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Bad breath and bad taste in the mouth - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Average Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   hi
Doctor :   how can i help u
User :   hi doctor, GM
Doctor :   Gm
Doctor :   please proceed with your query
User :   I am having severe halitosis for the past several years
Doctor :   ok
User :   i have done several tests and scans, also took many medicines, but none seems to be working
Doctor :   ok
User :   i have ruled out sinus problems, also GI problems, but still the halitosis is there, so pls help
Doctor :   ok
Doctor :   i will help u in this
Doctor :   can i ask few Q
User :   yes pls, proceed.
Doctor :   wats your age
User :   28
Doctor :   ok
Doctor :   married
User :   yes recently
Doctor :   ok
Doctor :   do yu have any dental issues
User :   no issues at all, i did my last checkup and the dentist told the tooth is in excellent condition
Doctor :   ok
Doctor :   do yu smoke
User :   long back around 1 or 2 a day
User :   none since Jan 2009
Doctor :   or chew tobacco
User :   no tobacco, but alcohol was there
User :   that too very rare
Doctor :   do yu consume alcohol
User :   yes, very rare
Doctor :   ok
User :   took endoscopy and ultrasound of the abdomen, it showed grade 1 esophagitis only
Doctor :   do you frequently have a bad taste in your mouth.
User :   yes everytime i have
Doctor :   Is your breath is interfering with your social or professional
Doctor :   ok
User :   yes severely, and i am very upset about this
Doctor :   ok
Doctor :   how many times do yu brush your teeth
User :   now 3 times daily after marriage
Doctor :   do yu floss?
User :   no
Doctor :   ok
Doctor :   let me explain few common causes of halitosis
User :   but i use mouthwash Listerine, after using that i get very bad taste in my mouth
User :   yes pls
Doctor :   1.Sinus infection
Doctor :   2. tonsil infection
User :   ok
Doctor :   3. liver disorders
User :   ok
Doctor :   4. lung disease
User :   ok
Doctor :   5. kidney disease
User :   ok
Doctor :   6. Diabetes
User :   ok
Doctor :   and dental issues
User :   ok, fine
Doctor :   do yu have dry mouth
User :   so how to spot the exact illness ? what are the tests to be done ?
Doctor :   have yu done the blood counts
Doctor :   sugar levels
Doctor :   urine routine and sugar test
User :   yes did those tests too, all are normal, sugar is also normal
Doctor :   ok
Doctor :   any liver function tests
User :   none, but in the scan it showed liver is in normal texture
Doctor :   Liver is normal but the enzymes levels
Doctor :   can be abnormal
User :   ok
Doctor :   90% of breath problems are caused from a proliferation of specific types of
Doctor :   bacteria in the mouth
User :   i c
Doctor :   A common area where the bacteria congregates can actually be on the tongue itself
Doctor :   Because we rarely find halitosis resulting from a medical condition
User :   ok
Doctor :   the first approach in eliminating the problem should be an oral approach
User :   but immediately after scraping tongue and using mouth wash, i have halitosis, ie, after 5 or 10 minutes
Doctor :   ok
Doctor :   do yu get frequent mouth ulcers
User :   i dont have any ulcers in the mouth
Doctor :   is your mouth dry
User :   ya mouth is dry everytime
Doctor :   are yu on any medications
User :   none
Doctor :   Saliva is the mouth's natural mouthwash, which contains properties that reduces bacteria in the mouth.
User :   ok
User :   one more thing, the breath that travels even more than 5 feet in a closed room, so I doubt whether its a gas from the stomach
Doctor :   do yu have acidity problem
User :   i think little is there
Doctor :   ok
User :   after taking nonveg foods i have experienced some of them
Doctor :   finally as per your symptoms and tests
Doctor :   it looks like no medical condition involved
User :   and the breath goes very severe immediately after taking nonveg foods
Doctor :   its a mixed infection by anaerobic bacteria
Doctor :   ok
User :   i c
User :   how can i rule this out, what are the tests to be done ?
