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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Bad Breath And Body Odor With OCD

KINDLY SUGGEST SOME MEDICINE TO ME AND REVIEW THIS ANSWER THAT I GOT FROM SOME INTERNATIONAL DOCTOR. I M STILL WORRIED ABOUT MY HALITOS PROBLEM... :(( ------ Dear Sameerq, Everyone gets bad breath from time to time; there s just no getting around it. When we eat, food particles get stuck in between teeth and collect on the tongue and from there they break down into a bacteria-infested mess. We can also have germs and bacteria in the back of the throat and anywhere along the sinus cavities, all of which get caught in the breath as we exhale. And odors from food itself can linger in the mouth; just try to eat garlic or drink coffee without getting bad breath! So to ask if your bad breath is normal may seem a bit strange since everyone gets it. However there are some that seem to have a chronic problem with this no matter what, and some who seem almost obsessed with whether or not their breath is bad. There is actually a condition where a person is afraid of bad breath, whether theirs or someone else s, called halitophobia. It s thought that less than 1% of the population has this particular phobia so it s very unlikely that your thoughts about bad breath are an actual fear or phobia; chances are you just want to be sure that you re not offending anyone every time you try to talk. It s also true that some people have Obsessive Compulsive Disorder (OCD), which is another mental illness where a person obsesses over minor details and often feels compelled to fix them. OCD also affects a very small percentage of the population so that s probably not your problem either. But realizing that your concern about bad breath is not a true mental illness also doesn t mean that you should start ignoring the problem either. Just as a person should be concerned with all aspects of their hygiene, bad breath should be something that is addressed and prevented where at all possible. A bad odor on the body can signal a need for cleaning, whether it s an odor from the underarms, soles of the feet, genitals, or the breath. Bad odor usually comes from a buildup of bacteria and germs and of course this shouldn t be ignored. The same can be said of your breath - chronic or consistent cases can be a sign of tooth decay, gum disease, and other problems in the mouth and throat that should be addressed also.
Thu, 25 Sep 2014
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Psychiatrist 's  Response
Hi

I had gone through all details and agree with him also.

But detail evaluation about OCD spectrum disorder is must.

Sometimes all these are interrelated in spectrum.

Olfactory referral syndrome has same features of obsession about body odors and body dysmorphia is also same type o etiology.

Obsession of body odor can be part of OCD.



So Treatment Of obsession and OCD make all spectrum together.

It can be treated with fluoxetine 60 to 80 mg and add on other medicines depends upon psychological evaluation.

So please do consultation with best psychiatrist and discuss about spectrum and its treatment.


Still have a query then feel free to ask.

Thank you.

I find this answer helpful
Psychiatrist Dr. Awadhesh P Singh Solanki's  Response
Yup you are having ocd. Use tongue cleaner and mouth wash and freshener. For your ocd treatment you need some medicines like fluoxetine, fluvoxamine, clomipramine. This will solve your problem. As these medicines you will get only on prescription so kindly contact to your local doctor. So dont worry. Hope my suggestions helpful and thankful to you. Take care.
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Suggest Treatment For Bad Breath And Body Odor With OCD

Hi I had gone through all details and agree with him also. But detail evaluation about OCD spectrum disorder is must. Sometimes all these are interrelated in spectrum. Olfactory referral syndrome has same features of obsession about body odors and body dysmorphia is also same type o etiology. Obsession of body odor can be part of OCD. So Treatment Of obsession and OCD make all spectrum together. It can be treated with fluoxetine 60 to 80 mg and add on other medicines depends upon psychological evaluation. So please do consultation with best psychiatrist and discuss about spectrum and its treatment. Still have a query then feel free to ask. Thank you.