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Smoking - Symptom, Treatment And Causes

What is Smoking?

Smoking means a practice whereby people burn a substance which results in a smoke that can be breathed in, which is tasted and then absorbed into the bloodstream. The most common substance that is smoked is the dried leaves of the tobacco plant, which when rolled up inside a square piece of paper, creates a small round cylinder- called a cigarette.

More about Smoking :

Smoking is an age old tradition whereby this practice was primarily practiced as a route of administration for recreational drugs. It’s been because the combustion of the dried leaves and herbs vaporizes very fast and can deliver active narcotic substances into the pulmonary system, where they are absorbed rapidly into the bloodstream to reach our brain and other tissues in our body. In the case of cigarette smoking dried tobacco leaf releases aerosol, gasses and needless to say alkaloid nicotine, which, when absorbed into the bloodstream through the lungs creates a feeling of satiety.In some cultures all around the world smoking is till used as a part of various traditional rituals , where participants use this practice to enter a trance like state, which some believe lead them to ‘spiritual enlightenment’. Generally any kind of smoking has negative health effects. As smoking poses a threat to various physiological processes, particularly to our cardio-respiratory system. Diseases that occurs out of smoking have shown mortality for approximately half of the long term smokers, when compared to the death rates faced by non-smokers.

Researches do confirm that smoking tobacco, is the most common recreational drug practiced by over one billion people in present times, of whom most are the citizens of the developing countries across the globe. Less common drugs that are smoked are marijuana (cannabis) and opium. Hard narcotic chemicals like heroin and others are also smoked, but their use is limited, as these chemicals are hard to be found commercially. Cigarettes, on the other hand, are manufactured industrially for commercial use, but then again, they can also be hand-rolled using loose tobacco and rolling papers.Some of the other things that are often smoked are pipes, bidis, vaporizers, hookahs and bongs.

In the present times many governments across the world is deterring their citizen from smoking and highlighting on anti-smoking campaigns, stressing on the harmful long-term effects of this age-old practice. Passive smoking, which affects the health of other non-smokers and children in the vicinity of the smokers, is one major reason for enforcement of this smoking ban. Especially in indoor public places, like bars, restaurants, and bars.

Treatable by medical professional Lab test not required
Symptoms
People who smoke have a greater risk of dying from lung cancer. Smoking leads to dry cough and irritation in the throat. Women who smoke during their gestation have greater risks of delivering babies with birth defects. Smoking can lead to erectile dysfunctions. Smoking has greater risks of developing heart ailments and COPD symptoms.

Popular Health Tips

Why Tobacco Causes Cancer?

MBBS, DNB Gen Surgery, DNB Surgical Oncology
Oncologist, Bangalore
Why Tobacco Causes Cancer?

Conventional wisdom makes us believe that the only type of cancer caused due to smoking is lung cancer. However, recent studies have greatly detailed the fact that smoking or the consumption of tobacco products can cause esophagus, pancreas, liver, kidney, stomach, among other types of cancer.

The Various Chemical Carcinogens Present In Tobacco
Thus, smoking is by far the largest preventable cause of cancer. The solution is simple: stop smoking. Tobacco products contain certain elements that are widely believed to cause cancer. These elements also referred to as carcinogens are either naturally part of the tobacco producing plant or are added to it by the tobacco manufacturer. The latter carcinogens include benzene, certain tobacco-specific nitrosamines, and formaldehyde. The quantity and the specificity of carcinogens differ from manufacturer to manufacturer and country to country.

Continuous consumption of products which contain carcinogens will inevitably result in the formation of cancer. The IARC (International Agency for Research on Cancer) has already designated certain chemicals found in tobacco and tobacco-related products as human carcinogens.

The Effects of the Chemical Carcinogens -
It must be emphasized that there is no safe way to consume tobacco. From cigarettes and pipes to smokeless tobacco and cigars – all of them lead to the same result. Chemicals found in tobacco reduce the ability of our immune system, making it harder for it to kill cancerous cells. This ensures that cancerous cells simply multiply without it being stopped or killed. Moreover, the same chemicals also alter the “DNA structure” and the instructions of the DNA which leads to cells growing out of control and abetting the cancerous tumor.

