Tobacco is prepared from the leaves of the plant Nicotiana. Smoking tobacco affects the heart, liver, and lungs, as the smoke contains carbon monoxide, cyanide, and carcinogens. Smoking and chewing tobacco put an individual at risk for heart attack, stroke, chronic obstructive pulmonary disease (COPD), and various cancers.

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Will eating gutkha burn my mouth and leave a white patch?

Query: Hi doctor, I am 34 years old, male. I am eating gutkha for the past 12 years and now I have found a white patch in my mouth and I consulted an ENT. He suggested me 10 days course of one Asbex tablet and one cream for the white patch. I am using it for 10 days and now the white patch is slowly disap...  Read Full »

Dr. Tooba Qazi

Answer: Hi, Welcome to Keep applying that gel for two weeks more. Avoid spicy food for one month. You have to take less spicy food for your entire life if you want to stay away from cancer. That's the bad news for you that you are experiencing the first few symptoms of oral cancer that is bur...  Read Full »

I have a grey-looking skin flap under my tongue on the right side, and I use tobacco. Are these related?

Query: Hi doctor,I have a grey-looking skin flap under my tongue on the right side. Quite literally, it looks like a small rock hanging off my tongue. I am 23 years old. I do use tobacco.  Read Full »

Dr. Gaurav Kumar Pandey

Answer: Hi, Welcome to You should send a picture of the lesion with the query. You did not even mention that you have any pain or discomfort. Unwanted growth and lesion in the tongue is not a good thing. Therefore, you should stop consuming tobacco immediately and see your dentist immediatel...  Read Full »

What are the causes of white spots around wisdom teeth?

Query: Hello doctor, I am 24-years-old. I noticed white spots and a line around my wisdom teeth approximately three to four months back, getting slightly bigger than before. My dentist advised me to get my right wisdom tooth removed, and I have had a cracked tooth on the same side for almost two years. The...  Read Full »

Dr. Soheel Hussain Zargar

Answer: Hello, Welcome to I have read your query and can understand your concern. After analyzing the images you have attached (attachments removed to protect the patient's privacy), I suspect the whitish areas might be due to; 1) An impact of the amalgam (silver) filling in the particular ...  Read Full »

Have my gums receded because of placing smokeless tobacco in the same spot for years?

Query: Hello doctor, I am a 32-year-old male. I have used smokeless tobacco called Swedish Snus for going on four years now, always in the same spot. My gums have severely receded in this area. I am otherwise healthy. I recently made an appointment with a periodontist, but I am terrified I may have gum can...  Read Full »

Dr. Naveen Thomas

Answer: Hello, Welcome to I have reviewed the images posted (attachment removed to protect patient identity). You have to change your brushing technique as soon as possible. Brush in an up-and-down motion without putting too much pressure on the teeth and gums. The recession is not any canc...  Read Full »

What are the first signs of oral cancer?

Query: Hi doctor, I have been very worried about my health lately. I would like to preface this by saying that I have been experiencing anxiety off late and I have a suspicion that some of these symptoms could be related to that. I am currently weaning off of Prednisone, which I have been taking for an all...  Read Full »

Dr. Settipalli Saravan Pramod

Answer: Hello, Welcome to I read your query and understand your concern. I want to clarify details regarding who advised you to start Prednisone, and for how long have you been on it as this a drug which suppresses your immunity and causes a secondary infection. Care should be taken befor...  Read Full »

I have clear white bumps in the corner of the mouth. What could they be?

Query: Hello doctor, I am a 24-year-old male. I have small clear white bumps in the corner of the mouth. It is not hurting. Some are very small. They are more than 20 in number. I am currently taking Vitamin D3 supplements and Iron supplements.   Read Full »

Dr. Muhammad Majid Hanif

Answer: Hello, Welcome to I have reviewed your query and understand you are worried about the lesions (bumps) on the corner of your lips. There are many reasons behind this kind of lesion. It is caused mainly by nutrients, dehydration, or a viral infection. The virus is named herpes, and it c...  Read Full »

I developed a few symptoms due to my long-term Gutka chewing habit. Can it be a cancer?

Query: Hi doctor, I have been chewing Gutka for the past ten years. I cannot eat spicy food, and the skin is whitish yellow on both sides of my buccal mucosa. I have taken vitamin B complex capsules, and I use Hexidine mouth wash thrice a week. In addition, there are recurrent sores in the mouth after eati...  Read Full »

Dr. Naveen Thomas

Answer: Hello, Welcome to I went through your query and understood your concern. It does not seem to be cancer but the condition is called oral submucous fibrosis, which can lead to cancer if not taken care of. So, I suggest you to follow the instructions mentioned below, 1. Stop chewing Gu...  Read Full »

Does regular tobacco use cause sexual problems?

Query: Dear doctor, I am 33 years old. I have no desire for sex. There is no erection in the penis since the last three months. I am a regular tobacco user. Give me advice.  Read Full »

Dr. Duraisamy Palanisamy

Answer: Hi, Welcome to Kindly quit tobacco immediately. Tobacco usage is one of the causes for sexual dysfunction. You can take capsule Nano-Leo two capsules in the morning and night after food for three months, which is slow acting. After a month, let me know how you feel. If it is not eff...  Read Full »

My 45-year-old aunt behaves weird after too much alcohol consumption and in take of a tobacco-like substance. How to make her overcome this?

Query: Hi doctor, My 45-year-old aunt was doing good a few years back. However, now I find her drinking a lot in the afternoon and at night. I am trying to improve her condition. Also she is using some tobacco-like thing to stay in her mouth, and then she spits after some time, making her behave differentl...  Read Full »

Dr. J N Naidu

Answer: Hi, Welcome to The first thing I suggest is she should stop smoking and drinking. Then, I suggest she eat a balanced diet with more boiled vegetables and fruits. Also, increase her physical activity. In addition, I suggest getting an LFT (liver function test) done to check her liver con...  Read Full »

Can chewing tobacco cause reduced mouth opening?

Query: Hi doctor, I can barely open my mouth up to three fingers space. Is it bad or normal? I have never noticed this before, only recently I happen to see this. I chew tobacco. Is that causing it? Is it serious?  Read Full »

Dr. Chandwadkar Ashish

Answer: Hi, Welcome to Your problem is very common amongst regular tobacco chewers. Tobacco, beetle nuts, etc., especially when mixed with limestone, damages the mouth walls on the sides if it is frequently placed. This frequent injury and healing process forms scar tissue of fibroblasts origi...  Read Full »

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