<s>[INST] hi , my problem is , i cant open my mouth because of chewing gutkha. Plz help me. hi, i m shoukat ,& my problenm is my mouth is not open fully as normal because of chewing gutkha. Plz answer my problem. [/INST] Hello shoukatthank you for writing in ChatDoctoryou are facing result of your Gurkha chewing habit. The area where you keep Gurkha, has lost elasticity, became stiff and that is why you are not able to keep your mouth open. Stop the habit immediately. Visit a dentist for prescription of multivitamins, lycopene, inject-able Chat Doctor. Avoid spicy food do mouth dilating exercises as advised by your dentist. Get scaling polishing done. Maintain good oral hygiene visit maxillofacial surgeon for surgical procedures' opinion. Take care regards </s>