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Bad breath due to gastric ulcers in a chain smoker - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Digestion and Bowels
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   Hi, may I answer your health
User :   hello doctor
Doctor :   Hi
User :   Am XXX
Doctor :   DrXXX here
Doctor :   How may i help you?
User :   i have some questions
Doctor :   Ok proceed
User :   am a chain smoker
Doctor :   Since when?
User :   since 4 to 5 years
Doctor :   Ok
Doctor :   What are your complaints
User :   am having bad breath
User :   while talking
Doctor :   Ok
User :   how to avoid
Doctor :   Let me breif you
Doctor :   The causes for bad breath are
Doctor :   1. oral ulcers
Doctor :   2. gastric ulcers
Doctor :   3. Improper food habits
Doctor :   The main cause in your case it due to oral ulcers which are caused due to smoking
User :   even i have improper food habbits
Doctor :   Do you have any signs of burning sensation in the chest before or after food
User :   i wont take my food by timings
User :   yes..
User :   i have
User :   some times
Doctor :   Then i think you have also developed gastric ulcers
Doctor :   Its a main concern for smokers
User :   ok...
User :   how to avoid that
Doctor :   The only cure is take regular food and healthy diet
Doctor :   reduce smoking
Doctor :   Have regular salads after meals
User :   ok..
Doctor :   You can also try using antacids to relive burning sensation
User :   ok....
Doctor :   The other modes are have plenty of milk products
User :   is there any permanent solution to avoid bad breath quickly
Doctor :   Yes
User :   ok..
Doctor :   firstly reduce smoking
User :   ok...
Doctor :   Have a regular and healthy food habits this will reduce the effects by 60%
User :   ok..
Doctor :   The remaining cure comes after the ulcers are treated
Doctor :   What you will require is a course of Antacids for 15 days
Doctor :   I cant suggest prescription drugs online
Doctor :   Rather will name you the drug
User :   ok..
Doctor :   You should have Omeprazole 20 mg for 15 days half an hour before food
User :   ok..
Doctor :   Along with it also see to that you have food intake atleast four times a day in intervals of 4 hours
User :   ok sir...
Doctor :   So that the ulcers are cured earlier
User :   quitinf breakfast will harm?
Doctor :   Do you consume alcohol?
Doctor :   quitinf?
User :   yes very rare cases
User :   quiting?
Doctor :   Do make that only moderate consumption
Doctor :   Thats great'
Doctor :   Rather try to quit Smoking
User :   is there any treatment to quit smoking
Doctor :   There is no treatment as such
User :   am feeling very hard in the chest
Doctor :   What we advise will some alternatives
User :   area
Doctor :   Since when ? and can you describe the pain in detail
Doctor :   Like type of pain/ radiating/ aggreveting factors/ releiving factors
User :   while sitting with bending
Doctor :   Exact location
User :   both sides the chest top
Doctor :   Is it in the middle or sides
User :   middile
Doctor :   The most probable cause is due to pleural rub
Doctor :   This is caused mainly due to smoking
Doctor :   The reason is excess deposoition of tar in lungs will produce inflamatory changes producing such effects
User :   what to do now sir?
Doctor :   Is it both sides top and middle too
User :   yes sir
Doctor :   Only solution is quit smoking Or atleast reduce drastically
Doctor :   You can rather shift to nicotine patches
User :   whats that
Doctor :   So you get your nicotine shots and keep you free from withdrawal effects
Doctor :   These are substitiues for cigarette
User :   ok..
User :   is there any side effects
Doctor :   The are harmful too but reduces the damage to lungs as known you have many other impurities in smoke are reduced
Doctor :   You obtain only side effects of nicotine thats DEPENDENCE
User :   ok sir..what about electronic cigareetes
User :   ooh..
User :   is it suggestable?
Doctor :   Yes that will help too they are just psychological boosters
Doctor :   The main aspect to quit smoking lies in self control
User :   is there any treatment for self control
Doctor :   But will face withdrawal effects if refrained from cigarette so using patches and then reducing will be easier and had been succesfull
User :   whats the cost of patches
Doctor :   100 per 5 patches
User :   where can i get it
Doctor :   Medical shops
User :   how it will work and how to use
Doctor :   Just plaxce them below the lips they do deliverregular doses of nicotine
Doctor :   *place
User :   ooh...
User :   what would be the side effects
Doctor :   Dependence
User :   like
Doctor :   nervouness and irritabilty following stoppage
User :   ooh...
User :   one more pblm...
