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Sunday, January 01, 2017

Outstanding Alumni Award from PSG Group of Instituitions

#BestNewYearGift - Was pleasantly surprised receiving this wonderful gift from my Alma Mater - PSG Institute of Medical Sciences, PSG hospitals. Being awarded as an Outstanding #Alumni. One from each of the PSG & Sons Charities Institutions like PSG College of Technology, PSG College of Arts and Science and from Medical are identified and felicitated.

What a honor it is to be felicitated by your Alma Mater. This will be one of the best and most memorable gifts I ever received.

On this joyous occasion I also would like to wish my Family, Friends, Teachers, Well Wishers and of course my Patients a Very Happy, Fabulous, Memorable and Wonderful New Year 2017...

Sunday, November 13, 2016


 What is second-hand smoke?

Second-hand smoke is the smoke from a burning cigarette, pipe or cigar. It is also the smoke exhaled by a smoker. When a person smokes near you, you breathe in second-hand smoke. Also known as environmental tobacco smoke (ETS), it can be recognized easily by its distinctive odor. 

ETS contaminates the air and is retained in clothing, curtains and furniture. Cigarettes produce about 12 minutes of smoke, yet the smoker may inhale only 30 seconds of smoke from their cigarette. The rest of the smoke lingers in the air for non-smokers and smokers to breathe. 

Second-hand smoke contains more than 4000 chemicals. Many of these chemicals are known to cause cancer. Many of us breathe it in whether we know it or not, in public places, around doorways of buildings and at work. When someone smokes inside a home or car, everyone inside breathes second-hand smoke. Chemicals found in second-hand smoke include:
  • carbon monoxide (found in your car’s exhaust)
  • ammonia (found in window cleaners)
  • cadmium (found in batteries)
  • arsenic (found in rat poison)
Many people find ETS unpleasant, annoying, and irritating to the eyes and nose, headaches, coughing and wheezing, nausea and dizziness. You are also more likely to get colds and the flu. Breathing in second-hand smoke can also trigger asthma attacks and increase your chances of getting bronchitis and pneumonia. If you have been exposed to second-hand smoke for a long time, you are more likely to develop and die from heart problems, breathing problems and lung cancer.

Secondhand Smoke and Its Effect on...

The fetus and newborn: Maternal, fetal and placental blood flow change when pregnant women smoke. Smoking during pregnancy causes birth defects such as cleft lip or palate. Smoking mothers produce less milk, and their babies have a lower birth weight. If you smoke or are around second-hand smoke while you are pregnant, you are more likely to:
  • miscarry
  • deliver early
  • experience problems during labour
Second-hand smoke can harm babies before and after they are born. Several chemicals in second-hand smoke can pass into your baby's blood, affecting how your unborn baby develops. 
They are also at a higher risk of dying during childbirth or dying of SIDS (sudden infant death syndrome). If you’re breast-feeding, keep in mind that some chemicals from second-hand smoke are passed directly from breast milk to the baby.


Older children: Children are more at risk of getting sick than adults when they breathe in second-hand smoke because their bodies are still growing. They breathe faster than adults, so they absorb more harmful chemicals. Children’s immune systems, which protect them from getting sick, are not yet fully developed.  

Children have less control over their surroundings than adults do. Unlike adults, children are less likely to leave smoky places by themselves. Some children may not feel comfortable complaining about second-hand smoke.
Compared to children of non-smokers, children who regularly breathe in second-hand smoke are more likely to suffer from:
  • coughing and wheezing
  • asthma and other breathing problems
  • bronchitis, croup and pneumonia
  • higher risk of heart disease and
  • take up smoking themselves.
The Ears: Exposure to ETS increases both the number of ear infections a child will experience, and the duration of the illness. Inhaled smoke irritates and causes swelling and obstruction of the eustachian tube, which connects the back of the nose with the middle ear and thereby interfering with pressure equalization in the middle ear, leading to pain, fluid and infection. Ear infections are the most common cause of children's hearing loss. When they do not respond to medical treatment, the surgical insertion of tubes into the ears is often required. 

The Brain: Children of mothers who smoked or were exposed to second hand smoke during pregnancy are more likely to suffer behavioral problems such as hyperactivity than children of non-smoking mothers. Modest impairment in school performance and intellectual achievement has also been demonstrated. 

