Smoking can delay bone healing, especially in older adults and women

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Counselling can play a very important role in helping people quit this habit

New Delhi, 3rd July 2018: Smoking cigarettes can affect bone health and delay healing after injury if a recent study is to be believed. Although smoking does not increase the risk of nonunion but significantly extends the median time to union. Nonunion risk also shows a nonlinear trend with age and women in middle adulthood may be at increased risk compared with all other groups.

Statistics indicate that over 13,000 Indian men and 4,000 women die every week due to chronic tobacco use. Smoking is clearly becoming a public health emergency and there is a need for recalibrating measures to protect young boys and girls, who are particularly susceptible to the ill effects of smoking.

Speaking about this, Padma Shri Awardee, Dr K K Aggarwal, President, Heart Care Foundation of India (HCFI), said, “Quitting at any time reduces one’s fear of getting or dying of heart disease and lung cancer. It also reduces chances of getting osteoporosis. Quitting smoking can also help the smoker look younger and improves appearance in both men and women. The five steps involved can be remembered with the word START where ‘S’ means setting a quitting date, ‘T’ means telling family members, friends and people around you that you plan to quit, ‘A’ means anticipating the tough time one may face while quitting smoking nicotine withdrawal and weight gain, ‘R’ stands for removing all forms of tobacco products from within our reach which includes home, car and workplace and ‘T’ stands for taking help from your doctor in terms of behavior, counseling and drugs.”

Counseling helps in identifying tricks of smoking cessation and provides you alternatives. It also helps overcome craving and helps you understand what went wrong when you wanted to quit smoking.

Adding further, Dr Aggarwal, who is also the Vice President of CMAAO, said, “Cigarette is a lust which in Ramayana is symbolized with Kaikai initially and later on with Bali. When lust is controlled, the ten senses (Dashrath) must die and Rama, Sita and Lakshman (Soul, Body and Mind) must lose control. Later in Ramayana, lust is symbolized with Bali who can only be killed by Rama (consciousness) and not Lakshman (mind). Intellect (Sugriva) cannot kill lust (Bali). It can only be killed from behind and not from front which is based on the principle of Pratyarhara in Yoga Sutra of Patanjali. Removing tobacco products from the environment we live in is based on the above principle mentioned in Ramayana and in Patanjali Yoga.”

Some tips from HCFI

  • ·Try short-acting nicotine replacement therapies such as nicotine gum, lozenges, nasal sprays, or inhalers. These can help overcome intense cravings.
  • Identify the trigger situation, which makes you smoke. Have a plan in place to avoid these or get through them alternatively.
  • Chew on sugarless gum or hard candy, or munch raw carrots, celery, nuts or sunflower seeds instead of tobacco.
  • Get physically active. Short bursts of physical activity such as running up and down the stairs a few times can make a tobacco craving go away.

Be aware of what you are consuming to avoid

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Smoking can greatly increase the risk of this condition

New Delhi, 13th April 2018: Certain iron supplements may influence the development of colon cancer as per a recent study. It concludes that both ferric citrate and ferric EDTA, found in supplements, cause an increase in cellular levels of amphiregulin, a biomarker for cancer, even in low doses.Most supplements are only marked as ‘iron’ or ‘iron mineral’. It is important to be aware of what one is consuming.

With respect to incidence and mortality rates, in the Indian scenario, colorectal cancer stands fourth in men and third in women. The fact that about 25% to 30% of Indians are vegetarian offers some protection against cancer.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI) and Immediate Past National President Indian Medical Association (IMA), said, “Your diet, weight, and level of physical activity can have a direct implication on your risk of developing colorectal cancer. History of adenomatous polyps (adenomas), especially if they are large, increase the risk of cancer. If you have had colorectal cancer, even though it has been completely removed, you are more likely to develop new cancers in other areas of the colon and rectum. The chances of this happening are greater if you had your first colorectal cancer when you were younger. Though the no. 1 cancer in women in urban areas is breast cancer and in rural areas is cancer of the cervix, the cancer of the rectum is on the rise as well.”

