a reduced attention span. To cope with these effects, remind yourself why you quit in the first place. Find ways to distract yourself and reward yourself from time to time for not giving in to nicotine cravings. 

To cope with nicotine withdrawal symptoms, you may want to try cigarettes substitutes like nicotine gums or nicotine patches that deliver small doses of nicotine at regular intervals without the tar and other chemicals found in cigarettes. E-cigarettes, although popular these days, are not a safe alternative to smoking. Alternative therapies such as hypnosis and acupuncture can also help quit smoking. Consult a psychiatrist, and be in regular follow up with him/her to stay clean and healthy.

4665 people found this helpful

Popular Questions & Answers

Hi, Mere husband 1 day me 10 se cigarettes smoke karte hai kabhi kabhi 10se 12 bhi ho jati hai isse mere husband ko kya kya health problem ho sakti. Aur mai unhe kya home remedies dun jise unki health bhi aachi rhe aur dheere dheere smoke karna kam ho jaye.

Reparenting Technique, BA, BEd
Psychologist, Bangalore
You can use some of the suggestions listed below to help to quit smoking. However all success depends entirely on his motivation to want to give up. You can shae these suggestions with him too: You have to quit cold turkey because the body and mind will torture you endlessly while attempting a reduction in smoking. The tobacco tar in cigarette smoke lines your lung with huge patches that make that portion dysfunctional. Your oxygen carrying capacity is jeopardized, and breathing is impinged on. But don’t be discouraged because it is not too late even now to reverse all the ill-effects of smoking. I don’t know what other organs could be damaged but do go for a thorough medical check-up to assess the effects of your abuse. Regarding improving your lungs, do a lot of aerobic exercise breathing through your nostrils only. Then there are a lot of deep breathing exercises in Yoga which you can learn too. Deep breathing cleanses your system and lungs and restores it to good health. Deep breathing uses the 80% of the lungs which are not normally used in normal breathing and even when exerting yourself. The greatest effect is in the lungs because this substance is processed through the respiratory system directly through the lung surface. When quitting, you must take one day at a time; though you must give up all smoking at once, and promptly. If you look too far ahead you will get discouraged and will give up. If you sit and count the number of days you have given up, that will also focus too much on achievement. You must focus on the here and now, on that day to be precise. After all quitting is not that easy due to many factors. So even if you fail one day, you must try and try again. Very few people succeed in their first attempt. Your persistence will eventually pay off. The urge to discontinue is hampered by many factors but the worst of them is the conditioning. In fact, these conditions can exist all through the day, unlike other addictions. But your desire to want to stop is the most important factor. It is important to find out about the ill-effects of smoking to have a reason that alarms you about continuing the habit. The information is really scary but true and you must remind yourself about this every day. The nicotine in tobacco smoke stimulates the heartbeat to raise the blood pressure in no time at all. So you must avoid it like the plague: it is just very bad medicine for you. In fact, it is highly toxic too. You will need to stop smoking or consuming any tobacco related items with immediate effect. You should start vigorous exercises, gradually increasing it over a period of time. Do deep breathing exercises every time you feel like smoking (try Yoga), and replace the oral urge with some healthy food substitute to satiate the need. You may also take hard candy or chew gum. If the urge is too strong, then use nicotine gums and nicotine patches, for a little while until the smoking drive reduces, substantially. You may also join Smokers Anonymous in your city where the support is really extraordinary for like-minded people who are also in the same situation. Keep yourself occupied or engaged with interesting activities during the times when it is most tempting. Keep the company of non-smokers for some time i.e. At least for the first 21 days. Above all announce it to everyone that you have quit smoking. Here’s a piece of very good advice: even if you accidentally/willfully take a cigarette, it is not the end of the world – you can start the cessation all over again. You must persevere with the best support until you defeat this addiction. Counseling is very useful in the initial stages and when temptations are at their highest. You could also join twitter2quit program and enjoy its success to give up smoking. These are the possible effects of cigarette smoking: Summary: (Source: Center for Disease Control and Prevention) •Cigarette smoking causes more than 480,000 deaths each year in the United States. This is nearly one in five deaths. •More than 10 times as many U.S. Citizens have died prematurely from cigarette smoking than have died in all the wars fought by the United States during its history. •Smoking causes about 90% (or 9 out of 10) of all lung cancer deaths in men and women. 1,2 More women die from lung cancer each year than from breast cancer. •About 80% (or 8 out of 10) of all deaths from chronic obstructive pulmonary disease (COPD) are caused by smoking. •Cigarette smoking increases risk for death from all causes in men and women. •Smoking is estimated to increase the risk— oFor coronary heart disease by 2 to 4 times oFor stroke by 2 to 4 times oOf men developing lung cancer by 25 times •Of women developing lung cancer by 25.7 times •Smoking causes diminished overall health, increased absenteeism from work, and increased health care utilization and cost. •Smoking causes stroke and coronary heart disease. •Even people who smoke fewer than five cigarettes a day can have early signs of cardiovascular disease. •Smoking damages blood vessels and can make them thicken and grow narrower. This makes your heart beat faster and your blood pressure go up. Clots can also form. •Blockages caused by smoking can also reduce blood flow to your legs and skin. •Lung diseases caused by smoking include COPD, which includes emphysema and chronic bronchitis. •Cigarette smoking causes most cases of lung cancer. •If you have asthma, tobacco smoke can trigger an attack or make an attack worse. •Smokers are 12 to 13 times more likely to die from COPD than nonsmokers. Smoking can cause cancer almost anywhere in your body: •Bladder •Blood (acute myeloid leukemia) •Cervix •Colon and rectum (colorectal) •Esophagus •Kidney and ureter •Larynx •Liver •Oropharynx (includes parts of the throat, tongue, soft palate, and the tonsils) •Pancreas •Stomach •Trachea, bronchus, and lung •Smoking can make it harder for a woman to become pregnant and can affect her baby's health before and after birth. Smoking increases risks for: oPreterm (early) delivery oStillbirth (death of the baby before birth) oLow birth weight oSudden infant death syndrome (known as SIDS or crib death) oEctopic pregnancy oOrofacial clefts in infants •Smoking can also affect men's sperm, which can reduce fertility and also increase risks for birth defects and miscarriage. •Smoking can affect bone health. OWomen past childbearing years who smoke have weaker bones than women who never smoked, and are at greater risk for broken bones. •Smoking affects the health of your teeth and gums and can cause tooth loss. •Smoking can increase your risk for cataracts (clouding of the eye’s lens that makes it hard for you to see) and age-related macular degeneration (damage to a small spot near the center of the retina, the part of the eye needed for central vision). •Smoking is a cause of type 2 diabetes mellitus and can make it harder to control. The risk of developing diabetes is 30–40% higher for active smokers than nonsmokers. •Smoking causes general adverse effects on the body, including inflammation and decreased immune function. •Smoking is a cause of rheumatoid arthritis.
4 people found this helpful

