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First Post
5 days ago
- Health
- First Post
Doctor explains: Smoking doesn't relieve stress — here's what really happens
Tobacco use may provide temporary stress relief by triggering dopamine release in the brain, but over time it leads to dependence, ultimately worsening anxiety and stress. Effective quitting methods include nicotine replacement therapies, medications, and behavioral support. Firstpost brings out expert insights on understanding and overcoming tobacco addiction. read more Tobacco use continues to be a leading cause of preventable diseases and death in India, with rising concerns over its impact on both physical and mental health. Beyond its well-known link to cancer and heart disease, tobacco use is deeply tied to issues like stress, infertility, skin damage and even silent heart conditions. To raise awareness and dispel common myths, Dr. Vikas Mittal, Director - Pulmonologist, CK Birla Hospital, Delhi talked to Firstpost to shed light on the often-overlooked dangers of tobacco and how individuals can effectively quit the habit. STORY CONTINUES BELOW THIS AD How does tobacco use affect the brain, especially to stress and anxiety? Tobacco contains nicotine, which, upon reaching the brain, triggers the release of dopamine, a chemical associated with pleasure and stress relief. This creates a temporary sense of relaxation. However, over time, the brain becomes dependent on nicotine to maintain this effect. When nicotine levels drop, withdrawal symptoms such as anxiety and stress emerge. This leads to a vicious cycle where smoking appears to relieve stress, but actually contributes to and intensifies it over time. What are some scientifically proven ways to manage tobacco cravings effectively? There are effective medical treatments for managing tobacco addiction. Pharmacological therapies like Nicotine Replacement Therapy (NRT)—including nicotine gums, patches, and lozenges—are widely used. Medications such as bupropion and varenicline can also reduce cravings and ease withdrawal. Behavioral interventions, particularly Cognitive Behavioral Therapy (CBT), and lifestyle modifications play a crucial role in increasing the chances of quitting successfully. Why is early exposure to tobacco particularly dangerous for adolescents, and how quickly can dependence develop in youth? The adolescent brain is still developing, making it highly vulnerable to nicotine. Exposure during teenage years can lead to addiction quickly—sometimes within weeks. Early use not only increases the risk of lifelong dependence but also makes the brain more susceptible to other addictions, including illicit substances. What are some of the underestimated short-term health improvements people often experience within weeks of quitting tobacco? Health improvements begin almost immediately after quitting. Within 20 minutes, heart rate and blood pressure drop. In 48 to 72 hours, taste and smell begin to improve, and carbon monoxide levels normalise. Lung function can improve within two to three weeks, reducing coughing and breathlessness. These early benefits are encouraging and crucial in motivating continued cessation. What impact does smoking have on skin health and sexual well-being? Smoking causes premature aging and wrinkles due to reduced blood flow. It impairs wound healing, especially post-surgery. In men, smoking can lead to impotence and erectile dysfunction. In women, it reduces fertility, affects egg quality, and can cause early menopause. Smoking during pregnancy increases the risk of preterm delivery, low birth weight, and complications for both mother and baby. Can diet play a role in helping someone quit tobacco? If so, which foods are most beneficial? Yes, a healthy diet supports quitting efforts. Foods rich in antioxidants, vitamins, and minerals—like fruits and vegetables—can curb cravings. Dairy products may make cigarettes taste unpleasant. Fruits high in vitamin C, such as oranges and guavas, help reduce oxidative damage. Caffeine and alcohol should be avoided as they can intensify nicotine cravings. What are the most common triggers for relapse, and how can they be avoided? Common relapse triggers include peer pressure, stress, emotional instability, and alcohol. Avoiding smoking environments and individuals who encourage the habit is crucial. Maintaining a healthy lifestyle—adequate sleep, exercise, and a balanced diet—can improve emotional resilience. Identifying personal triggers and replacing them with alternatives like chewing gum, walking, or hobbies is key. Support from family, peers, or cessation groups also greatly helps. How dangerous are silent symptoms of tobacco-induced heart conditions, and what should people watch for? Silent symptoms like shortness of breath, chest tightness, fatigue, and persistent coughing are often ignored. These signs may indicate serious damage to the heart and lungs. Smokers should be alert to these symptoms and undergo regular heart and lung screenings to detect conditions early and manage them effectively. How do nicotine replacement therapies compare to natural cessation strategies like lifestyle changes and dietary support? Nicotine Replacement Therapy (NRT) is proven to reduce withdrawal symptoms and increase cessation success rates. While lifestyle changes and dietary adjustments can support quitting, they usually lack the effectiveness of medical therapies. For best results, a combination of both approaches is recommended under medical supervision. Are e-cigarettes a safer alternative to regular cigarettes, or do they pose their health risks? E-cigarettes eliminate many harmful toxins found in traditional cigarettes, making them relatively less harmful. However, they still contain nicotine and harmful vapors that can cause acute lung injury. Severe cases have involved mechanical ventilation and life-threatening complications. The long-term health effects remain uncertain, and early evidence raises serious concerns.


