Keywords: Quit smoking, general practice, Family Doctor
Background:
Smoking cessation is not an easy way to go for for heavy smokers. But the especially vulnerable group of smokers are children. Legislation in Latvia does not allow to sell oral tobacco since 2025, January 1, and it also does not allow to sell e-cigarettes with special aromatization.
Aim of the case report:
To evaluate the drawbacks of Legislation in Latvia, concerning tobacco use in peadiatric population.
Case report:
Case 1. The patient presents at the GP's office with complaints of sweating, dyspepsia, feeling dizzy and very sick after smoking a lot of e-cigarettes. The patient is 12 years of age. The patient was hospitalized by emergdncy department after overdosing e- cigarrettes, named SALT. The 12 year old patient received systemic fluids in the hospital and was recommended not to smoke anymore. After being discharged, the patient felt merry and proud of such an experiment, and confessed that once he had had more heavy status of health, it was when he used oral tobacco (put tobacco between his lip and gums), then patient had heavy dizzines, palpitations, sweating, snd severe dyspepsia. The patient's mother smokes regularly cigarettes at home- in the room since the boy's birth. The boys younger brother, who is 9 years old, already smoks e-cigarrettes, too-the boys use to fight over e-cigarettes, they have stolen. The adults were aware of the situation that e-cigarettes are often disappearing at home , especially those with a nice odor. The social services look after the concrete family. Case 2. The patient - 13 years of age presents at a doctor's consultation room with a heavy syndrome of dependancy of e-cigarettes. The boy tells a doctor, how he with his classmates regularly look in trash cans to find some used e-cigarrettes, and then re-used them.
Conclusions:
Famillies in Latvia need psychoeducation, regarding tobacco usage/dependancy syndrome also in peadiatric population.
#41