Secondhand Smoke Causes Cancer

You have just read how ETS harms the development of your child, but did you know that your risk of developing cancer from ETS is about 100 times greater than from outdoor cancer-causing pollutants? Did you know that ETS causes more than 3,000 non-smokers to die of lung cancer each year? While these facts are quite alarming for everyone, you can stop your child's exposure to secondhand smoke right now.


Don't forget about pets

Your pets are also at risk. Cats, dogs and other animals who regularly breathe in second-hand smoke have a greater chance of getting cancer. Because smoke particles can cling to their fur, they may also ingest smoke particles when grooming themselves with their tongues.

If you have to smoke:
  • Always smoke outside far away from children.
  • Never smoke in the car. Opening a window does not protect children from smoke. Smoke before you begin your journey. On long car trips, stop and smoke outside away from children.
  • Make sure you put out your cigarette before going near children.
  • Clear away ashtrays to keep children from playing with cigarette butts.
  • Never leave a lit cigarette, lighters or matches unattended.
  • Be certain that your children's schools and day care facilities are smoke free.
  • If you have household members who smoke, help them stop. If it is not possible to stop their smoking, ask them, and visitors, to smoke outside of your home.

Friday, October 07, 2016

PSG Healthcare Startup Consortium - India's Unique Consortium

Extremely happy and proud to state that India's first Multispeciality Healthcare Start Up Consortium has been co-founded by me. This is the first time that an Institution is joining hands with Entrepreneurs to come out with Healthcare innovations that will change the lives of people.

It is unique in many ways:
1) First time a very big  and reputed Institute is joining hands with Private Entrepreneurs  to come up with an exclusive healthcare start up initiative
2) It will be both an incubation center and also a center of excellence
3) Projects will be funded by various Government Funding Agencies
4) Our products and those whom we help incubate will not be a For Profit Venture
5) Incubatees will be helped in commercializing their products again with the help of various Government funding agencies
6) Finally projects which have high social impact alone will be taken up

Some of the products which will be ready soon are:
1) Bloodless Glucose and Cholesterol measurement ( Yes no more needles and painful procedures) at fraction of the cost prevalent now.
2) 3D printed body parts - Both for training and also for Human Use
3) Early detection of Stroke through #Retina
4) Indigenous OAE/BERA for new born hearing screening to bring down the cost of instrument and to make Universal New Born Screening a reality.
5) Treatment of Head and neck cancer and Cholesteatoma using Genetically Modified Micro-organisms - #OpenTherapeutics
6) Unified Communication System for clinics and hospitals.
7) 3D Holographic Consultations

PSG & Sons Charities is joining hands with like minded individuals, our idea is to make products which have very high social impact and incorporating PSG ideologue which is to make the products available to all.
Members are:
1) Mr. L Gopalakrishnan, Managing Trustee, PSG & Sons Charities who is supporting us in this venture and ensuring that once again PSG group helps the public.
2) Prof. Dr. Radhakrishnan - Director, PSG Institute of Advanced Studies. Pillar of our venture
3) Prof. Ramalingam, Dean PSG institute of medical science (PSGIMSR). Without him all this would have never ever happened.
4) Prof. Venkataram, Prof. Dept of NanoTechnology, PSG Institute of Advanced Studies
5) Prof. Lakshmi Deepika, HOD, Dept. of BioMedical Engineering, PSG Institute of Technology and Applied Research
6) Dr. Padmapriya, Asst. Prof. Dept of Biomedical Engineering, PSG Tech and
7) Mr. Nandakumar, Legal Head, PSG & Sons Charities
8) Prof. Kumar, Dept. of Medical Education
9) Shyam Vasudeva Rao Internationally acclaimed #Entrepeuner
10) Vikram Visvanathan - Pioneer in Medical Animations and
11) DrKumaresh Krishnamoorthy

Expect much, much more from us in the ensuring days and look forward to our inauguration in early 2017 when most of the POC will be ready for Trials...
Yes all the products will be open to public use only after intense trials.

Friday, July 08, 2016

Tuesday, May 17, 2016

There is Truly Something Special and Unique about You...

Dear Dr.Kumaresh
I cannot begin to say thank you enough with just words but I will try. I believe there is truly something special and unique about the care and concern you have for your patients and their families whom you treat. You have a grace under fire, a patience that surpasses the norm, and truly a desire to see patients be well. 

