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Black and white patches in mouth due to tobacco addiction - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   hello dr
Doctor :   HI
Doctor :   How can I help you
User :   i am a male of age 38
User :   i do have black & white patches inside my mouth since last 4 years
User :   i have 75 kg of weight
User :   and height is 174 cm
User :   i was used to smoke & chewing tobacco
Doctor :   For Administrative and health purposes, Please provide these details of the patient-Age: Gender: Occupation: Location: Marital Status: Weight and Height: Dependents: Yes/ No.
Doctor :   please give other details
Doctor :   apart from the ones you have given
User :   i am from india
Doctor :   and continue the problem
User :   married
User :   i ve stopped chewing tobbacco
User :   but 4 yrs have passed
User :   no changes in my mouth
User :   there was a scraping test
User :   but no malignant cells were found
Doctor :   ok
User :   it was called leukoplakia & melanoplakia
Doctor :   Did you stop smoking
User :   but some are telling no, these are fungal
User :   yea
User :   i was stopped smoking for last 4 yrs
Doctor :   Ok
User :   as it didnt changed
User :   now taking 1/2 cigarate daily
User :   please help me
User :   my teeths were grinded
Doctor :   Look as long there is a risk factor of smoking the changes wont come down
User :   is it fungal?
Doctor :   The scraping suggest that it is leukoplakia? is it
Doctor :   The scraping test is the most definitive way to prove a diagnosis
User :   the doctor told me it is leukoplakia & melanoplakia, a pre-cancerous condition
Doctor :   It could be that
User :   but the other doctor told me it is a fungal
User :   please help me
Doctor :   What was the pathology report in the scraping test say?
User :   i was taking anti oxidants like likopen, anoxid -hc
Doctor :   Ok but you were not answering to my questions specifically
User :   it was mentioned clearly that, no malignant cells were found
User :   it is considered as leukoplakia & melanoplakia
Doctor :   it is so then
Doctor :   it may not the fungal
User :   then, doctor told me to stop taking tobbacco & smoking
User :   i did that for 4 years
User :   but no change of my patches
User :   please help me doctor
User :   please
User :   doctor i have no mental peace for this
User :   i ve stopped taking red meat
Doctor :   The changes may not go off as easily
User :   so what to do then?
User :   should i operate those patches?
Doctor :   Just stop smoking for ever.
User :   ok
User :   then???
Doctor :   No use of operation too
User :   ok
User :   then?
Doctor :   the risk of premalignant patches
User :   yeah
Doctor :   turning into malignancy can be reduced
Doctor :   that is it
Doctor :   You get the dental check up done too
User :   is there any medicine to remove the patches?
User :   can fluconazole be helpfull??
Doctor :   Fluconazole is antifungal
Doctor :   and it will not help
User :   yeah
User :   if cancer is curable at early stage, then why nt the patch which is nt malignant???
User :   malignant???
User :   i do have a great faith on u
Doctor :   Removal of the source of irritation is important and may lead to disappearance of the lesion.
User :   please advice me dr
User :   i am a poor private survant!!!!!
User :   servant!!!
Doctor :   Dental causes such as rough teeth, irregular denture surface, or fillings should be treated as soon as possible.
Doctor :   Smoking should be stopped.
User :   yeah
User :   i will stop smoking from right now
Doctor :   Leukoplakia is usually harmless, and lesions usually clear in a few weeks or months after the source of irritation is removed.
Doctor :   Approximately 3% of leukoplakia lesions develop cancerous changes.
User :   y
Doctor :   So if your concern is only about the cosmetic apperance of the patches
Doctor :   if you stop smoking for sure
User :   yeah
Doctor :   and dont resume infuture
User :   yeah
Doctor :   then you can go for surgical scraping
Doctor :   under anesthesia
User :   ok
User :   in both my cheeks these have happened
Doctor :   Please confirm yoru details
Doctor :   YYYY@YYYY
Mobile : 0000
User :   what details?
Doctor :   your numberis woring
Doctor :   wrong
Doctor :   please correct it
User :   ok
User :   thanks doctor
User :   thanks a lot for ur kind support
Doctor :   Is there any thing else that I could help you with?
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service.
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