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When you experience heartburn or acid reflux, acid and some undigested food from the stomach can flow back up the esophagus, sometimes into the mouth. The combination of partially or undigested food and acid washing back into the mouth can lead to bad breath.

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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.
Most of the time, we ourselves are the cause of bad breath by not paying enough attention to our daily oral hygiene. The most common mistakes we make are brushing teeth too short and not thoroughly, brushing with an improper technique, brushing teeth too infrequently, not cleaning the interdental spaces, neglecting the care of the tongue. .

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Dietary changes, staying hydrated, and avoiding smoking and excessive alcohol consumption are also important in preventing bad breath. Tongue scraping and other oral care practices can help remove bacteria and debris from the mouth. If bad breath persists despite practicing good oral hygiene and making lifestyle changes, it is important to seek professional treatment.
Very caring staff! They did everything possible to make me comfortable with my procedure. I will be using them again.

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A bitter metallic taste, a burning sensation on the tongue, and thick saliva along with a buildup of a white coating on the tongue and around teeth are some of the symptoms of halitosis.
Most of the time, bad breath can be cured and prevented with proper oral hygiene. It is rarely life-threatening, and the prognosis is good. However, bad breath may be a complication of a medical disorder that needs to be treated. Rosenberg, Mel. "Bad Breath." UpToDate.com. September 2019. .

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Eating more frequently, small meals can help to manage weight and the effects of acid reflux. Having a large meal can upset the stomach and allow more undigested food and stomach acid to make its way into the esophagus. Additionally, maintaining a healthy weight puts less pressure on the LES.

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Tonsil stones, or tonsilloliths, are hard, sometimes painful bits of bacteria and debris that get stuck in nooks on your tonsils.

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    Poor oral hygiene is a significant factor in the development of bad breath from the throat. When we neglect to brush and floss regularly, bacteria can accumulate in the mouth and throat. This bacterial overgrowth leads to the breakdown of food particles and other substances, resulting in bad breath.

    Your tonsils are gland-like structures in the back of your throat. You have one on each side. Tonsils are made of tissue with lymphocytes, cells that prevent and fight infections. Many experts think your tonsils play a role in your immune system and are meant to work like nets, trapping bacteria and viruses that come in through your throat.
    If you smoke or use oral tobacco products, you may experience frequent bad breath. All types of tobacco products can cause bad breath, but they can also lead to much more serious oral health issues. Apart from leaving your mouth smelling like an ashtray, they damage the gum tissue and cause gum disease. If you’ve been using tobacco products for any amount of time, the team at Scott Edwards DDS can check for warning signs.

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    3. Parsley: Parsley is a natural breath freshener that can help neutralize odors in the mouth. Chewing on fresh parsley leaves after meals can help freshen your breath.

    Oil pulling is an ancient Ayurvedic practice that involves swishing oil in the mouth for several minutes. This practice is believed to help remove bacteria and toxins from the mouth, improving oral health and combating bad breath.
    Parsley is not only a popular garnish but also a natural breath freshener. It contains chlorophyll, which can help neutralize odors and freshen 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.

    In addition to causing bad breath, smoking can also lead to other oral health issues such as gum disease and oral cancer. Quitting smoking is the best way to improve your oral health and maintain fresh breath. If you need help quitting, there are various resources available, such as support groups and nicotine replacement therapies.
    Dry mouth can also contribute to the formation of tonsil stones. When your mouth is dry, there is less saliva to help wash away bacteria and food particles. This can lead to the buildup of debris in the tonsil crevices.

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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.

    Mouthwash can be an effective tool in treating bad breath. There are different types of mouthwash available, including antiseptic mouthwashes that kill bacteria, fluoride mouthwashes that strengthen tooth enamel, and cosmetic mouthwashes that temporarily mask bad breath.
    Daily brushing and flossing, and regular professional cleanings, will normally take care of unpleasant breath. And don't forget your often overlooked tongue as a culprit for bad breath. Bacterial plaque and food debris also can accumulate on the back of the tongue. The tongue's surface is extremely rough and bacteria can accumulate easily in the cracks and crevices.

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If you start feeling flu-like symptoms, you may be getting a sinus infection. Visit a medical professional as soon as possible so you can receive antibiotics if you need them. Nasal washes can also help reduce the mucus produced from the nose to the throat.

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Know what to expect if you do not take the medicine or have the test or procedure.

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Causes of halitosis can originate either inside or outside your mouth. A person with poor oral hygiene maintenance has a higher chance of halitosis than who regularly brushes. Common causes include gingivitis, periodontitis, dental caries, excessive plaque accumulation on teeth and tongue, pericoronitis, or oral ulcers. Food substances having a strong, pungent smell are another common cause. Frequent smoking, alcohol, or caffeine intake results in temporary bad breath. Any diseases or medications that cause dryness of the oral cavity are another contributing factor. Outside the oral cavity, inflammation of the tonsils or sinuses is another important factor that affects the quality of breath. Gastric diseases, especially gastroesophageal reflux, are another cause of halitosis.

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10 Home Remedies For Curing Bad Breath EffectivelySaltwater gargling Using irrigator in low pressureConsuming probioticsUsing essential oilsEating garlic clovesMaking better food choicesUsing good toothbrushesUsing Apple cider vinegarUsing cotton swabsUsing aromatic herbs and spices10 Ways To Fight Bad BreathFinal words If any bacteria or virus is feeding on the tonsil stones, gargle with salt water to kill them. Moreover, tonsil stones cause scratches and soreness in the throat which can also subside after saltwater gargling. Also, gargling with saltwater also loosens and reduces the size of the tonsil stones as well as removes bad breath caused by tonsil stones. Evidently, gargling with salt water also helps to heal oral wounds. Water irrigators such as a water flosser can loosen the tonsil stones but you have to use them in low pressure so that you don’t accidentally damage the stones.

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