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Chronic acid reflux – a digestive disorder, also known as GERD, is a condition that affects lower esophageal sphincter, the ring of muscle between stomach and esophagus. A burning sensation in the chest (heartburn), chest pain, difficulty swallowing and regurgitation of food in the mouth are the most common symptoms of GERD. Risk factors include pregnancy, obesity, smoking, eating certain foods etc. The influx of acids and other partially digested particles into the esophagus and mouth cavity can lead to halitosis.

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There are two types of halitosis or bad breath, which can vary depending on the cause. In the following sections, we will define each type and highlight their differences.
If you’re concerned about your alcohol consumption, your dental professional can help you get assistance with cutting back or quitting for good. .

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Brush your tongue, cheeks, and the roof of your mouth. Most bad breath bacteria live on the tongue. So brushing or scraping the tongue can make a big difference in your breath.
It has about 1 million cases annually in India, and you should get checked for tonsil stones. It can lead to bad breath and sore throat, making it difficult to swallow food. Tonsil stones in throat are mainly found in teenagers.

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When this happens, you’ll likely experience heartburn or a bitter and unpleasant taste in your mouth, which can cause bad breath. However, all of the symptoms of acid reflux can be controlled and managed by making a few lifestyle changes.
You may need to see an oral specialist (periodontist) for treatment or your primary healthcare provider depending on the cause.

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In addition to not brushing and flossing regularly, other factors that can contribute to poor oral hygiene and bad breath include smoking, dry mouth, certain medications, and certain medical conditions like gum disease or tooth decay. It’s important to practice good oral hygiene habits, such as brushing twice a day, flossing daily, and regularly visiting a dentist for cleanings and checkups, to maintain fresh breath and a healthy mouth.

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    The bad breath caused by certain foods is easily remedied by altering the diet. You can maintain a perfectly healthy diet while avoiding particularly smelly foods. Some studies even show that diets high in dairy products can cause bad odors in the mouth. If you are unsure which food is responsible for your bad breath, these are the top ones to avoid:

    Tonsil stones can frequently be seen in the back of the throat. They typically appear as white or yellowish spots on or around the tonsils that may range in size from a grain of rice to a pea.
    It is not a dangerous condition, and one can get rid of it by using some home remedies. However, it may require antibiotics and surgery in some cases.

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    To use these natural remedies, dilute the essential oils in water and use them as a mouthwash. You can also add a few drops to your toothpaste. Chewing on fresh herbs like parsley or cloves can also help freshen your breath.

    If you are diabetic, visiting your dentist regularly will ensure any concerns are dealt with promptly and early signs of DKA or gum disease are caught before they can progress.
    Gum disease is caused by plaque - the sticky, often colorless, film of bacteria that constantly forms on teeth. Dry mouth or xerostomia may also cause bad breath due to decreased salivary flow. Saliva cleans your mouth and removes particles that may cause odor. Tobacco products cause bad breath, stain teeth, reduce your ability to taste foods and irritate your gum tissues. Bad breath may also be a sign that you have a serious health problem, such as a respiratory tract infection, chronic sinusitis, postnasal drip, chronic bronchitis, diabetes, gastrointestinal disturbance, liver or kidney ailment.

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    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.

    Tonsil stones symptoms may not show if they are small, although large stones do show symptoms, including-
    [iii] Aylıkcı BU, Çolak H. Halitosis: From diagnosis to management. Journal of Natural Science, Biology, and Medicine. 2013;4(1):14-23. doi:10.4103/0976-9668.107255. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3633265/

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    Understanding the Causes of Bad Breath

    Large tonsil stones can cause swollen tonsils and give you trouble swallowing. Tonsil stones can also sometimes trigger infections.
    Bad breath, also called halitosis, can be an embarrassing problem. It can be caused by the foods one eats, dry mouth, tobacco products, or a medical disorder. Maintaining proper oral health can help reduce or eliminate bad breath. Causes of bad breath include diet, medication, poor oral hygiene, and diseases such as diabetes, GERD, gum disease, and more. Signs and symptoms may only be temporary. See a doctor for bad breath if you have: persistent dry mouth, bad sores in the mouth, pain with chewing or swallowing, white spots on the tonsils, fever, and more. There are 6 home remedy tips. Treatment for bad breath depends upon the cause. The prognosis for bad breath is generally good as bad breath is usually more of a nuisance rather than a serious medical condition.

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Tonsillectomy: It is the surgical removal of tonsils. This procedure can be done using a scalpel, laser, or Coblation device.

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Diagnosing tonsil stones and halitosis typically involves a combination of physical examination, imaging tests, and breath tests.

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[ii] Everything you need to know about bad breath, MedicalNewsToday https://www.medicalnewstoday.com/articles/166636.php

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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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