 I also want to commend you on your professional achievements, considerate, caring and plain manner when dealing with my wife and me. You fully explained my wife's condition and listened to our comments and questions with genuine interest. It is clear to me that you knows your specialty and understands the importance of care and treatment of the family.
The way you respond to a patient’s “good” days and/or “bad” days never wavered – even among feelings of frustration, the level of care was so incredibly evident it brought me as a family member reassurance that my wife was truly at the right place and in the right hands. The respect and attention you gave to not only my wife as the patient but to me as her husband, as well as extended to visitors – was superior and made a very difficult situation for us all – hopeful and tolerable.
Thank you for being so patient even with me. It made a difference and you all need to know that it doesn’t go unnoticed!
Thank you a lot
Ibrahim, Maldives

Tuesday, April 05, 2016

Ear Itching - What Are the Reasons and What Can Be Done...

Ear canal skin is very sensitive. All kinds of things can start an ear itch. The slightest accumulation of debris, even a dead hair, may be felt as an itching sensation. A normal ear has a thin layer of natural body oil but some ears produce no ear wax which results in dry and itchy ear skin due to accumulation of flakes of dry dead skin.

Causes of itchy ears:                                                                                             
Having skin conditions like eczema, psoriasis and seborrheic dermatitis (the same troublemaker responsible for dandruff) is a clue that it could be responsible for the ear itch.
Moisture caused by earwax build-up or excessive ear cleaning can also cause itching ears. It is true that oftentimes itchiness of the ears (inside the ear, usually) can be caused by allergy. Swimmer’s ear or acute otitis externa, is an infection of the outer ear and ear canal, often resulting from water becoming trapped in the ear. Fungal infections in the ear canal have also been known to cause ear itching.

Symptom Relief
General principles are to avoid aggressive cleaning and to keep the ear dry. When the itch starts, here’s what to do.
Don’t try to scratch it. Sticking a cotton swab—or if you’re really foolish, a house key or paper clip—in your ear could damage your eardrum. “Doctors have an old saying: Never stick anything smaller than your elbow in your ear. And I mean it”.
Oil that itch. A drop or two of mineral oil, olive oil or some other vegetable oil can soothe an itchy ear instantly.
Remove the earwax. Meet with an Otolaryngologist or use wax solvents to remove the wax. However remember that a little earwax actually helps prevent itching.
Treat the underlying skin problem. Meet with your skin specialist and treat the cause.
See your doctor. Because it’s difficult to see many of the causes of itching—like a fungal infection—you may benefit from consulting with your doctor if the itching persists for more than a few days.

Sunday, February 07, 2016

Whenever I listen to music, I will recall you and thank you - Joy of Hearing.

From: Prashanth T R
Sent: Saturday, January 23, 2016 11:22 PM
Subject: Re: Joy of Hearing

Hi Kumaresh Sir,
I am extremely happy to inform you that now "whenever I listen music, I recall you and thank you".
I just want to share my feelings.
I hope this helps for others who are in confusion as to whom they should consult for their surgery, especially for people who love sound, music, playing instruments etc
I had come to you for a second opinion
after I came to know that I had a big hole on my left ear and have to undergo surgery and its a must.
I wanted to preserve my ear to listen music and decided to under go surgery.
As like others, for a second opinion we googled a lot and but were confused. Then we came to know about you being awarded twice as best ENT and undertaken thousands of surgery. And even making other surgeons failure ones to success.
After we met you, our confusions all got cleared.
My wife asked lot of questions and you answered all patiently.
And we did a hearing test and my loss of hearing was clear.
Finally scheduled our surgery on 26th October 2015
It’s almost 3 months since cartilage surgery of my left ear and my hearing has improved significantly.
Now while listening to music i can notice lot of clarity, richness, differentiate various instruments played. Etc
Now I can hear all the horns sitting in my house.
My many thanks for this significant improvement in hearing.
Like I said "whenever I listen to music, I will recall you and thank you".
My wife also wants to thank you.
I wish you many more awards (Best ENT) in future also.

Prashanth TR

Thursday, January 07, 2016

Awarded as One of the Leaders in Healthcare in 2015 - What A Way To Start The New Year

After having received two awards in the last few years I was pleasantly surprised and happy to receive the Leader In Healthcare Award this year.
This would not be possible without the Goodwill of My Patients, Well Wishers and My Teachers.
Thank you All.