How do the carcinogens enter our bloodstream?
These chemicals are delivered into our bloodstream by virtue of us breathing in the smoke. Once the chemicals enter our bloodstream, it travels to all parts of our body – carrying this carcinogenic chemical. Non-smokers who stand beside individuals who are smoking (secondhand smoking) become passive smokers, also inhale the harmful smoke. The World Health Organization estimates that 10% of all smoking-related deaths are due to passive or secondhand smoking.

How long does it take for cancer to develop?
While there is no specific time-frame linking consumption of tobacco to development of cancer, it is estimated that it takes many years or even decades for the cancer to develop. Our body’s immune system is vested with the power to cope up with limited damage, however, persistent smoking tendencies and the chemical carcinogens entering our bloodstreams – irreversibly damage the DNA in many lung cells.

Thus, in conclusion, it is highly advisable to quit smoking sooner rather than later. Tobacco causes long-term and irreparable damage to our bodily organs. In case you have a concern or query you can always consult an expert & get answers to your questions!

3373 people found this helpful

Substance Abuse - How Should You Cope With Someone Going Through It?

B.A., MA - Counselling Psychology
Psychologist, Mumbai
Substance Abuse - How Should You Cope With Someone Going Through It?

While we all know substance abuse is a social issue and learning that a loved one is affected by the problem can be nearly heart-breaking. It is definitely not something that can be easily accepted. At the same time, the affected individual needs all your love and attention and more importantly support to get through the situation. It is important to not show anger or frustration at the person but to empathize and help them get out of the situation.

Read on to know some of the ways in which you can play an active role in supporting your loved one under such circumstances. This involves both of you coping with the situation at hand, as well as helping the person come out of the abuse.

  1. Educate yourself: When you are trying to help a person, you should know in detail about the substance that was being used and its ill effects. This gives you greater credibility, unlike the person who got carried with the happy feeling it gave and got into abuse. 
  2. Ensure safety: This is both for the affected individual and yourself. With the required substance not being available, the person could look at harming either self or others, especially ones who are trying to get them out of the abuse. Though the intent is to help, they are looked at as people who are depriving the feel-good feeling produced by the substance, which is no longer easily available. Therefore, ensure safety. 
  3. Talk openly: In the beginning, be a good listener. Once you get their confidence, make them understand that the entire situation is making you upset and perhaps angry or frustrated too. Get them to focus on your proposal of getting out of the habit together. If they are willing then this can ensure greater success in quitting the habit. Get to understand how exactly the habit developed including the people responsible for it, the circumstances leading to it, and the various chemicals that were used. The duration and frequency are also important. Tell them it is okay and that you will both get out of it with each other’s support. 
  4. Participate in therapy sessions: Individual counseling will work effectively for the primary client, but it is also important for family members to get involved. The counselor also would need support beyond the few counseling hours for completely getting rid of an individual’s habit. Therapy can help you learn how to manage the issues back at home. 
  5. Find your “me-time”: With all that is going on, you will need some time for yourself to just be. Eat well, stick to your workouts, sleep well, keep your friends, and make time for your hobbies. These will ensure you are in good shape to support the affected individual. It is not possible for you to help another person when you are not in great shape yourself. In case you have a concern or query you can always consult an expert & get answers to your questions!
3183 people found this helpful

Nicotine Dependence - How To Treat Smoke & Smoke Less Addiction?

MIPS, DPM, MBBS
Psychiatrist, Ahmedabad
Nicotine Dependence - How To Treat Smoke & Smoke Less Addiction?

Smoking is a habit that can easily become an addiction. There are two aspects to this; the physical addiction of holding a cigarette in your hands and the addiction to nicotine. Most people believe that by substituting cigarettes for other forms of nicotine, such as chewing tobacco or snuff, one may wean oneself off cigarettes. However, this is not always the case. Nicotine is one of the most addictive substances. It is a colourless, natural liquid that turns brown when burnt. When exposed to air, it emits the odor of tobacco.

