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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Halitosis. Having Acid Reflux, Stomach Fullness, Bowel Movements Soon After Eating, Bad Breath. Solution?

My main problem is severe halitosis . Dentist confirmed there is no problem with teeth . Its because of acidity and if the motion is not free. I do have acid reflex where something like air pushes strongly from stomach to chest and into throat . I do not have any pain or burning in stomach or heart. Even if I eat small quantity, I feel my stomach is full. Many doctors were unable to solve my problem. Motion happens two times and is not free. I feel like going to motion as soon as I eat anything. I brush thrice but freshness doesn t stay even for 5 min. Its really embarrassing to talk to people because of this bad breathe problem. Very depressed and tensed.
Mon, 17 Dec 2012
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General & Family Physician 's  Response
Hello,
If orodental causes of the halitosis are ruled out, it will be important to rule out the next possible level of the GIT i.e oesophagus which you might either be having hertial hernia or gastrooesophageal reflux diseases. So transoesogastroduodenal fibroscopy/upper GI series has to be performed to rule out the hertial hernia.
In any case those need to be done and rule out any chronic condition like diabetes mellitus, renal diseases, metabolic conditions including dyspepsia.
To neutralize gastric acid you can take sodium bicarbonate salts or antacids and if you were in my consultation i will include a protein pump inhibitor ( even though you do not have epigastric pains).
I will also advise a surgical consultation or you see your doctor to rule out above and then decide to refer you to the surgeon.

Wish you a better health
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Severe Halitosis. Having Acid Reflux, Stomach Fullness, Bowel Movements Soon After Eating, Bad Breath. Solution?

Hello, If orodental causes of the halitosis are ruled out, it will be important to rule out the next possible level of the GIT i.e oesophagus which you might either be having hertial hernia or gastrooesophageal reflux diseases. So transoesogastroduodenal fibroscopy/upper GI series has to be performed to rule out the hertial hernia. In any case those need to be done and rule out any chronic condition like diabetes mellitus, renal diseases, metabolic conditions including dyspepsia. To neutralize gastric acid you can take sodium bicarbonate salts or antacids and if you were in my consultation i will include a protein pump inhibitor ( even though you do not have epigastric pains). I will also advise a surgical consultation or you see your doctor to rule out above and then decide to refer you to the surgeon. Wish you a better health