Saturday, October 24, 2015

After Revision Ear Surgery - Hearing Loss and Discharging Ear - Cartilage Tympanoplasty & Ossiculoplasty

From: V
Sent: Tuesday, Oct 20, 2015 4:19 PM
Subject: Re: Pt. info

Dear Dr.Kumaresh,

I'm writing this mail to send my testimonial after successful treatment of my hearing problem, it is close to 2 years and I am still doing very well.

I was suffering from ear discharge after my first ear surgery, there was also hearing loss and I consulted few doctors about it, they also confirmed that there is again a hole and after few basic tests showed that I have hearing loss and suggested for repeat surgery. I’m afraid of surgery again and started looking for #BestEarsurgeon

Then I came across Dr. Kumaresh and contacted his clinic for an appointment. The way I was received, the right guidance about my problem & the surgery that need to do be done, its pros and cons were baffling and first time I have experienced with a very busy doctor like him. He has given best assurance about surgery and made all arrangements for my surgery with one of the reputed hospital in Bangalore. Best part I was back home the same day evening so no need to spend time in hospital.

Surgery has done on Dec xxx 2013, the surgery lasted 3 hours, post-surgery he kept me on good medicines to recover soon without any infections and suggested all necessary care need to be taken for next few months in order to recover completely and regain my hearing. I have followed his guidance and now my hearing is back to normal level, I now hear even whispers and working in the call industry it means a lot. 

To those who are reading this all I can say is that he is the one of the best doctor who treats his patients with proper care, clarifies all doubts with patience & greets with smile --  you're in the best of hands - I know
I really thankful to Dr.Kumaresh Krishnamoorthy for the treatment and giving me back my life and job.
Thanks & Regards,

Saturday, September 26, 2015

How To Quit Smoking

I have been giving talks at all major IT companies on how to #QuitSmoking. I do know that it is not easy, the main excuse given is Stress!.
Anyways I am herewith writing a detailed way on how to quit smoking. This has helped many a patient of mine and they have been extremely thankful. Hope it helps my readers too.

There are over 4,000 chemicals in cigarette smoke including formaldehyde (used to preserve dead bodies); ammonia (used in strong cleaning liquids) and cadmium (a highly poisonous metal used in batteries). Stopping smoking represents the single most important step that smokers can take to enhance the length and quality of their lives. Quitting smoking is not easy, but it can be done. To have the best chance of quitting successfully, you need to know what you’re up against, what your options are; this article will provide you with some of this information.

Why do people start to smoke?
Common reasons for starting include peer pressure, the desire to be ‘grown-up’, natural curiosity and a sense of rebellion or freedom. Youngsters with parents who smoke are particularly susceptible. Children see adults smoking in an attempt to relieve stress, tension and boredom. Adult smokers may appear more confident and better able to cope and children want to mimic this ‘grown-up’ behavior. Very few people start to smoke after the age of 20. Smokers who started as teenagers may have found themselves unconsciously seduced. Many actors, film stars and singers smoke. Indeed, it could be argued that smoking is sold as a lifestyle rather than a product and the illusion of style is that smoking is a ‘cool thing’ to do.

Why do people continue to smoke?
The main factors that contribute to people continuing to smoke are the physical addiction to nicotine, the daily rituals around the habit and the emotional and psychological dependence. 

Physical addiction
Nicotine is a drug found naturally in tobacco and is highly addictive. Over time, the body becomes both physically and psychologically dependent on nicotine. When smoke is inhaled, nicotine is carried deep into the lungs, where it is absorbed quickly into the bloodstream and carried throughout the body. Nicotine affects many parts of the body, including your heart and blood vessels and your brain. Nicotine can be found in breast milk of smokers. During pregnancy, nicotine freely crosses the placenta and has been found in the umbilical cord blood of newborn infants. Nicotine produces pleasant feelings that make the smoker want to smoke more. After a while, the smoker develops a tolerance and then smokes to maintain this level of nicotine. In fact, nicotine, when inhaled in cigarette smoke, reaches the brain faster than drugs that enter the body by way of injections!

Psychological and emotional dependence
Smoking means different things to different people. For many, cigarettes are a friend, a relief from boredom, and are also seen as a form of stress relief. For those on a low income, smoking is often identified as their ‘one luxury ’.