I am 41 years old male. I had the habit of smoking now am trying to stop the smoking but its not possible. One of friend suggest me to take the electric smoker. But its good or bad for health.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear user. I can understand. Tobacco is addictive. Cigarette also contains 4000+ carcinogenic chemicals other than nicotine. Smoking can affect your mouth, throat, lungs, heart, stomach and brain in many ways. Cancer is one among the potential diseases smoking can cause. The best method is to leave it and continue with your will power. There are other methods like Nicotine Replacement therapy and pharmacotherapy combined. Nicotine chewing gums too help as an alternative for cigarettes. But still you will need will power. You may consult a physician or deaddiction therapist or a rehabilitation facility for further advice. You can also opt for online deaddiction therapy. Take care.

Dear Sir, Daily I smoke cigarettes 4 to 6 nos due to tension. I want quit it. I have this habit for about 4 years. Now I want to quit it. Please let me know an method to quit.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology, Positive Psychiatry and Mental Health
Psychologist, Palakkad
Dear user. I can understand. Tobacco is addictive. Cigarette also contains 4000+ carcinogenic chemicals other than nicotine. Smoking can affect your mouth, throat, lungs, heart, stomach and brain in many ways. Cancer is one among the potential diseases smoking can cause. The best method is to leave it and continue with your will power. There are other methods like Nicotine Replacement therapy and pharmacotherapy combined. Nicotine chewing gums too help as an alternative for cigarettes. But still you will need will power. You may consult a physician or deaddiction therapist or a rehabilitation facility for further advice. You can also opt for online deaddiction therapy. Take care.
1 person found this helpful

Hi I smoke a lot like a 20 cigarette per day so I want to stop smoking but m not able to stop it and am getting very thin because I smoke so.Please help me for getting rid of that habit.

MD - Psychiatry
Psychiatrist, Chennai
Detailed assessment is needed. Like the reason behind smoking, number of cigarettes and comorbid medical condition. Next you should be assessed for withdrawal from smoking and for reducing further craving. Thre are medications to reduce nicotine craving too. If you consult a psychiatrist they will be able to help you. All the best.
3 people found this helpful

Hi, I am smoking from last 5 years so I am not able to quit smoking so at least guide me to be healthy how to clean my lungs sum times I feel pain near heart. So please suggest to be healthy my age is 22.

MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Psychiatry
Psychiatrist, Hyderabad
Quitting smoking and deep breathing exercises like Pranayama may help you clean your lungs and lead a healthy life, though there are some medications which may help you quit smoking, high level of motivation on your part is necessary for quitting smoking, a psychiatrist or a psychologist may help you for that.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Smoking and Air Pollution
Harmful Effects of Smoking and Air Pollution
Play video
PCOD or PCOS (Polycystic Ovarian Syndrome)
Do's and don'ts for PCOS Diet

I am Dr. Nishith Chandra director interventional cardiologist at Fortis Escorts Heart Institute New Delhi. I am here in this institute for last 22 years. Today we will discuss how to prevent a future heart attack or if a person has had a heart attack in the past then how he should and what he should do in his routine life to reduce the occurrence of a future heart attack or a repeat heart attack. For heart attack, there are certain risk factors which a person has to modify. These risk factors some of them are modifiable and some of them are non-modifiable so the modifiable risk factors are which he should reduce, he should change is exercise, he has to do active exercise for at least 30 minutes every day and in those 30 minutes he has to run for about or walk for about three kilometers and this should be at a brisk pace.

He should not be sedentary, nowadays even they call that sitting is the new smoking, that means sitting is as dangerous as smoking. For every 20 minutes of sitting, you must get up walk for five minutes and then start doing your job. This is especially applicable to computer executives who sit at the computer, hunched on a computer for a very very long time. Then in addition to exercise, they should stop smoking. Now smoking is one very dangerous habit which increases the risk of heart attack and especially in younger patients, so but the person should not smoke or use tobacco products if he is having difficulty in smoking then there are multiple ways that doctor can help him quitting this habit, then there are certain drugs also are nicotine gums he can take help of or they are smoking groups which helped us in quitting the habit by group discussion.

Then the third most important component in preventing a future heart attack is the diet, the person has to take diet which is rich in fruits vegetables vitamins minerals and much less in fat, especially saturated fats and carbohydrates, saturated fats are like butter, ghee, margarine these are saturated fat. This they should avoid and the person should take if he has to take oils to a minimum and that too refined oils. So and this is the third component. The fourth component is if the patient is having more weight or his obese then he should attain an ideal body weight, ideal body weight can be easily calculated by calculating the body mass index the body mass index, should be less than 25, so if it is more than 25 then the person should try to reduce his body weight by exercising, reducing diet, reducing calorie intake.

The last thing is that he has to control his stress levels if the stress levels are high then the person is having an extra risk of heart attack. How to reduce stress levels, the best way to reduce stress level is to join some yoga group and meditation, and the practice of mindfulness. The practice of mindfulness is very very important for stress reduction.

If you want to consult me then you can consult me either at Lybrate or you can come to my clinic at Fortis escorts heart institute new Delhi or my clinic at sector 93a expressway Noida. Thank you!
Play video
Coronary Artery Disease
Risk factors associated with heart attack

So when do we get the heart attack? What kind of people gets the heart attack? Previously people used to think heart attack belongs to the elderly people, post-retirement people. No, the heart attacks are happening, like 20% of the heart attacks are happening in the 40s. Alarmingly we have seen last one week, the 30s, that is, the 30s are the new 40s. From age 30 onwards the heart attack incidents are increasing. So now we see that age is no longer a criteria or factor for heart attack, although overall we have seen that the elderly people are supposedly more prone to heart stroke more frequently than the younger people. The people with diabetes or sugar, with hypertension, people with high cholesterol, people who are obese, the people who are more than the normal weight, people whose family members had a heart attack at any age. For example, somebody s ancestors or father or mother, or elder brother or younger, or elder sister had a heart attack, at 60 or at any age, then the chances of a heart attack are more in the person.

And of course, cigarette smoking. Cigarette smoking is an important cause of heart attack in any people. Cigarette smoking is one of the worst habits anybody can have, and it is killing many of the young people. Cigarette smoking is an important cause of heart attack and you must quit smoking altogether. Also, lack of exercise, and stress, physical or mental stress, anxiety- These are some of the risk factors that can be getting you a heart attack. If you are diabetic, have a tight control of your diabetes, if you have hypertension, you will regularly check your BP, check your sugar, take control of both of them. You should check your cholesterol, from age 20 onwards. If your cholesterol is high, control your cholesterol with a change in lifestyle and if a doctor prescribes you a tablet. Regularly check your cholesterol and keep it in control. Regular exercise is important, at least 30-40 minutes regularly, is must for everybody. If you are smoking, please quit smoking. Smoking is the commonest cause of death in any people. Young heart attack victims, most of them are smokers. If they quit smoking, the incidence comes down significantly. Take a balanced, healthy diet. Take small portions and see that your physical activities, not only the 30-40 minutes of exercise but all through the day you are physically active.