Some common symptoms of colon cancer include blood in stools, change in bowel habits, abdominal or rectal pain, constant or frequent urge to have bowel movements, weakness, and decreased appetite.

Adding further, Dr Aggarwal, who is also the Group Editor of IJCP, said, “The choice of treatment for colorectal cancer depends on the stage of the disease, that is, how large the tumor has grown, how deeply it has invaded the layers of the colon or rectum, and whether it has spread to other organs like liver, lungs or some other parts of the body.S urgery or chemotherapy may be recommended only when the disease has advanced. However, prevention is always better than cure. Those with known risk factors or a family history of this condition should definitely take preventive measures at the earliest.”

Some tips from HCFI to prevent colon cancer.

Certain lifestyle modification can help prevent or decrease the chances of getting colorectal cancer.

  • Consume healthy food and a diet rich in fruits, vegetables, and whole grains.
  • Avoid or limit intake of fat, processed meat
  • Quit smoking and drinking; avoid too much of caffeine and keep yourself hydrated by drinking lots of water.
  • Keep yourself active physically and exercise for at least 30 minutes every day.

Tobacco use and smoking can be discouraged with a more positive approach

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These habits can cause, among other things, heart diseases and eventually death

New Delhi, 06 December 2017: Tobacco use among children and teenagers claims about one million lives in India, indicate statistics. There is also a huge economic burden among people due to tobacco use. One of the major causes for continued tobacco consumption in India is the fact that it is a part of the country’s social culture. However, a recent study has also indicated that there have been many benefits due to the large pictorial warnings on product packs, higher taxes and an intensive awareness campaign against tobacco consumption.

Tobacco use is associated with many adverse health effects and is a major preventable cause of morbidity and mortality. As per the CDC, smoking increases the risk of coronary heart disease by 2 to 4 times, for stroke by 2 to 4 times, lung cancer by about 25 times. In addition, it reduces quality of life, and increases health care utilization and cost.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, National President Indian Medical Association (IMA) and President Heart Care Foundation of India (HCFI) and Dr RN Tandon – Honorary Secretary General IMA in a joint statement, said, “India has a ‘National Tobacco Control Programme’ in place to make the public aware about the harmful effects of tobacco use, control tobacco consumption and minimize the deaths. ‘Smoking kills’ has been the message that has been conveyed in the campaigns on tobacco control with the expectation that highlighting the potentially life-threatening health consequences would deter people from smoking or using tobacco products. It’s time to alter the tone of such public health campaigns, from negative to positive. Quite often, we may rebuke a patient for failing in his efforts to quit smoking and say, ‘If you do not quit, you may die’. A statement worded as this may inadvertently sound discouraging to the patient. While it is important that people know the dangers of smoking or using tobacco products, a positive communication approach may have a more fruitful impact than a critical approach.

Kids start to smoke before they’re old enough to think about the risks; after starting they rapidly become addicted to smoking and then regret it later.

Adding further, Dr Aggarwal, said, “The chances that a patient would adhere to the lifestyle modifications are higher if communicated in an empathetic and supportive manner. IMA is committed to working closely with all National Health Programs alongside the government. As individual doctors, we too can contribute to the success of National Tobacco Control Program. Counsel your patients who smoke about quitting smoking but with a difference… Turn a negative situation to a more positive action.”

Some tips to help such people cope with and quit the habit are as follows.

  • Avoid violent communication. Do not condemn, criticize and complaint, the 3Cs of violent communication.
  • Use a nonviolent communication approach to help and support your patient in his efforts to give up smoking.
  • Tell your patient, who is trying to quit smoking, or other tobacco products, “Thank you for not smoking”.
  • Appreciate the hard work put in and their perseverance. This way the patient knows that he has your support and will have trust and faith in you.

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