Nicotine enters the body through the mucosal lining of the nose and mouth or the skin. Depending on how it is consumed, either in the form of cigarettes or by chewing tobacco, it travels through the blood stream, accumulating in the blood and brain. When smoking, nicotine can reach the brain within 10 seconds of being inhaled. On the other hand, when smoked through a pipe, nicotine is absorbed at a much slower rate. This is because it enters the body through the mouth and not the nose.

By sharing the ill effects of nicotine with a perosn who is addicted to it, will not inspire him or her give up the habit. The easy availability of nicotine products such as cigarettes and tobacco does not help either. Thankfully, there are a number of psychiatric treatments that can be used to treat nicotine dependence. These include counselling, medication, group therapy, hypnosis and behavioral training. The aim here is to make the person feel more confident of his own ability to stay away from nicotine. In addition to this, the support of his family and friends is crucial.

Nicotine replacement therapy may also be used. In this case, instead of smoking a cigarette, the person may be given gums to chew on or a patch that delivers a slow dose of nicotine to the body. The dosage here depends on the amount the person smokes and reduces with time. This can help the person wean off nicotine. However, it is important to undergo this treatment under a doctor’s advice as people may get addicted to this form of nicotine as well.

When it comes to nicotine dependence, some people may require therapy for 6 months while others need therapy for longer. Relapse is common and hence provisions need to be made for an efficient support system and a mode to measure progress. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

3423 people found this helpful

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. 

2783 people found this helpful

Effects Of Smoking - How Smoking Affects Your Lungs?

MBBS, DNB - Pulmonary Medicine, Allergy & Sleep Disorders
Pulmonologist, Noida
Effects Of Smoking - How Smoking Affects Your Lungs?

Smoking can have adverse effects on your health that may result in a number of diseases, and also can degrade the overall health condition. Thus, every packet of cigarette comes with the warning “Smoking is injurious to health”. Yet, for those who are habituated to it, it can be extremely difficult to heed the caution and quit.

If you are one of those smokers contemplating quitting, here are some of the compelling reasons to embark on the road to good health immediately. Read on to know about the long-term effects that smoking can have on your lungs:

1. The cleaning of the lungs gets disrupted
Every time you smoke, the harmful chemicals that cigarette contains lead to damaging your breathing and scaring your lungs in some way. As a result of smoking, the cleaning system of the lungs is greatly disrupted. The lungs have ‘Cilia' or broom like hairs that play a crucial role in cleaning the lungs. When you start smoking, the functioning of the cilia starts to slow down, and this goes on for several hours, interfering with the functioning of the lungs.

2. Increases the inflammation as well as irritates
Just like humans age, so do the lungs. With aging, it's very normal for your lungs to not function as effectively as they used to once. However, smoking makes the aging of the lungs faster. Plus, the airways of the lungs also get inflamed and irritated by smoking and as a result become narrower and disrupt the normal air flow.

3. Tissue damage and poor immunity become evident
Smoking not only injures the lung tissues but also causes the immunity power of the lungs to decrease. While on one hand, the damaged tissues lead to decreased blood vessels and air spaces in the lungs, which disrupts the normal oxygen level in the blood, on the other hand, smoking impairs the natural defense power of the lungs, making the lungs more prone to critical lungs condition.

4. It may cause a number of lung conditions
Ranging from asthma, wheezing, to coughs and colds, smoking can lead to serious lungs diseases such as emphysema, breathing issues, breathlessness, pneumonia, chronic bronchitis and even lung cancer. Smoking can also cause the debilitating and progressive disease, COPD or chronic obstructive pulmonary disease to develop.

No matter whether you smoke a pipe or a cigar, as long as they contain cancer-causing chemicals in them, smoking poses a serious threat to your health. 

In case you have a concern or query you can always consult an expert & get answers to your questions!

2723 people found this helpful

Popular Questions & Answers

I am 27 years old am from ap I want to quit smoking I use to have 40 cigarettes per day how to quit or reduce day by day.

