Be aware of what you are consuming to avoid

Health Care, Heart Care Foundation of India, Medicine, Social Health Community Comments Off

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.

Air pollution causes millions of CKD cases globally each year

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The estimated global burden of chronic kidney disease CKD attributable to air pollution fine particulate matter PM less than 2.5 m is significant amounting to more than 10.7 million cases per year. The researchers used the Global Burden of Disease study methodologies to estimate the burden of CKD attributable to air pollution. Epidemiologic measures of the burden of CKD attributable to air pollution included years living with disability YLD meaning years living with kidney disease years of life lost YLL meaning early death attributable to kidney disease and disability adjusted life years DALY a measure that combines the burden of living with the disease and the early death caused by the disease . The global annual burden of incident CKD attributable to high PM2.5 levels was 10 784 514 95 Uncertainty Interval 7 821 109 13 857 623 . YLD YLL and DALYs of CKD attributable to high PM2.5 were 2 185 317 1 418 442 3 061 477 7 897 941 5 471 081 10 514 433 and 10 083 258 7 064 399 13 323 685 respectively. The study also found that burden of disease varies greatly by geography. India along with Nigeria Bangladesh and Pakistan had the high attributable burden of disease exceeding 200 incident cases of CKD per 100 000 population. India was also amongst the countries that reported highest DALYs that included Mexico Central America Southeast Asia and Northern Africa. DALYs per 100 000 were 366.71 251.05 498.01 in Nicaragua and 353.93 260.05 449.24 in Mexico compared to 44.59 24.07 65.74 in the United States. These findings were presented at the recently concluded ASN Kidney Week 2017 in New Orleans Louisiana USA. Keeping BP cholesterol body weight blood sugar within healthy limits avoiding overuse of OTC painkillers smoking eating a healthy diet and exercising regularly are some of the ways to protect kidney health. Air pollution has become a major threat to society today. Air pollution has been at an extremely high level particularly in the Delhi NCR region and continues to remain the hazardous category. Studies have shown that air pollution can damage the kidneys. A significant association between exposure to PM2.5 and risk of incident CKD decrease in estimated glomerular filtration rate eGFR and progression to end stage renal disease was reported online September 2 2017 in the Journal of the American Society of Nephrology. It s now time perhaps to add air pollution PM2.5 to the list of risk factors for chronic kidney disease and recommend avoiding or limiting air pollution exposure to the list of measures generally advised to prevent delay chronic kidney disease. It has become important to also note the air pollution levels in different areas in your city before venturing out to avoid exposure to pollution. Source American Society of Nephrology News Release November 4 2017

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