As per the GOI circular on price capping of Orthopaedic Knee implant by NPPA(National Pharmaceutical Pricing Authority), new prices of knee implants have been implemented effective 16th August 2017. For details on knee implant pricing across our hospitals. CLICK HERE | As per GOI’s circular dated 29th March 2019 on price-capping of stents by NPPA (National Pharmaceutical Pricing Authority), new prices of coronary stents are revised with effect from 01st April, 2019. For details on stent pricing.CLICK HERE
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Dealing With Nicotine Withdrawal

Putting down your last cigarette might seem like a daunting task, but with the right support system and frame of mind, it’s definitely possible. Smokers who have decided to quit will experience some unpleasant symptoms due to the lower nicotine levels in the body.

Nicotine is the main component of cigarettes and is the reason they are so addictive. Nicotine causes the brain to release neurotransmitters which stimulate the brain’s pleasure centre.  By constantly activating these specific set of neutrons through smoking, the brain forms ‘reward pathways’ which makes you want to smoke again because it makes you feel good. Withdrawal symptoms occur because your brain is coping with these drastic changes. The doctor will help you in deciding a quit date and start you on medications which will increase your chances of quitting. There are many types of treatment including nicotine replacement therapy in the form of chewing gums, patches, lozenges and medication which decreases your withdrawal symptoms.

Some of the symptoms are:

  • Cravings to smoke
  • Poor concentration
  • Restlessness
  • Headaches
  • Increased appetite
  • Sleep disturbance
  • Constipation

Constipation: A recent butter may fat intestinal difficulties like nausea, gas and constipation. Keeping yourself hydrated and consuming more food rich in fibre will help counteract the effect.

Weight Gain: Following nicotine withdrawal, one can crave cigarettes and turn food for comfort. In such cases, eating junk food could create more problems. Ensure that you consume a more balanced diet that includes fruits, whole grains, leafy greens and lean proteins. Minimise consumption of unhealthy snacks and drink plenty of water. When you find yourself feeling tempted or hungry, do any one of the following. Carry a snack like frozen yoghurt, a smoothie or some trail nuts to prevent yourself from buying junk food.

Practise the four D’s: Delay your temptation, drink some water, distract yourself with something and then deep-breathe for a few minutes.

Mental Health: If you find yourself reaching for a cigarette, talking to a counsellor will enhance motivation and self-belief and will help you maintain that confidence. Some people experience depression as well which can be taken care of by the doctor. They will be able to give you tips on how to handle the withdrawal symptoms.

Insomnia: If you have trouble sleeping, the most effective method is to keep your phone away for an atheist an hour before you go to bed. Try not to use any electronic devices, and finish all your meals and snacks before bedtime. Green tea will help you sleep. Avoid caffeinated beverages as they will make you more restless.

Positive Thinking: It’s important to keep a positive attitude while going through this process. Keep yourself motivated by seeing how far you have come. Constantly remind yourself of the reason you wanted to quit in the first place. List out small goals and celebrate the tiniest milestones to keep yourself motivated along the journey.

Don’t let yourself get bogged down, it’ll all be over in a few weeks and you’ll bounce back from this a better, healthier and stronger person

~ Dr. Shalini Joshi, Consultant Internal Medicine, Fortis Hospital, Bannerghatta Road.

Source:  The New Indian Express

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