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, Rarely do hookah. I have done twice by now and the last time I did was yesterday which was not more than. 10 by now. Will doing hookah badly affect me and how can I recover?

MBBS, MD - Psychiatry
Psychiatrist, Delhi
Hi, There is no doubt that any form of smoking is injurious to health including Hukkah smoking. The harm is not only restricted to the airways and lungs, but nearly all the body systems are affected in some way. It is my sincere advise to refrain from such activity in your own interest. Best wishes

Can quitting smoking cause of LVH? I was quit smoking 6 month before. Last few months I was suffering some chest pain, some sensation in chest, chest burn, huge problem of acidity, stool problem sometime, yesterday I was done an ECG. Slight LVH shown there, but my bp is normal. Last few times when I was visit doctor he told not to worry it's your anxiety. Sometimes I feel dizzy also.

MBBS, MD - Psychiatry
Psychiatrist, Gurgaon
Quitting smoking does not lead to LVH, it can rather improve the condition of your heart. It is important for you to keep away from Tobacco -both smoking and chewing. If your clinician has diagnosed Anxiety Disorder in you then there are good and effective treatments available for Anxiety Disorder. Consult your qualified Doctor about it.
4 people found this helpful

I am 43, primary hypertensive. Been smoking like 15 - 20 cigs almost for past 20 odd years. Now I want to quit - for reasons of primarily physiological health but also to achieve greater harmony and reduced life friction over domestic, psychological and financial areas, as well as to boost self-confidence and maybe even personal dignity. I come from a Sikh family, though clean shaven and liberal. How can you help me quit smoking?

MBBS, DPM
Psychiatrist, Bangalore
Dear lybrate-user, Congratulations for quitting smoking. You have already listed out its many benefits. Please try to stop smoking at the earliest. It has many health benefits in the long run. When you stop suddenly, you may get withdrawal symptoms like restlessness, irritability, lack of concentration, increased hunger, sleep disturbance, headache, impatience, anxiety, depression, etc. If you have them please don’t get back to smoking, take nicotine gum or lozenge or patch. They are available in all medical shops. You don’t need a prescription from doctors. Use 2 mg gum if you smoke less than 25 cigarettes/day. Use 4 mg gum if you smoke more than 25 cigarettes/day. First 6 weeks, use 1 gum every 1 – 2 hours. Reduce it in week 7 – 9 to one gum every 2 – 4 hours. In week 10 – 12, reduce it further to 1 gum every 4 -8 hours. By 3 months, you will be able to stop both cigarettes and gum fully without any withdrawal symptoms. Please feel confident that you can do it and give yourself some gift for doing it like vacation or books or new mobile. Smoking is a chronic relapsing condition like diabetes and B.P. So please don’t worry if you restart smoking. Start all over again to stop. You will learn the situations that make you smoke and avoid them. Please think of health benefits and money saved often. Plan how to avoid relapsing situations, like smoking friends, use of alcohol, stressful feeling or depression. Delay, drink, deep breathe, distract and discuss are the helpful tips. Increase of non smoking zones, gift yourself for stopping smoking. Even chewing cinnamon may delay. Please remember that the urge to smoke comes and goes like waves. Delay and see whether it goes away. It will be like a passing cloud.
2 people found this helpful

I used to smoke nearly 7-10 cigarettes a day, now I have planned to quit smoking. I past smoked yesterday night before sleep and haven't smokey till 8: 45 pm today, but my craving is like so high. So I want suggestions that which one is recommended, To quit smoking suddenly and totally? Or By reducing with less number of Counts? Please your suggestions are very valuable. Thanks and Regards.

MBBS, DPM
Psychiatrist, Bangalore
Dear lybrate-user, Congratulate for quitting smoking. Please continue to motivate him to quit smoking. Since the craving is high, let him reduce 1 cigarette less per week and quit totally in 7-12 weeks time. He can also take the help from nicotine gum or patch to manage withdrawal symptoms.

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What is Smoking?

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Smoking and Air Pollution
Hello my friends.

