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What Causes Swelling In The Cheek After Prolonged Use Of Chewing Tobacco?

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Posted on Sat, 6 Aug 2016
Question: My husband use panparag and XXXXXXX for the past 10 years his right cheeks are swelling how can I mange this pblm.
doctor
Answered by Dr. Ashwini Kolur (1 hour later)
Brief Answer:
might be due to mucosal fibrosis

Detailed Answer:
Hi
Welcome
I have gone through your query and do understand your concern.

It contains tobacco and other substances are areca nut, tobacco are most potent carcinogens, this causes mucosal fibrosis which will cause difficulty in opening of the mouth, it can present from a simple ulcer to a beningn lesion. This agents cause mucosal irritation and which later leads to chronic inflammatory response.

This is confirmed by a biopsy report. I would suggest you to consult to an general Surgeon immediately and get the checkup done. On examination they may ask for biopsy.
Treatment depend upon the type of lesion this could be a simple ulcerations or allergic reaction, could also be due to bacterial and viral infection.

Now presently at home I would suggest you to avoid hot and spicy foodstuffs. I would encourage you to completely stop panparag chewing habit.

Hope this helps
Take care
Note: In case of any other concern or query related to prevention, evaluation, diagnosis, treatment, or the recovery of persons with the any type of addiction or substance use, follow up with our Addiction Medicine Specialist. Click here to book a consultation now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
Dr.
Dr. Ashwini Kolur

General & Family Physician

Practicing since :2008

Answered : 1014 Questions

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What Causes Swelling In The Cheek After Prolonged Use Of Chewing Tobacco?

Brief Answer: might be due to mucosal fibrosis Detailed Answer: Hi Welcome I have gone through your query and do understand your concern. It contains tobacco and other substances are areca nut, tobacco are most potent carcinogens, this causes mucosal fibrosis which will cause difficulty in opening of the mouth, it can present from a simple ulcer to a beningn lesion. This agents cause mucosal irritation and which later leads to chronic inflammatory response. This is confirmed by a biopsy report. I would suggest you to consult to an general Surgeon immediately and get the checkup done. On examination they may ask for biopsy. Treatment depend upon the type of lesion this could be a simple ulcerations or allergic reaction, could also be due to bacterial and viral infection. Now presently at home I would suggest you to avoid hot and spicy foodstuffs. I would encourage you to completely stop panparag chewing habit. Hope this helps Take care