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Foul smelling mouth odour; indigestion - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 1779 Questions
User :   Hi
Doctor :   Hi
Doctor :   Dr. XXXXXXXX here
Doctor :   How can I help you?
User :   I have problem of bad breath though I brush my teeth properly
Doctor :   Good evening
Doctor :   Please proceed with your query?
Doctor :   Ok
User :   Infact I face this problem even if I have brushed my teeth an 1hr ago
User :   past 3years
Doctor :   Since when have you having this problem?
User :   but I never took it seriously and managed with mouth washed
User :   33 year
Doctor :   Ok
Doctor :   May I know your age?
User :   slightly but not for long Hrs
Doctor :   Have you found relief with mouth wash?
Doctor :   Ok
User :   I have stomach problems also related to digestion
User :   only indigestion
User :   gastric also
User :   no diabetes
Doctor :   Do you have recurrent nasal congestions, sinusitis, repeated/recurrent sorethroat, indigestion, heartburns, gastritis and so on?
User :   sure
Doctor :   Ok
Doctor :   Do you have diabetes?
Doctor :   Ok
Doctor :   Let me explain to you.
Doctor :   Foul smelling mouth apart from dental problem are known to happen due to nasal problems, gastritis and indigestion problems too.
Doctor :   Accordingly, it seems that the problem you have is originating from the stomach.
User :   i have got all the tests related to stomach like ultra sound and all. It all came normal
Doctor :   I would like to know if you are on treatment or measures for indigestion/gastritis?
User :   i am not on any medication
Doctor :   It
Doctor :   *It's good that the ultrasound tests have come normal.
Doctor :   Let me suggest a few more measures that will be useful to you.
User :   ok
Doctor :   1. Diet and lifestyle modifications go in a long way in treating symptoms of indigestion and gastritis.
User :   ok
Doctor :   Hence before suggesting medications, I feel it is appropriate that I explain the diet and lifestyle changes.
User :   ok
Doctor :   Regular diet, avoiding too spicy diet, any deep fried diet, high calorie/high protein diet, good and regular sleep, yoga, meditation and so on will be essential in treating the problems you have.
User :   ok
Doctor :   2. Use antacid syrups such as Syp Mucaine gel one teaspoon thrice a day half an hour before food for 2-3 weeks.
Doctor :   3. Proton pump inhibitors such as omeprazole 20mg one tablet half an hour before breakfast for a week will also be useful to you.
User :   ok
Doctor :   These measures along with twice brushing and flossing will prevent the symptoms you have.
Doctor :   As far as testing goes, ultrasound test is often not sufficient.
Doctor :   You will need an upper GI endoscopy to completely rule out gastric ulcers or H. pylori infection
Doctor :   which is associated with gastritis.
Doctor :   I suggest you to try the measures that I currently suggested.
User :   endoscopy is also done to check
Doctor :   If the symptoms do not improve in a week or 2, you may plan to visit a gastroenterologist for tests and treatment accordingly.
Doctor :   Have you followed what I have suggested?
Doctor :   Endoscopy is simple test where a tube is inserted through the mouth to visualise the interior of the stomach and oesophagus.
Doctor :   The tests is the standard test to diagnose / rule out gastritis or gastric ulcers.
User :   Yes I had gone through endoscopy test earlier..
User :   mild acidity was seen
Doctor :   You could get the tests done if the symptoms do not improve with the measures suggested.
Doctor :   Have you followed?
Doctor :   Do you have any other query?
User :   no
User :   Let me try what you have suggested and come back with results
Doctor :   It's good that no ulcers were found.
User :   thanks a lot
Doctor :   You could follow the measures as suggested.
User :   no, and thanks a loy
Doctor :   If your symptoms do not improve, consult a gastroenterologist who can plan to repeat the endoscopy if required.
Doctor :   Do you have any other query?
Doctor :   Thanks for consulting me.
Doctor :   Good night.
Doctor :   Bye for now.
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