I m Dr. Nikhil Modi and I am consultant respiratory specialist in Indraprastha Apollo hospital, Sarita Vihar, New Delhi. Today I will be talking about harmful effects of smoking and air pollution. As we know smoking has been a very important risk factor for causing numerous diseases in our body. Further now with the growing prevalence of air pollution which everyone has been talking about, we have read in newspapers, in media, so this pollution along with smoking is harming us to a large extent.

What are the diseases and how it cause? We all breathe all the time and when we smoke all the smoke goes through our air ways into our lungs and breathing continues even in air pollution so the pollution is also inhaled in our body. These air pollution and the smoke from the cigarettes which we inhale are full of large toxic agents. Some of them also are cancer causing agents. Some of them are harmful gases like sulphur dioxide, chlorofluorocarbon, and others. There are more than thousands of carcinogenic agents which are present in the smoke.

So we are been constantly expose to them. By inhaling them what all side effects can be there? It can start from very mild side effects from itching in the nose, sneezing, running nose, itching and watering of eyes which can be mild. Further down the airways involving causing bronchitis, asthma. It has to be noted here due to this growing air pollution and smoke. The number of asthma cases are on the rise. Now recent data has shown one in every 3 children. So small children are suffering from asthma which has been aggravated by all this air pollution and smoke.

Further this air pollution and smoke is harmful because it makes our body prone to large number of infections especially pneumonia. The pneumonia which was usually easy to treat now because of this smoking and everything they become difficult to treat and also can be a cause of death. Further, there is an increased risk of tuberculosis in patients who smoke and air pollution further adding to that. The most important of all is increasing number of lung cancer cases. Lung cancer, smoking has been identified with a most important factor which increases the risk of lung cancer.

So smoking harms our body. Further I would like to say smoking not only affects our lungs but through the when it is inhaled in the lungs it goes into the blood vessels and to other organs and it can also lead to cancer of other parts of the body. It can lead to increase the risk of heart attacks, it can lead to increase in the number of brain strokes also. So it is no part of the body is safe and all of them can be involved with smoking. Further this rising air pollution is also harmful. So what can we do? Smoking obviously we have to stop, it is in our hand if we stop smoking and then all of these can be minimized.

Further we have to support the government policies in reducing air pollution. We should not burn coal, should not burn wood, we should get our automobile service on time so that there is minimal emission of harmful gases from our pollution. And all other measures which we can take to minimize air pollution. Especially reduction of exposure of this air pollution and smoke in patients who are already allergic, prone to asthma so that they can lead a healthy life. It is important we do that because it is our future generation our children who are going to suffer from that and it is high time we take some action against that. And for smoking smoking cessation can also be done, there are ways of doing that through counselling and through the drugs which you can contact any specialist. You can contact me you can meet me in Indraprastha Apollo hospital or you can contact me through lybrate platform so that I can be your helper, helping you quit smoking. Thank you!
Play video
Things To Know About Lifestyle Diseases
Hello,

I am Dr. M Wali, greetings to all the viewers of lybrate.com. Lybrate is doing for the benefit of Drs and mankind. Medical work is under watch, what the doctors are doing for the patients. India is one of the best countries as far as doctors are concerned. We have lots of setups. Sometimes, it becomes difficult for patients to find a suitable doctor. Now people choose their doctors online. We are concerned about preventing diseases. If the disease cannot be cured, at least we can treat the patients. India is under the threat of various diseases. Diseases which threatened the Indian population are coronary artery disease, hypertension, diabetes, cancers, bone diseases, osteoporosis. Doctor's goal always should be to do work with perfection, dedication, devotion and should produce the best results. Sometimes I find something hidden in the diagnosis, I relocate the diagnosis. I give the treatment for lifestyle diseases as well. The beauty of the medical profession is that we can prevent these diseases. Treatment can be done if they are fully blow off. We do some modification in our diet, daily routine, avoid stress management and most of it can be prevented. My present stress is on preventing these diseases.