New Indian Express
28-05-2025
- Health
- New Indian Express
Delhi hospitals report rise in patients with flu-like symptoms
NEW DELHI: OPDs are witnessing a surge in patients with flu-like symptoms amid a fresh rise in Covid-19 cases linked to a new SARS-CoV-2 variant. In response, hospitals have started issuing advisories urging staff to avoid gatherings within the premises and reintroduce social distancing protocols. Dr Vikas Mittal, Director, Department of Respiratory Medicine, CK Birla Hospital, Punjabi Bagh and Director Wellness Home Clinic and Sleep Centre said there has been a spike in OPD with cases of flu. 'Yes we are seeing flu like cases in our OPD and personal level we are taking precautions,' he said.


India Today
27-05-2025
- Health
- India Today
Do you need vaccine boosters again? Doctors weigh in amid rising Covid cases
With a rise in Covid-19 cases in India and active infections recorded at 1,010 as of May 26, doctors are urging people not to panic but to remain alert and adopt simple preventive surge is being primarily reported from states like Kerala, Maharashtra, and Delhi, though the numbers remain far lower than during previous has recorded 335 new infections in the past week, pushing its active caseload to 430, the highest in the country. Maharashtra follows with 210 active cases and Delhi with 104, according to the Ministry of Health and Family Doctors on the ground say most cases are mild, with very few requiring hospitalisation. However, they recommend basic Covid-appropriate behaviour, especially for those experiencing symptoms or belonging to high-risk groups."We are seeing Covid patients in OPD (out-patient department) but none of them are serious as of now. It's just like a mild viral infection,' said Dr Vikas Mittal, pulmonologist at CK Birla Hospital, Delhi."People should stay updated, avoid panic, and follow basic hygiene. If you have symptoms like cough, sore throat, or flu, stay at home and consider getting tested," Dr. Mittal expert advised precautionary practices such as wearing masks in crowded places, hand hygiene, especially for symptomatic individuals remain crucial in limiting the spread. Doctors on the ground say most cases are mild, with very few requiring hospitalisation. (Photo: PTI) advertisementWhile the current wave is not marked by severe disease or hospital overload, concern has risen due to the detection of new variants. According to the Indian SARS-CoV-2 Genomics Consortium (INSACOG), a central Covid-19 monitoring agency, two new sub-variants -- NB.1.8.1 and LF.7 -- have been variants have also been detected in Covid-19 cases reported from countries like China and Singapore, and more recently, in the United from the JN.1 lineage, these variants are more transmissible but are currently associated with only mild a recent update by the World Health Organisation, these variants are classified as Variants Under Monitoring, meaning they are being closely observed but haven't shown traits of greater severity or vaccine resistance yet. Originating from the JN.1 lineage, these variants are more transmissible but are currently associated with only mild infections. () Despite this, experts are advising high-risk individuals such as the elderly and those with chronic illnesses to consider booster vaccinations if their last dose was over six months doses enhance waning immunity and are crucial for vulnerable populations. Most cases are mild and manageable at home, but we must remain vigilant to prevent burdening the healthcare system,' said Dr. Manisha Mendiratta, head pulmonologist at Sarvodaya Hospital, also noted a parallel rise in seasonal illnesses like flu and dengue, which in many clinics are outnumbering Covid-19 cases. However, the high transmissibility of new Covid variants still poses a risk to vulnerable Chirag Tandon, director, department of internal medicine, Sharda Care Healthcity, warned that the new variants might bypass existing immunity from prior infections or vaccinations."The current variant spreads fast, stays longer, and may evade some vaccine-induced immunity, but the symptoms are mostly mild. Booster shots can help reduce the chances of severe illness,' said Dr Tandon. Booster doses enhance waning immunity and are crucial for vulnerable populations. (Photo: Reuters) Patients at his facility are presenting with symptoms like sore throat, mild fever, abdominal discomfort, and headaches that don't always align with classic Covid symptoms. However, he stressed that this is not a cause for alarm, as the cases are generally stable and managed in OPD Mittal said that although there are no advisories on precautionary booster dose, one should immediately visit a doctor when a person experiences breathing problems."Don't panic. Patients who have serious illness should also contact their doctor if they have symptoms like sore throat and upper respiratory infection. They should also not go out of the house. Besides this, practice basic hand hygiene. If you have touched any surface anywhere, then avoid touching your nose, mouth and eyes and keep sanitising your hands," he Watch


Hindustan Times
08-05-2025
- Hindustan Times
Rising India-Pak tensions trigger panic buying in Punjab
