It seems to be due to smoking. There seems to be some inflammation.
Next Steps
Stop smoking completely and permanently
then after stopping, it should be examined again if it is decreasing, increasing or remaining the same
Health Tips
tab supradyn twice a day x 15 days
tab pcm 500mg twice a day x 5days
chlorhexidine gargles thrice a day
tab pan 40mg once a day before food x 15 days