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Smoker, wants to quit - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Smoking and Alcohol Addiction
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2568 Questions
Doctor :   Hi
Doctor :   Please proceed with your query.
User :   am in the process of quitting smoking.. Was able to reduce from 10 to 3 but from here it is becoming tough
Doctor :   Ok
User :   Need help on your advice
Doctor :   May I know from how many years are you smoking?
User :   10 + y
Doctor :   Do you also consume alcohol?
User :   very social in this regard. once in 2months
Doctor :   Ok
Doctor :   May I know your age/
User :   32
Doctor :   Do you suffer with any diagnosed medical conditions?
User :   nope
Doctor :   Ok.
Doctor :   Smoking tobacco releases nicotine which stimulates our brain.
Doctor :   And due to regular smoking brain gets adapted to amount of nicotine available.
Doctor :   Quitting becomes difficult due to withdrawal symptoms as irritation, headache and disorientation.
Doctor :   As you have already restricted yourself to 3 cigarettes per day, from here on you can try with nicotine gums which are available now with the chemist.
Doctor :   These gums should be chewed in a special way and has been explained on the pack.
Doctor :   This method is known as chew and park method.
Doctor :   After chewing the gum for 10 to 15 min you need to park it in between the teeth and the mucosa of the cheek.
User :   Any specific Brand on the gums
Doctor :   Any brand will do.
User :   k
Doctor :   These gums comes in 4 mg and 8 mg.
Doctor :   As you are already to 3 cigarettes, you can start with 4 mg gums when you have the feeling of smoking and park it for 45 mins.
Doctor :   As these are nicotine gums, they supply the required amount of nicotine initially.
Doctor :   As you now completely avoid cigarettes, gradually you can reduce the frequency of the gums and eventually stop it.
Doctor :   These gums are only to avoid withdrawal symptoms.
Doctor :   Here you need the determination to quit.
Doctor :   So please stay firm on your decision to quit smoking and can follow this method.
Doctor :   Also avoid companies of smokers as this will induce you to go for a smoke.
Doctor :   Did you follow my suggestions?
User :   This is hard but then... as you said, Determination is the key. We cannot discard the company of frirends forever.
User :   Got you ! Thanks
Doctor :   Yes, but try to explain them and not to force you for a smoke.
Doctor :   Are there any more queries for me to help you with?
User :   Ya.. :)
User :   Also.. Due to work stress and long hours at work.. there is severe back pain.
Doctor :   Ok
User :   When I say back... I mean from Neck to shoulders and based on the severly it hits the back
User :   Lower back
Doctor :   Ok
User :   For sure I take breaks.. As of now they are smoke breaks
Doctor :   Ok
Doctor :   After going through the description provided by you, I am of the opinion that you might be suffering Spondylithis.
User :   is it curable ?
Doctor :   Due to long working hours and stress and lack of physical activity leads to inflammation of the bones producing pain
Doctor :   Yes it is curable.
Doctor :   And needs regular back and neck exercises.
User :   The pain is some thing like priking with needle... very shrap and acute at times.
Doctor :   You need to follow regular physical exercises every morning or evening and also a few movement exercises while working.
User :   You said lack of Physical activity - I do go for jogging 3 days a week
Doctor :   Ok. Do you follow any back exercises?
User :   Any link where I can get the workouts correctly for Back and nect
User :   *neck
Doctor :   Please give me few minutes to check out for the link.
User :   No offense. Please dont google and send. I can do that. Rather I am looking for expert guidence and information :)
Doctor :   Sure please wait.
Doctor :where all kind of exercises are been explained with videos. You can view this site and follow the exercises.
Doctor :   You can follow neck exercises also while working.
User :   Thanks
Doctor :   It would also be better to see an Orthopedician and few investigations like X ray of the spine and MRI might be asked.
User :   ok. Will do that.
User :   Thanks for your time.
Doctor :   Thanks for consulting me
Doctor :   Take care
User :   You too. Have a nice day
Doctor :   Bye for now.
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