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GERD,bad breath - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2527 Questions
Doctor :   hi
Doctor :  
how can i help you?
Doctor :  
please proceed with your health query
Doctor :  
are you with me?
Doctor :  
Do you have medical query?
User :   hai,i have a problem of gas and liguids comes out when ever i eating some thing, along with that bad smell comes out

of my mouth .when i consulted a doctor he has done endoscopy and found out that i am having a problem of grade 1

esophagitis,antral gastritis.he provided me with some medication called(RABEMAC-DSR & REFLEX FORTAE(tonic)).

i have been using the medication from the last three years but my problen is not solved.when i visited the doctor

again,he said i have to reduce my meal quantity.so i did the same and i lost 12kgs of weight but my problem is not

solved.
i am a business man .daily i have to speak more people. with the bad breath problem i cant communicate well

with them.so please suggest me what should i do.you can't imagine how bad i am suffering with bad breath problem.i

can't even talk to people.
i got Ct scan done for post nasal drip. the scaning was clean.there is no such problem. then what should be next move.
Doctor :   Let me read the problem completely

Doctor :   Ok

Doctor :  
I understand your problem
Doctor :  
Most people suffer from bad breath occasionally.
Doctor :   Bad breath is usually due to the breakdown of proteins by bacteria somewhere in the mouth.
Doctor :   several possible causes in the airways, oesophagus and stomach that can lead to bad breath.
Doctor :   The most common reason is dental disease
Doctor :  
Decay inthe gums,
Doctor :  
Periodontal disease
Doctor :  
Dry mouth
Doctor :  
Since the oesophagal and ENT causes are ruled out in you
Doctor :  
The other thing that you can go through is the Dentist for the bad breath
Doctor :  
Are you following what I say?
Doctor :  
Now let me say you what you can do to reduce the bad breath
User :   i usually brush twice a day
Doctor :  
Wondeerful
Doctor :  
Keep doing it
User :   and i also used some mouth wash too
Doctor :  
Along with these there are few things you have to keep in mind
User :   i went to dental doctor for clean up.
Doctor :  
Ok
User :   he said there is no problem with the teeth
Doctor :  
When was that?
User :   1month ago
Doctor :  
Ok
Doctor :  
Do you have dry mouth?
User :   no
Doctor :  
Maintaining good oral hygiene, eliminating gum disease and scheduling regular professional cleanings are essential to reducing bad breath.
User :   and i think the problem doesn't lie in my mouth
Doctor :   Ok
Doctor :  
So that is also taken care of
User :   it is with my stomach.
Doctor :  
Do you still have the refluxes
User :   yes
Doctor :  
Do you take onion and garlic?
User :   all the time
User :   no i am very paticular about my food
User :   i won't spice food
Doctor :  
Do you smoke?
User :   i don't prefer oily food
Doctor :   Good

User :   sir you don't understand....i don't smoke,drink, i.......don't take coffe or tea
Doctor :  
When was the repeat endoscopy done?
User :   my don't accept any thing i eat.
User :   my stmoch don't accept any thing i eat
User :   6months ago i have done endoscopy
Doctor :  
Is it still the same antral gastritis
User :   very much yes
Doctor :   I think you have see a second opinion from a different gastroenterologist

Doctor :  
*seek
User :   pls refer me a best doctor in the country
Doctor :  
Antral gastritis should be cured with the best treatment
Doctor :  
if the antral gastritis is the cause of reflux and the bad breath
Doctor :  
Sure
Doctor :  
Did you try some herbal remedies for the bad breath
User :   no

Doctor :  
The most effective in reducing the bad breath
Doctor :  
in herbal science is know as fenugreek
Doctor :  
tea
Doctor :   A tea made from the seeds of this vegetable should be taken regularly for correcting the condition.
Doctor :   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.
Doctor :   It should then be strained and used as tea
User :   where can i find it
Doctor :   You can find fenugreek in the market
User :   are there any spesific shops
Doctor :   Ayurvedic herbal shops

Doctor :   They look like these

Doctor :  
You should take a well-balanced diet consisting of seeds, nuts, grains, vegetables, and fruits, with emphasis on raw and cooked vegetables, and fruits.

Doctor :   Please fill the feedback form
Doctor :  
say done when done
User :   r u there
Doctor :  
Do you have something to ask?
Doctor :  
Yes

User :   no body is taking it seriously when i say i have a bad breath problem
Doctor :  
I know how bad it can be
User :   how can i convince them,that i am suffering from it
User :   it is very much effecting my sociallife
Doctor :  
Are your friends complaining about it
User :   i can observe there reaction while i am talking to them
User :   i can,t communicate properly
Doctor :  
Are your family members complaining too?
Doctor :  
Are your close friends complaining too?
User :   i can see people putting fingers on there nose.every body
Doctor :   Are your family members complaining too?
User :   yes
Doctor :   Ok
User :   you know i stoped talking to people looking at there faces
Doctor :  
Do you use the peppermint
Doctor :  
or the mint spray while you are at work?
Doctor :  
Did you try it
Doctor :  
Believe me it is very effective
Doctor :  
Sorry do not use peppermint
Doctor :  
but use mint spray
Doctor :  
Pepperiment can cause more refluxes
Doctor :  
Try the two 1) Fenugreek tea 2) Mint spray during your regular work
Doctor :  
See the result
User :   these are all temporary solutions
User :   i can help me about 1 or 2 hrs
Doctor :   Look there is also a psychological component involved here
User :   what is my problem
Doctor :  
You are more bothered because people are complaining and their expressions are involved here
Doctor :  
If you use them atleast you do not see them expressing that
Doctor :  
Is it not?
Doctor :  
The psychological component is lost
Doctor :  
and it can be less stressful
Doctor :  
The more the stress the more is the reflux and bad is the breath
Doctor :  
so reduce the stress
User :   some times mouthfresherns are dominated by my bad breaath
Doctor :   Do not bother about the mouth freshner dominance
Doctor :  
You are not able to take the problem of bad breath
Doctor :  
that is making the things worse in you
Doctor :  
If you try to live with it by making some measures which can reduce the stress
Doctor :  
might be this will help you
Doctor :  
Accept the fact that you have bad breath, but that is not the end
Doctor :  
You are trying to reduce it
Doctor :   There are still more dangerous diseases which you do not have
Doctor :  
liek Diabetes, High blood pressure
Doctor :  
do not be stressed
Doctor :  
with it
User :   so i have to live like a monk
Doctor :  
If you are not trying to reduce the bad breath that is a problem for others
Doctor :  
since you are trying you should not feel guilty about it
Doctor :  
Try these tips tht I gave you
Doctor :  
see if you find difference
User :   tell me one thing
User :   my problem is curable or not\
Doctor :  
If the antral gastritis is cured your bad breath is controlled
Doctor :  
For that you have to see a better Gastroenterologist
Doctor :  
whom yoiu are meeting soon
Doctor :  
Till then control the bad breath using the mint leaves or spray
Doctor :  
or Guava leaves chewing is helpful too
User :   thanks for ur support
Doctor :  
yes please get back to me in any other tips and motivation
Doctor :  
Ok
Doctor :  
Thansk for consulting me
Doctor :  
Bye for now
User :   bye
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