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Tonsillitis is a common infection, especially in kids. Tonsillitis is caused by viruses and bacteria like the flu and herpes simplex virus, and Streptococcus bacteria. These viruses and bacterium are spread person to person. Symptoms of tonsillitis are a yellow or white coating on the tonsils, throat pain, pain when swallowing, and hoarseness.

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Chronic diseases can also contribute to bad breath. Conditions such as diabetes, kidney disease, and liver disease can cause changes in the body's metabolism, leading to the production of certain chemicals that can cause halitosis. Additionally, dry mouth, which is a common symptom of many chronic diseases, can also contribute to bad breath.
Many tonsil stones, especially those that don’t have symptoms, don’t need special treatment. It depends on their size and whether they might cause you trouble. .

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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.
The smell of tonsil stones can be quite unpleasant and can lead to bad breath. The odor is caused by the buildup of bacteria, food particles, and other debris that gets trapped in the tonsil crevices. The bacteria break down the particles, releasing a foul smell.

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To remove your tonsil stones, use a tonsil stone pick or water flosser on a very low setting, but never put too much pressure on your tonsils, even if you cannot get the stone out. Check out my article on the best tonsil stone removal tools.

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Periodontal (gum) disease often causes persistent bad breath or a bad taste in the mouth, and persistent bad breath may mean a sign that you have gum disease.

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    Dr. Benjamin Greene and Dr. Jonathan Everett at Kirkland Family Dentistry have been providing dental services in Kirkland, Washington for a better part of 25 years and are staunch supporters of effectively eliminating the causes of halitosis rather than aiming to cure them.

    This particular cause may not be very surprising, though, as not brushing your teeth even for a day can send people scurrying in the opposite direction when they see you. Experts at Kirkland Family Dentistry emphasize how this is a leading factor of halitosis.
    Many individuals with bad breath may be unaware they have it, or their signs and symptoms may only be temporary. The odor often depends upon the source or underlying cause of the bad breath.

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    One common medical treatment is a tonsillectomy, which involves the surgical removal of the tonsils. This procedure is typically reserved for severe cases of tonsil stones or recurrent infections that do not respond to other treatments.

    Tonsil stones often go away on their own. If they bother you, the only way to get rid of them is through surgical removal or tonsillectomy.
    Even if yours came out painlessly, tonsil stones might leave traces of bacteria in your mouth or open, sore areas on your tonsils that need to be kept clean if you don’t want to develop more tonsil stones down the road.

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    Antibiotics: Tonsil stone can also be managed by using antibiotics. These tablets lower the count of bacteria, which helps in the growth and development of tonsil stones.

    Gum disease, also known as periodontal disease, is a common oral health condition that can cause bad breath. It occurs when bacteria in the mouth infect the gums, leading to inflammation and potential tooth loss if left untreated. The bacteria associated with gum disease can produce foul-smelling compounds that contribute to bad breath.
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    A physician may recommend antibiotics, tonsillectomy, or other surgical ways to remove the debris. Drinking plenty of water, gargling with salt water, and controlling the urge to smoke are the necessary steps that the patient cannot avoid.

    The team from the BBC TV series 'Trust me I’m a doctor' spoke to dentists about how to spot and avoid bad breath. Watch the video below for their tips: All content within this column is provided for general information only, and should not be treated as a substitute for the medical advice of your own doctor or any other health care professional. The BBC is not responsible or liable for any diagnosis made by a user based on the content of this site. The BBC is not liable for the contents of any external internet sites listed, nor does it endorse any commercial product or service mentioned or advised on any of the sites. Always consult your own GP if you're in any way concerned about your health.
    You can also implement the use of a water pick. You can mix water and mouthwash into the container and flush out your tonsil stones that way. This method is a little easier and also shouldn’t affect your gag reflex as bad as the q-tip might. It is also good for knocking out loose bacteria and food particles that may be hidden inside your tonsils.

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Doctors may recommend antibiotics. It helps lower the bacteria count, leading to tonsil stones development. However, the biofilms or hardened structures of the stones can resist antibiotics.

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Tonsil stone treatment is not always needed. Stones frequently either dissolve on their own or are coughed up.

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Bad breath can be caused by many things, including certain foods, poor oral care, and smoking.

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