Doctor :   as i said most of your tests are normal
User :   ok
Doctor :   only go for liver function tests
User :   ok
Doctor :   1. need to completely quit smoking
User :   yes doctor gave up 6 months back
Doctor :   2. no alcohol, stop completely
User :   yes sure
Doctor :   3. No tobacco
User :   ok
Doctor :   4. its good yu brush 3 times a day
User :   ok
Doctor :   use REXIDIN PLUS mouth wash or rinse in the nite
Doctor :   after the dinner
User :   ok doctor
Doctor :   Reduce the spicy foods and junk sticky foods
User :   ok
Doctor :   reduce Non veg foods
Doctor :   can have but reduce the frequency
User :   ok doctor
Doctor :   However, there are several other possible causes that affect the airways, oesphagus and stomach that can also lead to bad breath
Doctor :   Need treatment for Oesohagitis and minor acidity
User :   ok
User :   ok
User :   pls prescribe me some medicines doctor
Doctor :   take Tab. Nexpro 40 mg once daily 30 min before break fast for 10 days
User :   also i will have LFT, ok
Doctor :   A few drops of peppermint or tea tree oil can be applied to the tongue or toothbrush to help freshen the breath
Doctor :   avoid coffeee
Doctor :   it contains caffeine it causes dry mouth
User :   yes doctor, i dont take coffee or tea
Doctor :   take 5-6 lts of water per day
User :   is it ok to take green tea ?
Doctor :   Chew sugarless gum or suck on sugarless lozenges to increase the flow of saliva.
User :   ok
Doctor :   When you are brushing your teeth, also brush your tongue by tounge cleaner.
Doctor :   The tongue is covered with thousands of tiny hairs that can trap bacteria.
User :   yes doctor, i do this regularly
Doctor :   Unripe guava is useful in halitosis
User :   i c
Doctor :   All fruit and vegetable juices are beneficial in the treatment of halitosis and should be taken liberally
User :   ok doctor
Doctor :   Juices from green vegetables are especially valuable.
User :   i c
Doctor :   Chew sugarless gum or suck on sugarless lozenges to increase the flow of saliva.
User :   ok doctor
Doctor :   Finally a well balanced diet wil help u to fight agianst the bacteria
Doctor :   The patient should avoid refined carbohydrate foods, such as white sugar; white bread and products made from them, as well as meat find eggs.
Doctor :   well-balanced diet consisting of seeds, nuts, grains, vegetables, and fruits, with emphasis on raw and cooked vegetables, and fruits.
User :   ok
Doctor :   not to worry with these measures
User :   ok doctor
Doctor :   your halitosis will reduce gradually
Doctor :   yu will enjoy a happy breathe
Doctor :   please fill the feed back form
User :   ok, thanx a lot doctor, will follow ur instructions
Doctor :   your comment is valuable
User :   thank you doctor, bye
Doctor :   Squeeze a lemon and add a little honey to it. Have this mixture two times a day both, in the morning and evening. This would be useful in treating bad breath problem.
Doctor :   sorry i want to give you some home remedies
User :   ok doctor
User :   yes pls
Doctor :   Deep breaths are helpful in curing halitosis. Perform pranayam at least half an hour every day.
Doctor :   Cardamoms can be used as a mouth freshner and helps in treating halitosis
User :   yes doctor, will do it
Doctor :   The simplest and the most effective home remedy to cure halitosis would be to take fenugreek tea
User :   oh i c
Doctor :   try this tea if you like yu can have it other wise yu can stop it
Doctor :   Make a tea using fenugreek seeds.
User :   ok doctor, sure will give a try
Doctor :   OK
Doctor :   Thanks for consulting HealthcareMagic. Bye for now.
Doctor :   take care bye for now
User :   bye doctor, thanx a lot
Doctor :   ok
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