MedicineNet does not provide medical advice, diagnosis or treatment. See additional information. oral health center/oral health a-z list/bad breath article Medical Author: John P. Cunha, DO, FACOEP Medical Editor: Jerry R. Balentine, DO, FACEP Introduction What is bad breath? Causes What are the possible causes of bad breath? Symptoms What symptoms may be associated with bad breath? Diagnosis How do healthcare professionals diagnose halitosis? Treatment How do you treat bad halitosis? Prognosis What is the prognosis for people with halitosis? Halitosis, or bad breath, can be cured with the treatment of the underlying causes.
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There are some quick and easy ways to banish bad breath. Just remember, the odor from what you eat can stick around until the food works its way completely out of your system – up to 3 days later!
Smoking and Tobacco Use: The Link to Chronic Bad Breath
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Tonsil stones are calcified deposits that form in the crevices of the tonsils. They are usually small, but can grow to the size of a pea in some cases. Tonsil stones can be yellow or white in color, and they often have an unpleasant odor.
The tonsils are relatively soft pieces of tissue at the back of the throat. Debris such as saliva, mucus, and food particles can collect at the back of the mouth and become trapped in a pocket of soft tissue. Over time, the debris can harden. The presence of the stone invites fungi and bacteria to feed. It is the accumulation of microorganisms around the stone that leads to bad breath.
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To floss effectively, use a piece of floss about 18 inches long. Wrap the ends of the floss around your middle fingers and hold it tightly between your thumbs and index fingers. Gently slide the floss between your teeth, using a back-and-forth motion. Curve the floss around each tooth in a C shape and slide it up and down to remove plaque and debris. Be sure to floss both sides of each tooth and along the gumline. Use a clean section of floss for each tooth.
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Diabetes can reduce blood flow throughout the body, including gums, by damaging blood vessels. Additionally, diabetes can raise glucose levels in the mouth which may breed bacteria and promote infection. If someone with diabetes develops periodontal disease, it will often take them longer to heal and it will be more severe than someone without diabetes.
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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.
When bacteria interact with the trapped debris in the tonsil crypts, they can produce volatile sulfur compounds, which have a strong odor. These compounds are responsible for the foul smell associated with bad breath. The presence of tonsil stones can exacerbate this process, leading to persistent bad breath.
Bad breath is a concern for most of us. It creates worry in social situations, and can make it hard to feel comfortable talking to people. You never want to get close to personal or business acquaintances if you can’t be sure of your breath.
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Certain foods like dairy, onions, garlic, and spices cause bad breath. In addition, drinks like alcohol and coffee can dry out your mouth, promoting bacteria that causes bad breath.
Your breath is composed of complex substances with variable odors that can generate unpleasant situations such as halitosis that affects more than 50% of general population[iii]. The odor is caused by the presence of bacteria in the mouth, tooth decay, presence of waste materials, leftover food particles and etc. Numerous causes can contribute to halitosis and induce this bad breath that is difficult to eliminate. Some of the most common causes[iv] include:
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Understanding Tonsil Stones and Halitosis: Causes and Symptoms
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What is halitosis and what causes it?
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Manual tonsil stone removal at home is generally not recommended. Tonsils are delicate tissues, and removing them on your own may cause bleeding and infection. Salt-water gargle: This may help dislodge tonsil stones and get rid of the odor and bad breath they cause. Coughing: Tonsil stones are often coughed up inadvertently. In some cases, a hard cough may help dislodge them. Oral irrigation: Oral irrigators can sometimes be used to gently shoot water into the back of the mouth in an attempt to dislodge the tonsil stones. Follow instructions and use caution because it is possible to injure the tonsils if it is not done gently. Tonsil stones may dislodge or dissolve on their own in a short time. Tonsil stones may last for weeks if bacteria continue to grow on the tonsils due to tonsil stones deep in the throat. If tonsil stones are ignored and left in place without lifestyle changes, they may last for years. The only surefire way to cure tonsil stones and prevent any recurrence is to have the tonsils removed (tonsillectomy). Maintain good oral hygiene: Brush and floss regularly; consider using a tongue scraper to remove bacteria. Gargle regularly with mouthwash or saltwater solution. Drink plenty of water. Quit smoking. Avoid excess alcohol. Reduce consumption of carbonated beverages such as sodas. Treat sinus infections or allergy symptoms promptly. Limit dairy products. American Academy of Otolaryngology. Tonsils and Adenoids. 2019. October 2019. Busaba, Nicholas and Shira Doron. Tonsillectomy in adults: Indications. Sept. 24, 2019. October 2019.