Following India's counter-terror strikes under Operation Sindoor, panic buying broke out in most parts of Punjab on Wednesday, with the border districts witnessing the most intense response. Rush at grocery shops in Amritsar following India's counter-terror strikes. (Sameer Sehgal/HT) Fearing possible escalation and retaliation, residents in the border districts scrambled to stock up on essentials, with anxiety also spreading to other districts in Doaba and Malwa, triggering similar scenes of hoarding and market rush. In Ferozepur and Fazilka, long queues were seen outside grocery shops, utility stores, pharmacies and petrol pumps, as people rushed to secure daily-use goods and fuel amid growing uncertainty. 'There's a lot of anxiety among the people. Everyone is worried about what might happen next,' said Vikas Mittal, a local petrol pump owner. He shared that fuel sales had tripled compared to normal, and demand for groceries, vegetables and medicines had surged. Pharmacies reported a spike in purchases of painkillers, diabetic medications and antibiotics, reflecting concerns about potential shortages in the coming days. Meanwhile, a joint security operation was launched at the Ferozepur Cantonment railway station to ensure public safety and prevent any untoward incidents. The operation, conducted in coordination with RPF personnel and the Anti-Sabotage Team, involved thorough inspections of key areas, including platforms, parking zones, the railway yard, parcel office, booking counters, and all incoming and outgoing trains. Passengers were also screened under strict security protocols. Authorities urged the public to remain calm and cooperate fully with security procedures. 'The situation is under control, and all necessary steps are being taken to ensure the safety of citizens,' assured Deepshikha Sharma, deputy commissioner-cum-district magistrate, Ferozepur. The ripple effect of panic reached the Doaba region as well—comprising Jalandhar, SBS Nagar, Kapurthala and Hoshiarpur—where residents made a beeline for vegetables, fruits, flour and milk at markets. Huge crowds were reported at grocery stores and wheat flour mills, and vegetable markets were emptied out within hours. 'We kept telling people not to panic, but they continued to stockpile vegetables,' said Tarsem Singh, a vendor in Jalandhar. Ravinder Singh, a local resident, expressed, 'Anything can happen in the coming days. So my family told me to buy groceries, vegetables and flour in bulk.' Similar scenes prevailed in Ludhiana also, with the Petrol Pump Dealers' Association reporting a 60% jump in petrol and diesel sales compared to typical days. Association chairman Ashok Sachdeva assured that there was no shortage of fuel, so people should avoid panic buying. Residents thronged markets to stockpile onions and potatoes, known for their longer shelf life. Gurwinder Singh, a commission agent (aarthiya), confirmed the uptick, citing increased demand for these vegetables. 'On average, Ludhiana consumes around 300 tonnes of onions and 250 tonnes of potatoes daily. But lately, we're seeing regular customers, who usually buy in small quantities, purchasing bulk supplies,' he said. (With inputs from Navrajdeep Singh and Tarsem Singh Deogan)


Hindustan Times
07-05-2025
- Health
- Hindustan Times
Civil defence drill: Hospitals to prepare for patient influx
Government and private hospitals across the Capital are gearing up to participate in a large-scale security drill on Wednesday, aimed at testing the preparedness of Delhi's healthcare system against 'new and complex threats', officials said. Police and security personnel in central Delhi on Tuesday ahead of the drill. (Sanjeev Verma/HT Photo) The exercise, termed the 'Mega Civil Defence Mock Drill', will train staff at hospitals and health centres to handle emergencies such as a sudden spike in patient inflow or mass casualty scenarios. While some state-run hospitals have not received direct orders from the health ministry, they are proceeding with the drill as a precaution. 'We've had no formal communication from the ministry, but we are going ahead with the awareness drill as a preparedness measure,' said an official from Lok Nayak Hospital, requesting anonymity. A circular issued by Lok Nayak said the drill will raise awareness about air raid sirens, crash blackout measures, evacuation plans, and civil defence training for staff and students. A sensitisation session is scheduled at 12 noon in the Disaster Ward of the Casualty Department. Other government hospitals including Babu Jag Jivan Hospital, DDU Hospital, Charak Palika Hospital, the government hospital in Burari, and ESIC Hospital will also hold mock drills at 4pm. Several private hospitals — including Fortis, Apollo, Wellness Home Clinic, and Sleep Centre in Paschim Vihar — have confirmed their participation. 'All doctors and staff are being trained to respond swiftly during high patient inflow. Even smaller facilities like ours must be ready,' said Dr Vikas Mittal, director, Wellness Home Clinic and Sleep Centre. At PSRI Hospital, a 'Code Yellow' drill will simulate an external disaster scenario involving patients from other hospitals or mass casualty sites. 'All patients will be treated as critically ill, requiring urgent care,' said Dr Anju Wali, medical director at the hospital.