Doctor :   Yes proceed
User :   my right neck is paining and swollen lup nodes
Doctor :   Thats a sign of infection
User :   while swalloing feeling difficult
Doctor :   were you recntly infected with cold
User :   some thing cought in my throat
Doctor :   Ok Other causes are oral infection
User :   yes since 25 havind cold and cough
User :   still its there
Doctor :   Did you take any antibiotics
User :   yes..
Doctor :   Are you sexually active?
User : active........
Doctor :   Ok
User :   i have some thing to tell
Doctor :   History of any recent exposre ( unknown)
User :   yes..
Doctor :   That might be the cause for so long persistant oral infection
User :   i had a protected sex with sex worker
User :   12 days back
Doctor :   Ok
Doctor :   Did you involve in oral
User :   no..
User :   i had kissed her on lips
Doctor :   Ok
User :   is it makes any hiv problem?
Doctor :   So my advise is rather be precautious next time
Doctor :   Not necesarily HIV
User :   sure..
Doctor :   But there are other sexually transmitted diseases too
User :   i have all the symptoms and am in totally mood out too
Doctor :   Probably you will nedd stronger doses of antiobiotics
Doctor :   And also an antiviral course
Doctor :   As prophylaxis
User :   what kind of..
Doctor :   following this you will have improvement in symptoms
Doctor :   Acyclovir
User :   this is antibiotic
Doctor :   Antiviral
User :   i consulted physician
Doctor :   Ok
User :   he given bactoclav
Doctor :   Ok
Doctor :   Thats an antibiotic
User :   am using since 2 days but am facing the neck and something caught in my throat
User :   its not going at all
Doctor :   Try hot (luke warm) water gargle with salt
User :   since yesterday am using that
User :   ya am doing this sisnce 2 days
Doctor :   And also Benzohexidine mouth wash thrice daily for 3 days
User :   am using hexidine daily once in the night
Doctor :   make it thrice
User :   ok....
User :   what exactly it could be
Doctor :   I think you will have to visit a doctor agian if symptoms persist
User :   ok...
Doctor :   as would require physical examination and examination of throat#
User :   whole body check up?
User :   o only throat
Doctor :   No
Doctor :   Just throat
User :   ok..
Doctor :   Is there anything else i can help you with?
User :   3 days back i was having neck pain in the afternoon ill eveing
User :   night there was nothing
Doctor :   Ok
Doctor :   Might be you strained your neck
User :   very next day eveing i foung swallon right side gland
Doctor :   Ok
User :   and neck pain
User :   2 days am having this...
Doctor :   Plz reconsider the antibiotics and have an second opnion from a senior consultanat
Doctor :   I have to examine to get the exact picture of condition
Doctor :   Swelling cant be palpated by self and confirmed
User :   ok...
User :   can i go for any HIV test/
Doctor :   you said had protected sex
User :   yes..but am having some fear
User :   i have some symptoms of HIV
Doctor :   But if you feel disturbed can have an simple test like elisa
User :   small red bumps with filled blood around 5 with puss aroung 5
User :   in chest and butex
User :   in butex its itching
User :   i had a small bump in my tongue after 4 th day of my sex
Doctor :   Ok then plz get tested once'
User :   now its not there
User :   i hope HIV symptoms wont show soo early am i right/
User :   with in 10 days
Doctor :   No atleast three months
User :   what am facing exactly do nu know
User :   since 10 days am feeling hell
User :   i given my bloood for PCR test
User :   3 days back
Doctor :   Ok
Doctor :   I understand the presure
User :   and one more thing i had a red small bumps on my penis for 2 dyas
User :   once removed the skin
Doctor :   But its better to have it confirmed rather staying confused and tensed
User :   ya ur right
User :   now its not there some times i feel burning and itching
Doctor :   These are symptoms mostly caused due to anxiety
User :   i showed it to physician he told no alergy or infection is there
Doctor :   These are symptoms mostly caused due to anxiety
User :   i had a mild fever to for 2 dyas
User :   am having joint pains also
Doctor :   Might be viral fever
User :   the fever was 99
User :   today its normal
User :   anxiety causes all these symtoms?
Doctor :   Yes most of them
User :   wht i had
User :   rashes joint pains bumps fever swallen glands
User :   cough
Doctor :   Once we are anxious even the slightest difficulty will be enlarged
User :   ooh really..
User :   ok tomorrow i will go for throat test
User :   and elisa test
User :   is it possible to meet doctors direcly in health magic
Doctor :   Ok that will help you
Doctor :   No, we are avilable only online
User :   ok..sir..
User :   Thank you verymuch for ur help
Doctor :   Thanks for consulting me
User :   take care
Doctor :   Bye for now
User :   Bye and gud night
Doctor :   Same here
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