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Chronic infection caused by gastro-intestinal disorders - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi
Doctor :   hello
Doctor :   how can i help you
User :   I seem to have bad breath Doc - it happens off an on. I have bad breath for a few days, and then nothing seems to help. I brush twice a day and have even tried mouthwash but nothing helps
User :   Is it halitosis ?
User :   I wonder what can cause it ?
User :   After a few days, it goes off, and then comes back again
Doctor :   may i know your age please ?
User :   33 years
User :   Male
User :   I have even tried cleaning my tongue everyday
Doctor :   since when you have been having this
User :   Well it happens in episodes every now and then. Each episode lasts for 3-6 days. I am having this problem for past 6-8 months
Doctor :   ok
Doctor :   how is your dental hygiene
User :   Well as I said, i brush twice a day, and clean my tongue also
User :   and I know that I brush in the correct manner
User :   and also use a mouthwash occasionally every few days
Doctor :   any gum infections ?
Doctor :   ok to begin with have a habit of using mouthwash everyday
User :   Nope, shown to a dentist a few days ago....
User :   Okay, noted, and what else....
Doctor :   causes of bad breath are conditions of the nose, throat, respiratory tract, or stomach which are associated with chronic infection or local upsets of one sort or another, such as chronic tonsillitis, lung diseases like chronic bronchitis and bronchiectasis, chronic gastritis, and sinusitis which causes a discharge at the back of the throat. Many cases of bad breath, however, are caused by gastro-intestinal disorders, intestinal sluggishness and particularly by chronic constipation.
Doctor :   do you have any respiratory problems ?
Doctor :   do you smoke ?
Doctor :   Smoking is known to be a common cause for halitosis and can also aggravate the problem.
User :   No, I don't smoke - I do have occasional sinus problems during the winters, but not in the past few days
Doctor :   ok
User :   However, I can say that I do have constipation often....
User :   so probably that can cause this
User :   Would that mean that if constipation is treated well and my bowels and digestion is OK, then halitosis would go off.
Doctor :   At other times simply not drinking enough water can cause dryness of the mouth, which will result in halitosis. In such a scenario it is important that you increase your fluid intake with water and fresh fruit juices. Chewing on sugar free chewing gums will also help to stimulate saliva production, which will help neutralize bacterial activity and the consequent tooth decay.
Doctor :   yes thats correct
User :   Okay, and what would you recommend for constipation
Doctor :   let me tell you what you can do to cure it
User :   I would not like to have a habit-forming laxative
Doctor :   you need to add fiber in your diet thats must
User :   What would be the rich sources of soluble fibre that I can have....
Doctor :   vegetables and salads like cucumber
Doctor :   carrots
Doctor :   oatmeal
Doctor :   they are rich source of fiber
User :   Okay.... great
Doctor :   the use of fenugreek has proved most effective. A tea made from the seeds of this vegetable should be taken regularly for correcting the condition. This tea is prepared by putting one teaspoon of seeds in half a litre of cold water and allowing it to simmer for fifteen minutes over a low flame. It should then be strained and used as tea.
User :   and Psyllium husk - is that advised ?
Doctor :   it can be a little habit forming
User :   Wouldn't the resultant tea be bitter ?
Doctor :   you can add some sugar
Doctor :   trust me it really works well
Doctor :   Unripe guava is useful in halitosis. It is rich in tannic, malic, oxalic, and phosphoric acids as well as calcium, oxalate, and manganese. Chewing it is an excellent tonic for the teeth and gums. It helps cure bleeding from gums and stops bad breath. Chewing tender leaves of guava tree also stops bleeding from gums and bad breath.
User :   Okay, will definitely try this....
User :   Apple juice also has mallic acid, - would that help ?
Doctor :   take a well-balanced diet consisting of seeds, nuts, grains, vegetables, and fruits, with emphasis on raw and cooked vegetables, and fruits. In case of constipation, all measures should be adopted for its should avoid refined carbohydrate foods, such as white sugar; white bread and products made from them, as well as meat find eggs.
Doctor :   yes apple juice is a great source
User :   I have been taking eggs almost everyday - 2-3 eggs everyday except tuesdays - could that be a culprit ?
Doctor :   also you should FLOSS your teeth
Doctor :   and like i said drink plenty of water
Doctor :   dehydration is a big cause
User :   Flossing - okay will try - I just feel lazy getting into a floss-routine, but will reattempt....
Doctor :   dont worry follow this and you will be fine
User :   Would drink water.... Thanks
User :   What about eggs - 2-3 eggs everyday - is that fine, or can that cause a problem / constipation
Doctor :   you can have it on alternate days
Doctor :   for the next few weeks
User :   Okay, thanks - its been wonderful talking to you
User :   I'll follow these and let you know if I have any questions...
Doctor :   sure
Doctor :   your most welcome
Doctor :   take care
User :   Bye, take care and good night.....
Doctor :   bye good night
Question is related to
Diseases and Conditions
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