Helicobacter Pylori: Causes of Bad Breath and More - Internal Medicine

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Helicobacter pylori


I found online that "Helicobacter pylori" can cause bad breath when fasting or feeling hungry.
Since I have regular oral check-ups with my dentist every year, it should not be related to oral hygiene.
Could you please share your thoughts on "Helicobacter pylori"? Thank you.

SS, 20~29 year old female. Ask Date: 2001/01/16

Dr. Chen Shidian reply Internal Medicine


Hello: Helicobacter pylori is one of the internal medical conditions that can cause halitosis.
The relationship is unclear, so a blood test (out-of-pocket) can be done to confirm infection.
Subsequently, bismuth compounds or antibiotics (the latter is out-of-pocket for non-ulcer patients) can be used for treatment, but the deodorizing effect has not been definitively established! Wishing you safety.

Reply Date: 2001/01/16

More Info


Helicobacter pylori (H. pylori) is a type of bacteria that primarily resides in the stomach lining and is known for its role in various gastrointestinal disorders, including peptic ulcers and gastritis. While it is not directly linked to bad breath (halitosis), its presence can lead to conditions that may contribute to oral malodor.
Bad breath can arise from several sources, including poor oral hygiene, gum disease, dry mouth, and certain foods. However, when it comes to H. pylori, the connection is more indirect. The bacteria can cause stomach issues that may lead to the production of volatile sulfur compounds (VSCs), which are often responsible for bad breath. When the stomach is affected by H. pylori, it can lead to symptoms such as acid reflux or gastroesophageal reflux disease (GERD), which may cause a sour or unpleasant odor in the mouth.

In your case, since you have been regularly visiting a dentist for oral check-ups and maintaining good oral hygiene, it is less likely that your bad breath is due to oral health issues. However, if you are experiencing persistent bad breath, it may be worth considering other underlying causes, including gastrointestinal factors.

H. pylori infection is typically diagnosed through breath, stool, or biopsy tests. If you suspect that H. pylori might be contributing to your symptoms, it would be advisable to consult with a healthcare provider who can perform the necessary tests. If diagnosed with an H. pylori infection, treatment usually involves a combination of antibiotics and acid-reducing medications, which can help eradicate the bacteria and alleviate associated symptoms.

It's also important to note that while H. pylori can be a factor in gastrointestinal health, other conditions such as sinus infections, allergies, or even certain medications can also contribute to bad breath. Therefore, a comprehensive evaluation by a healthcare professional is essential to determine the exact cause of your symptoms.

In summary, while H. pylori is not a direct cause of bad breath, its presence in the stomach can lead to conditions that may contribute to oral malodor. If you are concerned about H. pylori or persistent bad breath, it is best to consult with a healthcare provider for appropriate testing and treatment options. Additionally, maintaining good hydration, practicing good oral hygiene, and addressing any gastrointestinal symptoms can also help manage bad breath effectively.

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