This is related to our lifestyle. As far as heart disease is concerned, nowadays we don't get regular heart disease. We get the more cardiac disease, heart failure, hypertension which takes a back seat. Hypertension multiplies the risk of sudden death due to coronary artery disease. So, we have to be very careful in treating blood pressure. 2/5 do not know till the time it produces complications that they are going to have diabetes. In fact, when diabetes develops, 30% of pancreas gets destroyed. We need more holistic care these days. Very important thing is that the patient walks in our chamber and he is not concerned about what I am doing as a specialist. He is concerned to get a solution to all his problems. We should give care under one roof. Holistic care is missing. My stress remains that every patient comes to my clinic or Sir Ganga Ram Hospital, I should treat patient holistically.

I take the help of a specialist and my colleagues. If anything encountered an emergency, I get them admitted. India has a great burden of communicable diseases also. We have recently have reduced the instances of tuberculosis. We have made the India polio-free. At times, when patient has very severe diabetes, they are infected, kidney damage, they have other complications like stroke, these are all preventable as I mentioned. A great deal goes for improvement in our lifestyle through yoga, exercise, regulation of eating a good diet. Avoid 3 whites like salt, sugar and ghee. Regular exercise, at least 30 minutes a day or 5 days a week can also prevention towards non-communicable disease. Yoga is a very important aspect of holistic healing. Through yoga and pranayama, we can prevent lots of lifestyle-related diseases. Apart from that, there is another epidemic which is creeping into a society which is depression.

There are various things happening in our day to day life which leads to depression. Depression makes the disease worst. So, some questions are mandatory to ask the patient while treating depression. While practicing, a thorough history is mandatory to take. Communication with the patient is mandatory. Through communication, we can treat the patient better. Poor coronary artery disease patient can be treated with counseling, yoga, exercise to save their money also. Practice the profession diligently, holistically with full dedication and become part of the patient's problem. Try to solve them. We always should be very humble, productive and patient ourselves.

Thank you very much.
Play video
Lifestyle Diseases
Hello everybody!

I am Dr. Akshay Purohit, I am MBBS MD Physician and today as a promotional video, I would like to discuss something about lifestyle diseases. You know it s a burning topic right now, Lifestyle Diseases, how to change lifestyle? What are lifestyle diseases? Everybody is speaking about it, everybody is thinking about it, discussing with the doctors but nobody is taking any concrete action against lifestyle diseases. The issue about lifestyle diseases is people are half educated about it. People know about lifestyle diseases but they just know it as a name jaise naam pata hai ki diabetes hojaegi, BP badh jaega, lipid ki problem hojaegi but see as an old saying in English ki Little knowledge is very dangerous . So basically, this is little knowledge only. We as an Indian, should always see as an Indian perspective of lifestyle diseases. Apko pata hai WHO jo ki World Health Organization hai jo ki basically doctors ko or general public ko guide krti hai ki aage future me kya disease k trends honge, usne bola hai ki near future me India will be the Capital of lifestyle diseases in the world, largest number of incidences will be from India only.

So, what can we do regarding this thing? One thing which we can effectively do is know what are the lifestyle diseases and be cautious against them. See there are basically 5 lifestyle diseases: Diabetes, hypertension, heart-related disease, obesity and cancer. Cancer ko last me isilye rakha hua hai kyunki cancer me bahut sari cheezein ajaengi they are multifactorial. To inki zada detail me jaane ki zarurt ni hai, aap sabko pata hai diabetes k bare me, BP k bare me, lipid k bare me, obesity k bare me, cancer k bare me. Meri jaankari bus itna he dene ka maksad tha ki inke bare me adhi knowledge na rakhein. Ye lifestyle se judi bimariyan hai, agar hum lifestyle he theek karlenge to ye theek hojaengi. Basic crux of the management is: improving our lifestyle, improving stress management, improving dietary things. Not just continuously run about the drugs. Dawaiyon se isme bahut zada farak ni padne vala.