Can heart attack happen in women? Many people think that heart attack is a disease of men. Contrary to that popular belief, a heart attack is a number 1 killer in women as well. It is not breast cancer, ovarian cancer, cervical cancer; it is not any other illnesses, that we think women suffer from. It is the heart attack, which is number 1 killer in women as well. So women beware, it is not just men s disease, it is your disease as well. And whatever I said about control, it applies to you all as well. Actually after age 50 onwards, after attaining menopause, women are more prone to heart attack than men. They have less prognosis, fewer survival rates, the chances of coming out of the hospital healthy is not equal to that of men. So women beware, you are more prone to heart attack than men, after age 50 than men. So as you see here, here is the evaluation; less than 30 years of age, heart attack rates are slowly increasing from 8.3 to 10.7, and as the year's progress, a number of young people are suffering a heart attack. It used to be a disease of the elderly more than 50 years of age, and now we are seeing the disease in the young people. And this is very, very alarming. Any victim, any heart attack victim, in families, small children fall prey to this disease, which is very, very alarming. You should have good knowledge of this condition and healthy lifestyle, and also, keep checking your parameters, your BP, and must keep checking or conducting tests, so that if something is happening (symptoms of heart attack) you can diagnose at an early age and prevent it.

What happens inside the heart when you get a heart attack? See, the cholesterol is here. There is no blood flow to the heart muscle. See this is a normal healthy heart, the heart muscles are reddish, but here it has become black when the heart attack is happening. That s the inside story of what is happening. So inside the blood vessels, that is the blood vessels of the heart, the cholesterol is building up, the cholesterol blocks and captures, it causes blood clots. The blood clots for a few minutes, that is why the heart attack comes all of a sudden. The build up cholesterol takes weeks or months, but the heart attack comes very fast. So how do we treat? We can give medicines, do an angioplasty stenting. We all know about the stent. When the vessel is blocked, we put a stent, and then the vessel here is normal, it is flowing well now. Or we can do a bypass surgery.

When blocks are there in different places (of the heart), we can take a new pipe from the leg or from the chest and stitch it here, so that the blood flows to the new pipe, as the old pipes are blocked. So friends, today we have briefly discussed what is chest pain? All chest pains we found out do not heart pains. What is heart pain? What are the symptoms of heart pain? What it looks like? How to differentiate it? May it be the day, night, any kind of circumstances, you need to transport the patient to the nearest hospital. After getting treated for heart disease, it is a lifelong discipline that you need to maintain, the drugs are for lifelong, the medicines etc are all lifelong. You need to continue following the doctor s advice and attend the doctor at periodic intervals. You have to quit smoking, you must take a healthier diet, you need to have an ideal body weight, you should exercise properly. And this knowledge, if you have gained anything, from my talk, then please spread to everybody; see that everybody is aware of this condition. As we discussed just now, that it is alarmingly true that the heart attack is happening in the 40s and the 30s, and that is an alarming situation.

You should make sure that everybody gets this knowledge and ultimately this knowledge will prevent this heart attack. Thank You very much- Dr. Balaji Rajamagiri, Cardiologist.
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Causes and Treatments of Hypertension
Here are some causes and treatments of hypertension

Hello this is Dr. Chhavi Bansal and I am practicing Homeopathy at Homeosure-Home of Homeopathy and Wellness, Pritampura. Today I ll be discussing about Hypertension which is the most common emerging lifestyle disorder these days. Hypertension is defines as elevation of blood pressure. Blood pressure is the pressure of flowing blood on the inner walls of the blood vessels and it depends on various factors like the pumping force of the heart, the resistance of the blood vessels and the amount of blood flowing through the vessels. As I have previously told that it is a lifestyle disorder, its development has been attributed to various lifestyle changes like poor diet, lack of exercise, lack of sleep, poor sleeping habits, work stress, mental stress.


It is often termed as the silent killer because in many of the cases its symptoms do not manifest in the beginning of the cases and usually manifests itself with complications. Also many people do not give importance to hypertension until and unless they develop complications. Hypertension can be of two types: primary or essential and secondary hypertension depending on the causes of hypertension. And in majority of the cases, almost 90-95% cases there is no underline cause to hypertension and this is termed as Primary or Essential Hypertension.

