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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Chronic Bad Breath?

Hi! I have chronic bad breath and I really don't know the cause of it.. i must say i've tried every regimen to date to fix this problem but all to no avail. i'm suspecting now that it could possibly be esophageal diverticulum.. though i don't have symptoms like difficulty in swallowing, chest pain but i've read that it deposits of food/medicine could be the cause of the foul smell. i'm hoping for a final diagnosis.. i would like to ask if im doing the right thing and is barium swallow expensive and risky? many thanks :)
Fri, 18 Dec 2015
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Dentist 's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concerns..

As per your complain chronic bad breath can occur due to a number of common causes like Poor oral hygiene, dry mouth,tonsil stones, upper respiratory tract infections, sinusitis, acid reflux, digestive problems, oral and throat infections etc..
Thinking directly of oesophageal diverticulitis is not correct and you need to consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations as per suspected cause can help in diagnosis and treatment can be planned accordingly..
In case if you still want to get confirmed about Oesophageal diverticulitis you can a Barium Esophageogram can be diagnostic..
As of now you should chew flavored sugarfree chewing gums..
Gargle with a flavored mouthwash..
Do warm saline gargles.
Avoid high aroma foods like onion and garlic.
Drink plenty of water..
Maintain a good oral hygiene..
Do steam inhalations with a few drops of eucalyptus oil in boiling water to refresh your breath..

Hope this information helps..

Thanks and regards,
Dr.Honey Nandwani Arora.
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What Could Cause Chronic Bad Breath?

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain chronic bad breath can occur due to a number of common causes like Poor oral hygiene, dry mouth,tonsil stones, upper respiratory tract infections, sinusitis, acid reflux, digestive problems, oral and throat infections etc.. Thinking directly of oesophageal diverticulitis is not correct and you need to consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations as per suspected cause can help in diagnosis and treatment can be planned accordingly.. In case if you still want to get confirmed about Oesophageal diverticulitis you can a Barium Esophageogram can be diagnostic.. As of now you should chew flavored sugarfree chewing gums.. Gargle with a flavored mouthwash.. Do warm saline gargles. Avoid high aroma foods like onion and garlic. Drink plenty of water.. Maintain a good oral hygiene.. Do steam inhalations with a few drops of eucalyptus oil in boiling water to refresh your breath.. Hope this information helps.. Thanks and regards, Dr.Honey Nandwani Arora.