Addiction to 'Gul' and 'Gutkha' Leading to Acute Pulmonary Thrombosis and Acute Psychosis in a Young Pregnant Lady

Shridhar Dwivedi, Amitesh Aggarwal


Gul is an oral tobacco powder which is rubbed over the gum and teeth. Being a tobacco preparation it is addictive in nature. It is popular among rural women in the south Asian countries. Not much is known about long term of gul on atherogenesis and/or pregnancy. Gul alone may or may not exert harmful effect on future course of pregnancy, however when combined with another tobacco preparation 'gutkha' which contains tobacco and betel nut, it may be dangerous for the foetus as well as for the mother. So far little has been reported regarding the atherogenic potential of gul and gutkha during pregnancy. We recently came across a young pregnant lady who was addicted to gul and gutkha for long. She developed acute pulmonary thrombosis during 32th week of pregnancy and had previous two episodes of abortions. Her thrombophilic profile was normal. The pulmonary thrombosis resolved after preterm delivery and anticoagulant therapy. However, she developed acute craving for gul and gutkha and acute psychosis on 5th day of delivery which responded to antipsychotic regimen. Present case highlights the highly addictive and potentially atherogenic effects of gul, considered innocuous by users. The case focuses the catastrophic effect of gul and gutkha which may lead to thrombophilic state when taken during pregnancy.

J Med Cases. 2010;1(1):35-36


Gul; Gutkha; Pulmonary thrombosis; Pregnant

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics


World Journal of Oncology

Gastroenterology Research

Journal of Hematology


Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity


Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research


Journal of Neurology Research

International Journal of Clinical Pediatrics



Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website:   editorial contact:
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.