I am a diabetic for last 40 years DM type 2 and HTN patient and suffering from multiple ailments including psychiatric problem from last 35 years at present on medication and suffering from anxiety depression with anger etc have started consuming whisky a peg in evening and I am a smoker for last 50 years and squamous cell carcinoma oral at present carcinoma is in remission no abnormal uptake detected suffering from enlarged prostate gland and diabetic neuropathy. Please suggest what should I do now. Thanks.

Dr. Bhavuk GargPsychiatrist8yrs exp

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Hello. I am usually very supportive and sensitive in my answers. But in you case I would strictly advise you to stop your alcohol and tobacco intake. Both the substances can lead to relapse of your Squamous cell carcinoma and worsen the outcome of your cancer. Medical problems of DM and HTN will also be badly affected by your alcohol and smoking. For the psychiatric problem, I would advise you to continue regular treatment for the same as advised by your psychiatrist. It has been found that adequate control of psychiatric problems leads to better outcome of the cancer. Regards.  

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