Yes your need to quite smoking

Hello Yes the main cause behind this is Chronic smoking. You need to stop smoking otherwise it can lead to further complications.

Patient's detailed medical history is required. It is recommended to consult a doctor professional through the Practo app or visit a local medical facility for a thorough evaluation. Please keep in mind that detailed medical history is crucial for proper diagnosis and treatment.

Stop smoking

According to your query and sign and symptom you want to know about the disease and cause and it's best Treatment as you have mentioned as above . Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow any medicine or advise after consultation only from a good doctor. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods and • take home made food only and do exercise regularly with yoga and medicine after 3 day and please keep positive  attitude to fight any disease and any problem of your life.

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Need few more details Kindly consult

Hb pcv  only slight high which should get correct on smoking quit, you get so many other benifits also by smoking quit so it's a good plan