Many smokers believe that smoking relieves stress and there is no doubt that nicotine withdrawal may be followed by unpleasant mood changes. Stress levels can worsen withdrawal, strongly linking tobacco use with poor emotional and mental health. Instead of seeing smoking as a stress reliever, it would be a real breakthrough if the person was able to identify smoking as one of the prime reasons of stress. Talking to a friend or family member about what is causing the stress could be a good way to clearly identify just how smoking is a contributory factor.

Benefits of quitting
Half of all smokers die early from a smoking related disease and one in four smokers die in middle age (35-64) as a result of their habit. Diseases caused by smoking can cause a great deal of pain and suffering for smokers and their loved ones. Additionally, the sudden loss of an only parent can be particularly hard for the surviving children. There are many serious and fatal diseases directly caused by smoking.
The following are the most common causes of smoking-related death:
• Coronary heart disease, which may result in heart attack, or other vascular disease, perhaps leading to stroke.
• Chronic Obstructive Pulmonary Disease (COPD), which may include chronic bronchitis and emphysema. Infections such as pneumonia are more likely to be fatal
• Lung cancer, as well as most other forms of cancer.
• In addition, impotence, peptic and duodenal ulcers and fertility problems may be associated with smoking.
• Even everyday complaints such as coughing, sneezing and shortness of breath on exertion can be attributed to smoking.
Smoking also causes premature wrinkling of the skin, bad breath, bad smelling clothes and hair, and an increased risk of macular degeneration, one of the most common causes of blindness in the elderly.
For women, there are unique risks. Women over 35 who smoke and use birth control pills are in a high-risk group for heart attack, stroke, and blood clots of the legs. Women who smoke are more likely to have a miscarriage or a lower birth-weight baby. Low birth-weight babies are more likely to die or to be impaired.
No matter what your age or how long you've smoked, quitting will help you live longer. People who stop smoking before age 50 cut their risk of dying in the next 15 years in half compared with those who continue to smoke. Ex-smokers also enjoy a higher quality of life with fewer illnesses

Improved health benefits
Smokers are always being told about the harmful effects of their habit; however, people are far less aware of the dramatic health benefits of quitting and just how quickly they begin. It’s always worth emphasizing that the health benefits from stopping begin almost immediately and continue to increase for many years:
20 minutes - Blood pressure and pulse return to normal
8 hours - The oxygen level in your blood increases to normal level. Chances of a heart attack start to fall
24 hours - Carbon monoxide leaves the body. The lungs start to clear out mucus and debris
48 hours - Nicotine is no longer found in the body. Sense of taste and smell improve
72 hours - Breathing becomes easier. Energy levels increase
2-12 weeks - Circulation improves throughout the body
3-9 months - Coughing, shortness of breath and wheezing improve.
5 years - Risk of having a heart attack falls to about half that of a smoker.
10 years - Risk of lung cancer falls to around half that of a smoker.

Stopping smoking provides the best opportunity to improve the family’s health and be around and see your children grow up. After quitting smoking, people often take more interest in their own health and wellbeing and may feel more motivated to take up a form of exercise such as walking, jogging, cycling or aerobics. During exercise, chemicals called ‘endorphins’ are released in the brain, which have a tranquillizing effect and make people feel good.

Stopping smoking can bring other opportunities. Having the ability to quit smoking and take back personal control over the habit will give their self-esteem a boost. Many ex-smokers have found that the effort they invested in stopping smoking has helped them to have more belief in themselves and their capabilities. As a result people who have quit smoking have also gone on to make other positive life changes, such as taking advantage of new opportunities at work.

Smoking is expensive. It isn't hard to figure out how much you spend on smoking: multiply how much money you spend on tobacco every day by 365 (days per year). The amount may surprise you. Now multiply that by the number of years you have been smoking and that amount will probably astound you. Multiply the cost per year by 10 (for the upcoming 10 years) and ask yourself what you would rather do with that much money. And this doesn’t include other possible expenses, such as the health care costs due to tobacco-related conditions.

