Annoying problem
I have a severe bad breath problem that has been bothering me for over three years.
It occurs during conversations, meals, or even light exercise, and I've been told it smells somewhat like mold or a dead mouse.
My teeth are fine, and I visit the dentist regularly.
A chest X-ray came back normal, and I have no nasal discharge or cough.
I do not have hepatitis B, and my liver function tests are normal, as are my kidney functions.
Since I am quite young and have a normal diet, I have been taking traditional Chinese medicine for over three years with no improvement.
What should I do? Even after brushing my teeth post-meal, the bad smell persists! Can the digestive process cause bad breath? I have encountered patients with liver and lung cancer, and they do not have breath as foul as mine! As soon as I open my mouth, the odor comes out! Please help me! I would be extremely grateful if this could be cured!
Xiao Bai, 20~29 year old female. Ask Date: 2007/08/06
Dr. Ye Dawei reply Otolaryngology
1.
Please first consult a dentist and an otolaryngologist to check for any related conditions.
2.
Additionally, please see a gastroenterologist.
The head of the otolaryngology department is Dr.
Yeh Da-Wei.
Reply Date: 2007/08/06
More Info
Dealing with persistent bad breath, or halitosis, can be a frustrating and embarrassing issue, especially when it has been a concern for several years. It's important to understand that bad breath can stem from various causes, and identifying the underlying issue is crucial for effective treatment.
First, let's explore some common causes of bad breath:
1. Oral Hygiene: Even if you visit the dentist regularly, inadequate oral hygiene can lead to the buildup of bacteria in the mouth, which can produce foul-smelling compounds. This includes not just brushing your teeth but also cleaning your tongue, as bacteria can accumulate there.
2. Diet: Certain foods, such as garlic, onions, and spices, can contribute to bad breath. Additionally, diets low in carbohydrates can lead to ketosis, which can also produce a distinct odor.
3. Dry Mouth: Saliva helps cleanse the mouth and remove particles that cause bad odors. A condition known as xerostomia, or dry mouth, can be caused by various factors, including medications, certain health conditions, or simply not drinking enough water.
4. Gastrointestinal Issues: Digestive problems, such as acid reflux or gastroesophageal reflux disease (GERD), can lead to bad breath. When stomach acids flow back into the esophagus, they can create an unpleasant odor.
5. Tonsil Stones: These are calcified debris that can form in the crevices of the tonsils and can harbor bacteria, leading to bad breath.
6. Systemic Conditions: Certain medical conditions, such as diabetes, liver disease, or kidney problems, can also manifest as bad breath. It’s good to hear that your liver and kidney functions are normal, but it might be worth exploring other systemic issues with your healthcare provider.
Given your situation, where you have ruled out dental issues and have normal results from chest X-rays and liver function tests, it may be beneficial to consider the following steps:
1. Comprehensive Oral Care: Ensure that you are brushing your teeth at least twice a day and flossing daily. Consider using an antibacterial mouthwash to help reduce bacteria in the mouth. Don't forget to clean your tongue, as it can harbor bacteria that contribute to bad breath.
2. Stay Hydrated: Drink plenty of water throughout the day to help keep your mouth moist and aid in washing away food particles and bacteria.
3. Dietary Adjustments: Pay attention to your diet and consider reducing the intake of foods known to cause bad breath. Incorporating crunchy fruits and vegetables, like apples and carrots, can help clean your teeth naturally.
4. Consult a Specialist: Since you have been experiencing this issue for three years without improvement, it may be time to consult an ear, nose, and throat (ENT) specialist or a gastroenterologist. They can evaluate for conditions like tonsil stones or gastrointestinal issues that may not have been previously considered.
5. Consider a Saliva Substitute: If dry mouth is a concern, there are saliva substitutes available that can help keep your mouth moist.
6. Explore Other Medical Conditions: If the above measures do not help, it may be worthwhile to investigate other underlying health issues that could be contributing to your symptoms. A thorough evaluation by a healthcare professional can help identify any potential systemic causes.
In conclusion, persistent bad breath can be a complex issue that often requires a multifaceted approach to treatment. By improving oral hygiene, staying hydrated, adjusting your diet, and consulting with specialists, you can work towards finding a solution. Remember, it’s essential to communicate openly with your healthcare providers about your concerns so they can help you find the most effective treatment plan tailored to your needs.
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