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Gutka consists of tobacco. It contains nicotine
and it is a highly addicting substance. You are chewing gutka since last 5 years so you have become dependent on tobacco. It causes both physical and psychological dependence. If individual stop abruptly then withdrawal symptoms
in form of anxiety, restlessness
, insomnia, poor concentration, poor cognition occurs. As you have mentioned that you have developed painful blisters in mouth and these are sensitive. This may be initial stage of fibrosis
in mouth or it may be a precancerous lesion. If you will stop tobacco then it may reverse to normal, and if you will continue to take it then it may complicate to cancer of mouth.
As you have withdrawal symptoms so I would advise you to stop gutka completely and start taking nicotine chewing gums instead of gutka. The chewing gum will not harm oral cavity and it will replace deficient nicotine. In some time you can decrease the dose of nicotine gradually. Nicorex, Nicorett are some brands which are available. For details of dosing please visit a Psychiatrist
Dr. Seikhoo Bishnoi, MD