Dr.Pawan Gupta:  Good afternoon, we welcome you all to the chat session on Tobacco and oral Cancer. 
Dr.Pawan Gupta:   Meetu, You are welcome to ask your questions 
admin: we welcome everybody for the chat 
ravi: Hello doctor 
ravi: How are you? 
shruti: Sir, what are the causes of oral cancer? 
Dr.Pawan Gupta:  hi 
Dr.Pawan Gupta:  The most common cause of oral cancer is Tobacco 
Dr.Pawan Gupta:  and other being ill fitting dentures , poor nutrition, 
ravi: which one is more harmful in Pan and Gutka 
Dr.Pawan Gupta:  Ravi, tobacco in both are harmful 
Dr.Pawan Gupta:  tobacco has around 4000 harmful ingredients which are harmful to body 
Dr.Pawan Gupta:  gutka and pan have tobacco 
ravi: Is White or red patches in the mouth 
ravi: is the symtomps of oral cancer 
Dr.Pawan Gupta:  which have harmful affet on the oral mucosa, which on continous use causes some genetic changes leading to cancer 
ramesh: hello sir 
ramesh: good evening 
vivek: good evening sir 
ramesh: r u there?? 
ravi: sir please answer my question 
shruti: how does one detect that he is having a cancer in mouth? 
Dr.Pawan Gupta:  ravi, the white patch is leukoplakia and red patch we call is erythroplakia both are premalignant lesions, but there are lot many more causes of both white and red patches, so one has to diagnose by a clinician  Dr.Pawan Gupta:  hello everyone and good evening welcome to the chat session 
Dr.Pawan Gupta:  oral cancer are detected by physical examination- white, red patches, ulcer, nodule in the mouth ravi: thank you sir 
Dr.Pawan Gupta:  It may be totally painless in the beginning, byut in the advanced stage there can be other symptoms like pain , ankyloglosssia, odynaphagia, 
meetu: What does nicotine do? 
Dr.Pawan Gupta:  ramesh , any questions? 
ravi: Sir, tell me the safe limit of number of cigarette i can smoke daily? 
Dr.Pawan Gupta:  nicotine causes dependency, both physical and psychological 
Dr.Pawan Gupta:  RAVI,ZERO 
ravi: sir there is any mdecine to quit smoking? 
meetu: how much it is harmful nicotine? 
Dr.Pawan Gupta:  EVEN ONE CIGARETTE IS GOING TO BE HARMFUL 
Dr.Pawan Gupta:  ravi, there are various methods described to quit smoking
ramesh: sir, is there any safe mode for smoking 
Dada: what is oncogenses? 
Dr.Pawan Gupta:  meetu, nicotine an important constituent in tobacco causes dependency, there are other ingredients in the tobacoo which causes harmful affects 
Dr.Pawan Gupta:  ramesh- NO 
ravi: tell me atleast one method for quit smoking? 
Dr.Pawan Gupta:  Dada, oncogenes are genes in the body which on mutation causes promotion of cancer 
ramesh: now cigrate come with filter version, what is it 
meetu: skin allergy bhi hoti hai kya smoking se?? 
Dada: o.k 
vivek: which is more harmfull in cigrate & tabcuu 
Dr.Pawan Gupta:  there are ffour methods described to quit smoking – Cold Turkey. Gradual, Nicotine replacement therapy,anti depressant – bupropion 
vivek: these methods are effecitive 
ravi: sir,what is cold turkey?
Dr.Pawan Gupta:  Ramesh, filter is only to stop some particulates from going to your lungs but does not stop the harmful affect of tobacco
meetu: sir skin allergy bhi hoti hai kya smoking se?? 
ravi: is it medicne or some sort of therapy? 
Dr.Pawan Gupta:  meetu skin allergy , rashes can be occur 
Dada: Can I chew chicklets when i get urge to smoke 
Dr.Pawan Gupta:  vivek, cigarette and tobacco both are harmful- cigarette causes more of lung, esophagus, pharyngeal, gi cervical cancer 
meetu: thanks 
meetu: what type of rashes can occur on skin?? will they be in form of pimples?? 
Dr.Pawan Gupta:  and chewing tobacco causes more of oral and pharyngeal/throat cancer 
meetu: what type of rashes can occur on skin?? will they be in form of pimples?? 
vivek: thnx sir 
Dr.Pawan Gupta:  meetu something like that 
Dada: sir,Can I chew chicklets when i get urge to smoke 
ravi: Can I chew chicklets when i get urge to smoke 
vivek: is their any method to stop those companies to produce cigrates ot other things 
Dr.Pawan Gupta:   dada, ofcourse you can, you can adopt methods to stop the psychological dependency by these methods 
vivek: Goverment needs to take a strong step against all these activites 
Dr.Pawan Gupta:   vivek, from where will govt get revenue
ravi: what is cold turkey? 
ravi: is it sort of theropy 
Dr.Pawan Gupta:  vivek, you are right, but we need to be more careful ourselves 
ravi: or medicine? 
Dr.Pawan Gupta:  cold turkey is suddenly stop taking tobacco 
Dada: sir what are the test for oral cancer 
Dr.Pawan Gupta:  ie is quit abruptly 
vivek: awareness is not only method to clear all those things 
meetu: Does smoking cause cancer? 
ravi: Sir if I quit suddeenly stop is there any side effect 
Dr.Pawan Gupta:  dada, first a clinical examination, and biopsy from the representative site 
Dr.Pawan Gupta:  meetu- YES 
meetu: Thamks 
ravi: but suddenly stop of smoking is not possible for a smoker 
Dr.Pawan Gupta:  ravi depends on ur dependency- there can be withdrawal symptoms 
ravi: so please tell me some medicine 
meetu: What’s new in head and neck cancer? 