Social Acceptance
Smoking is less socially acceptable now than it was in the past. Most workplaces have some type of smoking restrictions. Some employers even prefer to hire nonsmokers. Employees who are ill more often than others can raise an employer’s need for expensive temporary replacement workers. Smokers in a building also typically increase the maintenance costs of keeping odors at an acceptable level, since residue from cigarette smoke clings to carpets, drapes, and other fabrics. Friends may ask you not to smoke in their houses or cars. Public buildings, aircrafts, music halls and even cinema halls are largely smoke-free. And more and more communities are restricting smoking in all public places, including restaurants. Like it or not, finding a place to smoke is going to be a hassle.

Health of Others
Smoking not only harms your health but the health of those around you. Exposure to secondhand smoke (passive smoking) includes exhaled smoke as well as smoke from burning cigarettes. Studies have shown that secondhand smoke causes thousands of deaths each year from lung cancer and heart disease in healthy nonsmokers.
Smoking by mothers is linked to a higher risk of their babies developing asthma in childhood, especially if the mother smokes while pregnant. It is also associated with sudden infant death syndrome (SIDS) and low-birth weight infants. Babies and children raised in a household where there is smoking have more ear infections, colds, bronchitis, and other respiratory problems than children from nonsmoking families. Secondhand smoke can also cause eye irritation, headaches, nausea and dizziness.

Setting an Example
If you have children, you probably want to set a good example for them. When asked, nearly all smokers say they don't want their children to smoke, but children whose parents smoke are more likely to start smoking themselves. You can become a good role model for them by quitting now.

How can I stop smoking?

Quitting is hard. Usually people make 2 or 3 tries, or more, before finally being able to quit. Each time you try to quit, you can learn about what helps and what hurts. Write down your personal reasons for stopping. Be specific. Keep your list with you so you can look at it when you feel the urge to smoke. To help you understand your smoking habit, keep a diary of when and why you smoke. Using information from this diary, you can make a plan to deal with the things that make you want to smoke.
Smokers often say, "Don't tell me why to quit, tell me how." There is no one right way to quit, but there are some key elements in quitting smoking successfully:

1. Making the Decision to Quit
The decision to quit tobacco use is one that only you can make. Others may want you to quit, but the real commitment must come from you.
The Health Belief Model says that you will be more likely to stop tobacco use if you:
  • believe that you could get a tobacco-related disease and this worries you
  • believe that you can make an honest attempt at quitting
  • believe that the benefits of quitting outweigh the benefits of continuing tobacco use
  • know of someone who has had health problems as a result of their tobacco use
2. Get ready:  Once you've made a decision to quit, you're ready to pick a quit date. This is a very important step. Pick a specific day within the next month as your "Quit Day." Picking a date too far in the future allows you time to rationalize and change your mind. But do give yourself enough time to prepare and come up with a plan. Set a quit date 2 to 4 weeks from now so you'll have time to get ready. Change your environment. Get rid of ALL cigarettes and ashtrays in your home, car and place of work. Don't let people smoke in your home. Review your past attempts to quit. Think about what worked and what did not. Practice saying, "No thank you, I don't smoke." 

3. Get support and encouragement: You have a better chance of being successful if you have help. Tell your family, friends and coworkers that you are going to quit. Ask them not to smoke around you or leave cigarettes out where you can see them.

4. Get medication and use it correctly: Medicines help some people to stop smoking. These medicines do not contain nicotine, but helps you resist your urges to smoke.

5. Keep trying: Be prepared for relapse. What if you do smoke? The difference between a slip and a relapse is within your control. You can use the slip as an excuse to go back to smoking, or you can look at what went wrong and renew your commitment to staying off smoking for good. Don't be discouraged if you start smoking again. Remember, most people try several times before they finally quit. Here are some difficult situations to watch for:
  • Alcohol. Avoid drinking alcohol. Drinking lowers your chances of success.
  • Other smokers. Being around smoking can make you want to smoke.
  • Bad mood or depression. There are a lot of ways to improve your mood other than smoking.


How should I get ready to stop smoking?

Just before your stop date, get rid of all of your cigarettes, matches, lighters and ashtrays.
Quitters can approach their attempt in different ways.
Cold turkey: The phrase ‘going cold turkey’ means stopping smoking immediately. In other words if someone smoked a pack today, they would be going ‘cold turkey’ if from tomorrow they smoked none at all. Stopping outright is most likely to be successful.
Cutting down: Cutting down over a length of time can be particularly difficult, as consumption often goes back to what it was before. Smokers may inhale longer and harder to get the nicotine they want.
Complementary therapies Methods such as hypnosis, acupuncture, and other complementary therapies can and do help some people, but as yet there is no formal evidence that they are more effective than comparable support.