Agar overt disease hogyi, koi practical manifestation disease ki agyi, complication agyi, tbhi dawai khana hai, nahi to hum apni lifestyle theek karke bhi inse bacha jaa sakta hai. So, one thing we should remember is don t run about drugs. Dawaiyon k peeche na bhagein. Stress management karein, stress management k liye sports activities or physical activities sbse best hai mere hisab se. Jo aajkal chalra hai Yoga, meditation; I don t think practically nobody knows about, anybody knows about these Yoga and meditation. They are just preaching only. Unko zada jankari nahi hai bus agar hum physical activity or thoda sa sports activity badha lenge to kafi kuch stress kam hojaega.

Don t run about unnecessary expectations from life like expecting ye bhi hai, gadi bhi, bangla bhi, sab bhi. Yeh sab bhi reason known hai, simple si life jijiye, sab kuch theek hojaega or bhi sari details hai but due to time constraint, unko discuss yaha nahi kia ja sakta. Lekin itna mai zarur bolna chahunga end me ki lifestyle diseases se cope up karna ka tareeka, uski kunji aapke hath me he hai, doctor k pass zada ni hai, aap he use theek kar sakte hai. Practically koi bimari samne aagyi, doctor se paramarsh lein, dawai lein, otherwise contact karein, mai apko guide karunga ki aage usko kaise deal karna hai. See, I am always there for you, for your help and for any practical causes, any doubts you can always discuss with me.

Thanks!
Play video
Lung Cancer
Hello Friends!

I am Dr. Vikas Goswami, oncologist, practicing in Noida and Delhi. Today I will talk about breast cancer. What are the symptoms, when should you suspect, what one should do while going to the hospital and what are the treatment modalities. Breast cancer occurs as a lump in breast. Sometimes lumpy feeling with the axilla in breast. Sometimes breast discharge can be the problem. Few Indian women hides these symptoms and breast cancer detected at the later stage. As soon as you feel the symptoms, you should go to see a doctor. Clinical examination of the breast is required. If it looks suspicious, we usually do a test called efficacy. Sometimes if it is superficial, we do the biopsy.

If we have doubt, we do mammography. If the breast is tensed, then it is associated with an MRI of the breast. After combining all these tests, we get to know whether we are dealing with malignant tumor lump or non-malignant tumor lump. Then we do tumor staging. It is done by doing x-ray chest, CT chest, CT abdomen and pet scan. Sometimes the only choice left is surgery. This is followed by other modalities like chemotherapy or radiotherapy. The surgery is done in which whole breast is removed which is called as mastectomy or removal of lump which is called as lumpectomy. Few tests like ER, PR are also done to understand the biology of the tumor. What are the causes of the tumor and driving factor of the tumor?

What kind of treatment can be given so that cannot happen? We have some newer modalities in which we can understand whether we can skip chemotherapy all together or not. These types of tests are onco type DNA test. Maximum therapy is given in daycare and the patient can go back to home on the same day. After the treatment is over usually the patient is kept under followups for 2-5 years to prevent a recurrence. This is a broad overview of the limited disease. We have another ancillary test like next-generation sequencing test which helps us in finding the treatment for breast cancer. So, by any chance, if you are suffering from this disease, you can ask your doctor about anything about your problem. You may ask about the test that helps you in getting rid of this problem.

Thank You!
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Sinusitis
Hi!

I am Dr. Monty Talwar. I am practicing homeopathy in Gurgaon since the last 21 years. Today let us talk about Sinusitis. Sinusitis is the presence of infection in the paranasal sinuses. There are 4 types of sinuses - maxillary, frontal, ethmoidal and sphenoid. The infection can occur due to bacteria or virus or due to dust, pollution. A lot of times there is a recurrent sinusitis which is due to lower immunity. Sinusitis has become very common these days in young adults.

The common symptoms are - Presence of discharge from the nose, nasal blockage, pain in the face in the region of the sinuses, there may be associated with headache, fever, cough etc. Treatment includes giving medicines for the acute symptoms. So in case there is a cold, cough or fever then we usually give acute medicines. For the recurrent sinusitis, which occurs due to lower human immunity we can do deep acting constitutional medicine.

The line of treatment usually last for about 4 to 6 months. If you have any queries related to Sinusitis or any other complaints you can consult me at my clinic in Gurgaon. You can also do online consultation through Lybrate. Thank you!
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