When we eat, small food particles can get stuck in between our teeth or on the surface of our tongue. If these particles are not properly removed through brushing and flossing, they can become a breeding ground for bacteria. The bacteria then produce sulfur compounds that give off an unpleasant odor.
Chewing gum also helps remove any food particles that may be stuck between your teeth or along the gumline. It can also help mask any odors temporarily. However, it's important to choose sugar-free gum to avoid promoting tooth decay.
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If the dentist determines that the cause of bad breath is not related to oral health, they may refer you to a doctor for further evaluation. The doctor can assess your overall health and determine if there are any underlying medical conditions that need to be addressed.
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Smoking or chewing tobacco-based products also can cause bad breath, stain teeth, reduce your ability to taste foods, and irritate your gums.
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The Importance of Oral Hygiene in Maintaining Fresh Breath
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How to Diagnose Tonsil Stones and Halitosis
Bad breath can also affect children, and it is important for parents to be aware of the causes and prevention strategies. Common causes of bad breath in children include poor oral hygiene, dental issues such as cavities or gum disease, and respiratory infections. Additionally, certain habits such as thumb sucking or mouth breathing can also contribute to halitosis.
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The alternative is to scrape your tongue with a special tongue cleaner. This method is also under assessment in the newest Cochrane review. Their last report found just two small trials looking at this method. They showed it can work, but that the effect is short-lived. They also highlight the risk of damaging the tongue by pressing too hard and to ensure that if you want to use a toothbrush to clean your tongue, you make sure that it’s a soft one.
Halitosis in Children: How to Help Your Child Fight Bad Breath
Foods and Beverages that Contribute to Throat-Related Bad Breath
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If you have a cavity, it is the perfect place for food to get stuck and bacteria to build up.
Medications can lead to bad breath for two reasons. In some cases, the way your body breaks down the medicine leads to the production of odorous chemicals. In other cases, medications contribute to dry mouth, which can make bad breath more likely.
Bad breath, also called halitosis, can be embarrassing, especially when other people comment on it, making you feel self-conscious about talking or even smiling. But chronic bad breath can also be a sign of a larger problem. Most cases of bad breath occur after a meal with onions or other ingredients with strong odors, or after going a long time without brushing. These cases are resolved by brushing or gargling with mouthwash. Chronic halitosis, on the other hand, occurs frequently and can only be temporarily relieved with basic hygiene. This is because chronic bad breath doesn’t exist on its own; it’s often a symptom of a more serious problem and cannot be resolved without the proper treatment. Poor oral hygiene habits: infrequent brushing, not flossing and not rinsing with mouthwash can lead to excessive, odor-causing bacteria in the mouth Chronic illnesses: poorly controlled diabetes can cause a buildup of sugar, which attracts bacteria, while kidney failure can cause a fishy smell in the mouth Medications: Antidepressants, diuretics and other medications that cause dry mouth can reduce your saliva production, making it more hospitable to bacteria Gum disease or infection: whether at the gum line or in the tooth itself, periodontitis and other infections in the mouth can leave an unpleasant taste and a bad odor in your mouth What are the remedies for bad breath?
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It is not easy for people to realize whether they have tonsils or not. They are not visible easily and can have a size of a rice grain or a grape. They do not generally cause considerable health complications. But sometimes, they grow even more extensive, which swells up the tonsils and may even have an unpleasant smell.