What will happen when I stop smoking?

How you feel when you stop depends on how much you smoked, how addicted your body is to nicotine and how well you get ready to stop smoking. These things happen because your body is used to nicotine. They are called nicotine withdrawal symptoms. The symptoms are strongest during the first few days after you stop smoking, but most go away within a few weeks.
An intense desire to smoke which typically lasts 2 to 3 minutes before subsiding. This becomes less frequent and less intense during the first 3 weeks.
Increased appetite
Nicotine is known to suppress a person’s appetite, which leaves many smokers able to skip meals. When people give up, the resulting lack of nicotine can cause cravings, which may also be interpreted as hunger and an increased appetite cause weight gain.
Anxiety, irritability and loss of concentration - all these can be attributed to the disturbance of breaking a long-established habit and adjusting to the physical problems.
Sleep disturbance
It is not uncommon to have an initial week of sleeping badly followed by a week of difficulty staying awake.
Worsened cough
The millions of tiny hairs designed to keep the air passages clean start to clear away the dirt caused by cigarette smoke. This can cause a temporary cough.
Light-headed / dizzy feelings
This may occur as the level of carbon monoxide in the blood starts to fall and oxygen supply to the brain increases.
Tingling sensations in the body
This could be a sign of better circulation to the hands and feet.
Tobacco has a laxative effect on which the bowels learn to rely.
The above are signs of recovery and all the symptoms are temporary and none of them are life threatening, unlike smoking!


How do I deal with urges to smoke?

If you have tried to quit before, you will probably recognize many of these common rationalizations.
  • I’ll just use it to get through this rough spot.
  • Today is not a good day; I’ll quit tomorrow.
  • It's my only vice.
  • How bad is tobacco, really? My uncle chewed all his life and he lived to be 90.
  • You've got to die of something.
  • Life is no fun without smoking.
You probably can add more to the list. As you go through the first few days without tobacco, write down any rationalizations as they come up and recognize them for what they are: messages that can trap you into going back to using tobacco.
Use the ideas below to help you keep your commitment to quitting:
Avoid: people and places where you are tempted to smoke. Later on you will be able to handle these with more confidence.
Alter: your habits. Switch to juices or water instead of alcohol or coffee. Take a different route to work. Take a brisk walk instead of a coffee break.
Alternatives: Use oral substitutes such as sugarless gum or hard candy, raw vegetables such as carrot sticks.
Activities: Learn how to handle stress and the urge to smoke Try and distract yourself from urges to smoke. Talk to someone, go for a walk, or get busy with a task. Take a hot bath, exercise, read a book.
Deep breathing: When you were smoking, you breathed deeply as you inhaled the smoke. When the urge strikes now, breathe deeply and picture your lungs filling with fresh, clean air. Remind yourself of your reasons for quitting and the benefits you'll gain as an ex-smoker.
Delay: If you feel that you are about to light up, delay. Tell yourself you must wait at least 10 minutes. Often this simple trick will allow you to move beyond the strong urge to smoke.
What you're doing is not easy, so you deserve a reward. Put the money you would have spent on tobacco in a jar every day and then buy yourself a weekly treat. Buy a book, go out to eat, or save the money for a major purchase.


What about nicotine replacement products to help me stop smoking?

When you light up, nicotine gives you the hit, the rest of the smoke does the damage. Nicotine is not one of the cancer causing agents, it’s simply the reason you crave a cigarette. Nicotine replacement products are ways to take in nicotine without smoking. These products come in several forms: gum, patch, nasal spray, inhaler and lozenge.

How does Nicotine Replacement Work?
Nicotine substitutes treat the difficult withdrawal symptoms and cravings that 70% to 90% of smokers say is their only reason for not giving up cigarettes. By using a nicotine substitute, a smoker's withdrawal symptoms are reduced. This lets you focus on the changes you need to make in your habits and environment. Once you feel more confident as a nonsmoker, dealing with your nicotine addiction is easier. It's very important that you don't smoke while using nicotine replacement products. The nicotine contained in nicotine substitutes is absorbed differently to that in cigarettes, so is much less addictive. Nicotine substitutes do not cause cancer.
While a large number of smokers are able to quit smoking without nicotine replacement, most of those who attempt quitting are not successful on the first try. By reducing these symptoms with the use of nicotine replacement therapy and a support technique, smokers who want to quit have a better chance of being successful.