Secondary Hypertension is the one where there is some kind of underlining medical condition which needs to be treated there. Now coming to the risk factors of hypertension, these factors can be modifiable and non-modifiable. The non-modifiable factor includes: Age like it is more common in later ages, Race because it is more common in African Americans and Genetic, because hypertension has been found running in families. The Modifiable risk factors are obesity, smoking, much intake of alcohol, caffeine, fatty food, higer level of cholesterol, high sodium diet, low potassium diet, prolonged stress or prolonged use of OCPs.


Now what is the harm from Hypertension? Prolonged hypertension can create a lot many complications: it can damage your eyes it can damage your kidneys, it can damage your heart and lead you to lot of diseases which can create loss of vision, kidney, heart diseases and stroke.


Now coming to the prevention or treatment of hypertension, as been previously told that there are various risk factors which make you prone to develop hypertension. So prevention is the best treatment of hypertension, if the risk factors are controlled then it will definitely control your hypertension or at least delay it. So the best prevention would be to have a healthy lifestyle which includes cutting down your alcohol and caffeine intake, quit smoking and maintaining your weight, adding physical activities to your routine daily, decreasing your sodium intake and increasing your potassium intake.
Homeopathy has wonderful results in delaying Hypertension and controlling Hypertension.

If you have any further queries regarding hypertension feel free to consult me through Lybrate.
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Knowing Erectile Dysfunction PART 1: Don't Get Carried Away by Misconceptions
Knowing Erectile Dysfunction. Part 1: Don't Get Carried Away By Misconceptions

What is Erectile Dysfunction (ED)?

A person having erectile dysfunction (ED) is not able to achieve and/or maintain an erection of the penis sufficient for sexual activity. So, penis do not get hard at all or not enough for doing sex.

ED is responsible for great deal of stress and anxiety as well as low self-confidence in men. Mostly its occasional, when you cannot get an erection and it is only temporary. Normally after emotional or physical stimulation there is an increased filling of blood in sponge like tissue of penis and decreased blood flow out of penis, so blood remain trapped in penis and it becomes hard and erect.

Your ability to have erection is dependent of multiple factors like our emotions, hormones, nerves, blood vessels and cells of penis itself. A problem with any of these elements can cause ed. It can occur at any age, but becomes more common with increasing age. In the older adult male, it is a major problem affecting more than 75% of men.

Common Causes of ED

Physical causes indicate you have problems with penile structure itself or any bodily disease affecting it. Diseases include less blood flow to the penis or injury of the nerves going to the penis (for example, multiple sclerosis, a stroke, parkinson's disease, spinal injury etc.).

Lifestyle disorders like high blood pressure (bp), obesity (high body weight than normal for our height and age), diabetes (high blood sugar).

Also lack of male sexual hormone called testosterone, alcohol and drug abuse, clogged blood vessels (atherosclerosis) and side effects of some medications causes ed. Sometimes psychological issues like anxiety, stress due to work or home environment, depression, relationship difficulties leads to ed.

Myths Associated with ED

Myth 1: ED is part and parcel of your body's aging process

Contrary to popular belief, ED is not a normal part of the aging process. If you're having difficulty in getting an erection, the underlying cause can be medical in nature such as undiagnosed or diagnosed cardiovascular disease, high blood pressure or diabetes.

Myth 2: ED can't be reversed

Through the right treatment and certain lifestyle changes, most of the cases of ED can be reversed to almost normal. It is said that sexual health and erectile performance can be enhanced when you improve the health of your heart. Exercising to bring about weight loss and quitting smoking are ways that experts advocate for improving the health of your heart.

Myth 3: You are the only person to suffer from this problem

The common belief that ed affects only a few men is not true. Scientific studies show that ed strikes about 5% of men aged 40 years and between 15-25% of men aged 65 years.

Myth 4: It's completely in your head

This isn't true at all. The source of the problem could be certain parts of your body. In most cases, the cause is usually certain physiological problems such as heart disease, clogged arteries, high cholesterol, and parkinson's diseases etc

Myth 5: Only drugs and surgery can help you remove the problem

ED can be treated using a number of treatment options. Apart from pills and surgery, simple lifestyle changes can help to provide respite from the problem. Decreasing the consumption of alcohol, losing weight and even quitting smoking can improve your sexual health. Moreover, since the problem can also be due to an underlying medical condition such as high blood pressure; treating the underlying cause can help in easing your erection problems.

If you would like to consult with me privately, please click on'consult'.
Having issues? Consult a doctor for medical advice