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Certain pathological diseases cause Pathologic Halitosis. Most of these occur inside the mouth, such as dental caries, gingivitis, periodontitis, etc. But some of these pathologies might arise from tonsils or sinuses. Tonsillitis, postnasal drip, sinusitis, etc., are typical examples.

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Sometimes certain medications are the cause of smell or taste disorders, and improvement occurs when that medicine is stopped or changed. Although certain medications can cause chemosensory problems, others particularly anti-allergy drugs seem to improve the senses of taste and smell. Some patients, notably those with serious respiratory infections or seasonal allergies, regain their smell or taste simply by waiting for their illness to run its course. In many cases, nasal obstructions, such as polyps, can be removed to restore airflow to the receptor area and can correct the loss of smell and taste. Occasionally, chemosenses return to normal just as spontaneously as they disappeared. Quick Links News Physician Portal CME Calendar Online Orientation Careers Take Charge of Your Health Publications Pay Your Bill Vendors Foundation - Ways to Give Residency ValleyWay MyChart Institutional Review Board Practices Primary Care Offices Specialists Care Offices Walk-in Care Services Urology Cancer Heart & Vascular Women & Children Neuroscience Orthopedics Bariatric Weight Loss Program Physical Rehabilitation Other Services Patients & Visitors A Message From the Joint Commission Notice of Privacy Practices Patient Rights & Responsibilities Community Education Programs Advance Directives Support Groups Locations Cape Fear Valley Medical Center Highsmith-Rainey Specialty Hospital Rehabilitation Center Behavioral Health Care Bladen County Hospital Hoke Hospital
The importance of hydration in preventing halitosis .

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An infected tooth needs to be treated with root canal therapy or extracted right away. Signs of an infected tooth include a tooth that becomes discoloured, sores on the gums, local warmth, and fever.
"This is going to be the death of me", I thought as I filled the pot with bottled water. I didn’t have a sink in my apartment, and even if I did, I wasn’t sure I trusted the landlord or the city enough to drink either of their water. The small red light on the hot plate glared at me from the fold-out counter as I contemplated how I had never known anything other than life in the city. The honking horns, flashing neon lights, and endless crowds were my nightly companions. There was no escaping the noise of the city.

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The Risks of Ignoring Tonsil Stones and Halitosis
Many people have small tonsilloliths, but it’s rare to have a large tonsil stone.

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4. Refer You to Your Medical Doctor – When all oral causes of bad breath have been ruled out or repaired, we will work with your medical doctor to help you solve persistent bad breath. Some patients will need to see an ear, nose and throat specialist (ENT) to address chronic sinus or throat infections. Others need help from a gastroenterologist (GI specialist) for issues in the stomach and/or esophagus.

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The Connection Between Smoking and Bad Breath

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    After you eat, let your food digest before performing physical activity or lying down. This can allow the contents in your stomach to digest while your LES stays closed.

    Halitosis, commonly known as bad breath, is a condition that affects millions of people worldwide. It can have a significant impact on both oral health and social interactions. Bad breath can be embarrassing and can lead to self-consciousness and low self-esteem. Understanding the causes of halitosis and how to prevent and treat it is essential for maintaining good oral health and overall well-being.
    Diet can play a role in the formation of tonsil stones and bad breath. Certain foods can contribute to the accumulation of debris in the tonsils, while others can help prevent bacterial overgrowth and reduce bad breath.

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    Maintaining fresh breath is not only important for our social and professional interactions but also for our overall health. Bad breath can be a sign of underlying oral health issues, such as gum disease or tooth decay. It can also be an indication of other health conditions, such as respiratory infections or digestive problems.

    If you find that your gag reflex is too strong for this method, you may want to use a mouth-numbing spray Chloraseptic before you go in with the swab. I’ve also written about other methods here.
    The sense of smell has strong associations with our memory. This applies to both pleasant and unpleasant smells. For example, at the mention of bad breath, you can probably easily call to mind a time when you noticed that a friend or colleague had particularly bad breath. We are all rightly sensitive about the state of our own breath. We hope that after reading this article,

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    Although tonsil stones are rarely serious, they are be unsightly, uncomfortable, and cause secondary conditions such as halitosis so bad your friends and family may consider a restraining order....

    If your dentist has ruled out any oral problems that might cause a chronic bad breath, it is best to see you doctor for an evaluation too. This may indicate infection somewhere else in your body and can be a sign of a range of conditions like diabetes, strep throat, tonsilitis, respiratory tract infections, bronchitis, chronic sinusitis, HIV, digestive system ailments such as ref-lux or liver and kidney problems.
    Medications that cause a dry mouth can trigger bad breath. In addition, certain medications, such as triamterene and paraldehyde, have bad breath as a side effect.

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    Chewing on herbs such as parsley and mint can also help freshen breath. These herbs contain natural compounds that can neutralize odors and provide a refreshing scent.

    Salty water can be gargled several times a day to dislodge an existing stone. This is a preferred method of treatment for many people because the alternative of using a toothbrush or Q-tip to pick a stone out is usually met with intense gagging. Picking at tonsil stones is discouraged by doctors because the tissue at the back of the throat is delicate and could be damaged. Doctors recommend treatment such as tonsillectomy only in extreme cases of repeat stones and infection.
    In case the foul smell is caused due to poor oral hygiene or eating certain food items, it can be termed as manageable. Brushing twice a day and using floss, and interdental cleaner, to clean food particles, plaque, and other debris from various parts of the mouth can help. Such patients should ensure they do not sleep with dentures in their mouth and use antibacterial mouthwash along with regular brushing before wearing the dentures back in the morning. The patient needs to stop chewing tobacco and smoking cigarettes as well. Most importantly, cracked, infected teeth and gum diseases should be treated quickly.

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Cigarette smoke has a very strong odor, so it should be little surprise that it’s a common cause of bad breath. Cigarettes and other tobacco products can also increase your risk of gum and bone disease, which can also contribute to bad breath.

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Another natural remedy is apple cider vinegar. Diluted apple cider vinegar can be used as a mouthwash to help kill bacteria and reduce bad breath. It is important to dilute the vinegar to avoid irritation or damage to the teeth and gums.

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The problem with this method is that breathing into your hands doesn’t propel breath out from the back of your mouth in the same way that happens when you talk. So when you breathe into your hand you might miss out on the smells from the gases produced at the back of your tongue, the main place where bad breath originates.

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