Will I gain weight when I stop smoking?

For most people the increase after a year is small, approximately 4kgs. The small amount of weight gained is a lesser health risk than that of continued smoking. Dieting while you're trying to stop smoking will cause unnecessary stress. Instead, limit your weight gain by having healthy, balanced diet with plenty of fruit and vegetables, low-fat snacks and being physically active.

Maybe you, too, have quit many times before. You can use the same methods to stay quit as you did to help you through withdrawal. Think ahead to those times when you may be tempted to smoke, and plan on how you will use alternatives and activities to cope with these situations.
More dangerous, perhaps, are the unexpected strong desires to smoke that occur sometimes months (or even years) after you've quit. To get through these without relapse, try the following:
  • Review your reasons for quitting and think of all the benefits to your health, your finances and your family.
  • Remind yourself that there is no such thing as just one cigarette – or even one puff.
  • Ride out the desire. It will go away, but do not fool yourself into thinking you can have just one.
  • If you are worried about gaining weight, put some energy into eating a healthy diet and staying active with exercise.


What if I smoke again?

Staying stopped is the key issue for most smokers. Many quitters can get through their first few days when their own motivation, determination, support and praise from others. But from then on motivation may begin to diminish and other people around them have lost interest while cravings continue.
Lack of success is often related to the onset of withdrawal symptoms. And most relapses occur within the first 3 months of quitting. So don't be discouraged if you start smoking again. Don't feel like a failure. Think about why you smoked and what you can do to keep from smoking again. Set a new stop date. Many ex-smokers did not succeed at first, but they kept trying. In fact, smokers usually need several attempts before they are able to quit for good.
Never condemn the relapse. Use it as an opportunity to congratulate yourself on first thinking about it, and then for managing to stop, even if it was only for one day
Just remember that even one puff on a cigarette can cause a relapse, so don't risk it.

Taking Care of Yourself                                                                                                                                                          Any past or current tobacco use is important information for your doctor to know so he or she can be sure that you have appropriate preventive health care. It is well known that tobacco use puts you at risk for certain health-related illnesses, so part of your health care should focus on related screening and preventive measures to help you stay as healthy as possible. Periodic checkups should include oral cavity (mouth) exams for any changes or problems. By doing this tobacco users may be able to prevent, or detect early, oral changes, leukoplakia (white patches on the mouth membranes), and oral cancer.
You should also be aware of any change in cough, a new cough, coughing up blood, hoarseness, difficulty breathing, wheezing, headaches, chest pain and loss of appetite, weight loss, general fatigue and repeated respiratory infections. Any of these could be signs of lung cancer or a number of other lung conditions and should be reported to your doctor. While these can be signs of a problem, many lung cancers do not cause any noticeable symptoms until they are advanced and have spread to other parts of the body.
Remember that tobacco users have an increased risk for other cancers as well, depending on the way they use tobacco. Other risk factors for these cancers may be more important than your use of tobacco, but you should be aware of the additional risks that might apply to your situation.
If you have any health concerns that may be related to your tobacco use, please see your doctor as quickly as possible. Taking care of yourself and getting treatment for small problems will give you the best chance for successful treatment. The best way, though, to take care of yourself and decrease your risk for life-threatening lung problems is to quit using tobacco.

Quitting takes hard work and a lot of effort, but you can quit smoking.
If you are a smoker encourage your children not to smoke by:
• Telling them from personal experience why you wish you hadn’t started
• Never letting them try a cigarette, even as a joke
• Never asking them to light a cigarette
• Not giving them sweet or joke cigarettes
• Never asking them to buy cigarettes or matches
• Asking them to work out how much smoking costs each year
• Explaining that the majority of the populations don’t smoke and most smokers want to stop
• Discouraging older brothers, sisters and other family members from smoking in their presence

Questions to Think About

Think about the following questions before you try to stop smoking.
1. Why do you want to quit?
2. When you tried to quit in the past, what helped and what didn't?
3. What will be the most difficult situations for you after you quit? How will you plan to handle them?
4. Who can help you through the tough times?
5. What pleasures do you get from smoking? What ways can you still get pleasure if you quit?

Hope that you join the band of successful quitters...