Dr.Pawan Gupta:  Ravi, you will have to get in touch with a specialist 
ravi: what type of specialist who deals in that 
Dr.Pawan Gupta:  physicians or you can go to clinics who deal with addiction 
ramesh: sir, what is the correct way to come out form all these 
Dada: thanks sir 
ramesh: means, it’s not so easy to give up 
Dada: sir what is ,Human Papilloma Virus?, 
Dada: This Human papilloma virus is realted to oral connection 
manish: i eat gutka 
manish: 2 times day 
Dr.Pawan Gupta:  raramesh, it is easy to quit smoking but you need to have a plan 
manish: is it bad for my health 
Dr.Pawan Gupta:  HPV is a type of virus which causes cervical, oral, pharyngeal cancer 
Dr.Pawan Gupta:  alok, welcome please ask your question 
symonds: hello sir 
Dr.Pawan Gupta:  hello symonds 
Alok Mukherjee: Dr. Gupta, What are the quitting tips for persons who use tobacco products 
Dr.Pawan Gupta:  manish,yes 
symonds: what is a correct age to start smoking 
harbhajan: Good after noon sir 
manish: i am not able to quit eating gutka 
Dr.Pawan Gupta:   symonds correct age is 99 years 
symonds: thnx 
symonds: sir 
manish: i have pain in my legs when i donot eat gutka 
harbhajan: what is leukoplakia? 
symonds: sir, i have a pain in my chest but i never take any smoking or gutka 
Dr.Pawan Gupta:  first you need to write down the advantages of quitting gutka, if you are convinced you would easily do it 
Dr.Pawan Gupta:  manisa you need to try 
Dr.Pawan Gupta:  manish, symonds- these are withdrawal symptoms more psychology 
Dada: sir please answer my question 
harbhajan: what is leukoplakia? 
Dr.Pawan Gupta:  dada please write your question 
Dr.Pawan Gupta:  symonds pl consult a physician 
Dada: is ulcer is the symtomps of Oral cancer 
rickeyponting: why companies produces ghutkaa 
Alok Mukherjee: We know that all cancers (neoplastic transformations) result from changes (mutations) in genes which control cell behaviors. Can genetic errors be inherited, be caused by viruses, or develop as a result of exposure to chemicals or radiation. 
Dr.Pawan Gupta:  harbhajan, leukoplakia is a premalignant lesion white patch 
Dr.Pawan Gupta:  Alok, all are true 
Dr.Pawan Gupta:  ricky to make money 
rickeyponting: who!! we take it for spending money 
Dr.Pawan Gupta:  dada- ulcer can be benign or malignant, final diagnosis is by clinical exam and biopsy 
ravi: why government doesnt banned to all tobacco manufacturer? 
Dr.Pawan Gupta:  ricky the companies want to share ur money and get rich and make you poor wealth wise and health wise 
Alok Mukherjee: Chemotherapy while able to kill cancer cells itself is currently not used as a monotherapy for oral cancers. What are the other treatments. 
Dr.Pawan Gupta:  alok, surgery is the main stay, than radiation, chemotherapy can also be used 
harbhajan: How we early detect the oral cancer 
Dr.Pawan Gupta:  ravi, govt and ministers also want to make money 
Dr.Pawan Gupta:  harbhajan,early detection is by self examination and regular visit to clinician for oral exam. This is amust for those having risk factors 
harbhajan: Is paraesthesia is the cause of cancer 
tripathi: is there any possibilities of cancer by taking alcohol in excess daily? 
Dr.Pawan Gupta:  tripathy, alcohol has carcinogenic affect, it increases the potential of tobacco in promoting cancer harbhajan: sir please answer me 
Dr.Pawan Gupta:  har, parasthesiai can be a sign of cancer not cause of cancer 
N Kapoor: What kind of Naturopathy / Yoga is good to prevent cancer? 
Alok Mukherjee: Are white, red or dark patches in the mouth , symptoms of oral infection 
Alok Mukherjee: Are white, red or dark patches in the mouth , symptoms of oral infection 
Dr.Pawan Gupta:  alok can occur in both infection and premalignant / malignant lesion 
Dr.Pawan Gupta:  kapoor, ask a naturopath, I am a cancer surgeon 
Alok Mukherjee: If oral cancer and periodontitis is detected at an early stage, how the long-term prognosis will help to recover. 
M.M.G: This will be good that govt. should not take persons not addicted to tobacco. 
Alok Mukherjee: Are swellings, lumps or bumps on the lips, gums or other areas inside the mouth symptoms of oral cancer 
Dr.Pawan Gupta:  Alok, early cancer are more curable so the prognosis is better 
Dr.Pawan Gupta:  alok, can be but not necessarily 
M.M.G: How many cups of tea a normal man should take in a day? 
admin: thank you for participating in the chat session. If you have any further question to ask please send your queries info@vigyanprasar.gov.in. We look forward to your future participation. 
Alok Mukherjee: Leukoplakia shows a similar kind of association with oral cancer, clinically recognizable localized changes in the oral mucosa . Is this fatal. 
Alok Mukherjee: Oral submucous fibrosis that is caused by areca nut chewing is also highly precancerous , does this too have adverse effect.