The only issue with antibiotics is that they will not deal with the stone’s underlying problem and may even have side effects of their own. They cannot be used for a more extended period, which means that the stone will return as soon as you stop taking the tablets.
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Remember, rather than opting for a temporary solution like a mouth freshener; it is advisable to seek professional help and understand the root cause of the problem.
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Remember, brushing and using mouthwash can only offer temporary relief in case the patient suffers from chronic halitosis caused due to other illnesses.
Certain foods and beverages can contribute to bad breath from the throat. Foods such as garlic, onions, and spices contain volatile compounds that can be absorbed into the bloodstream and released through the breath. These compounds can linger in the throat, causing bad breath.
Halitosis vs. normal bad breath: What's the difference?
I have covered this topic extensively on my blog, but here are a few quick tips to get you started.
If you have dentures, take them out at night. Clean them completely before putting them back in your mouth. Talk with your dentist before using deodorizing sprays or tablets. Some only mask the odor for a short time.
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Your dentist or periodontist may tell you to use an antimicrobial mouth rinse. You may also be told to brush your tongue gently each time you brush your teeth. This will help remove odor-causing bacteria.
A lot of companies were offering the emerging middle classes ways to cater to their social anxieties. Listerine ran advertisements in many papers talking about the sad, unmarried Edna, who remained single as she watched her friends getting married. It's not that she wasn't a great gal! It's just, she had this condition.
Halitosis is common in people who have tonsil stones. That’s because the bacteria that produce volatile sulfur compounds thrive in the crevices of your throat, where food, mucus, and other bacteria have already built up.
Yes, tonsil stones can cause bad breath due to the buildup of bacteria and debris that gets trapped in the tonsil crevices.
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Bad breath, medically called halitosis, can result from poor dental health habits and may be a sign of other health problems. Bad breath can also be made worse by the types of foods you eat and other unhealthy lifestyle habits. You can take steps to prevent and treat halitosis, at home and with the help of your dentist or doctor.
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St. Louis Sinus Center has solutions for allergies, sinus, and snoring problems that help you live more comfortably. For more information on our services, call our St. Louis or Festus office.
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People with ill-maintained oral hygiene are at a prime risk of halitosis. Older people or patients with neurological diseases with poor coordination of hand and wrist movements can develop halitosis since they cannot maintain their oral hygiene. Dehydration, diabetes, and other diseases that reduce the body’s water content can also be risk factors. Patients with gastric diseases such as H.pylori infection or gastro-esophageal reflux might also develop halitosis if their primary disease is not treated.
There are several over-the-counter products available that can help manage bad breath from the throat. Mouthwashes and sprays specifically designed for freshening breath can help kill bacteria in the throat and provide a temporary solution for bad breath.
- Green tea: Green tea contains polyphenols, which have antimicrobial properties that can kill bacteria in the mouth.
To use parsley for fresh breath, simply chew on a few sprigs of fresh parsley after meals or whenever you need to freshen your breath. You can also make a parsley tea by steeping a handful of fresh parsley in a cup of hot water for 5-10 minutes. Strain the tea and let it cool down to a comfortable temperature. Drink the tea slowly, swishing it around in your mouth before swallowing.
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Flossing removes food particles and bacteria that get caught between your teeth to cause bad breath. Good oral hygiene, including flossing, is one of the easiest ways to treat bad breath.
Sinus Infections and Allergies: How They Affect Your Breath
Diabetes is a chronic condition characterized by high levels of sugar (glucose) in the blood. The two types of diabetes are referred to as type 1 (insulin dependent) and type 2 (non-insulin dependent). Symptoms of diabetes include increased urine output, thirst, hunger, and fatigue. Treatment of diabetes depends on the type.
Brushing helps remove plaque and bacteria from the teeth and gums, while flossing helps remove food particles and bacteria from between the teeth. Using a tongue scraper can help remove the bacteria that can accumulate on the surface of the tongue and contribute to bad breath.
Since these bacteria cause a foul odor, killing them with salty, acidic, and oxygen-based rinsing agents can significantly reduce the bad smell and potentially even remove the stone.
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
