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If your bad breath smells like ammonia, it could be a sign that you may have kidney disease. The kidneys filter out and remove waste and toxins – such as urea, which breaks down into ammonia – from the body through urination. Kidneys also regulate blood pressure and control red blood cell production.

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Diagnosing tonsil stones and halitosis typically involves a combination of physical examination, imaging tests, and breath tests.
Using a mouthwash can be an effective way to freshen your breath and kill bacteria in your mouth. There are many mouthwashes available on the market, but not all are created equal. Here are five top-rated mouthwashes for fresh breath: .

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Bad breath may also be caused by medications you are taking, including central nervous system agents, anti-Parkinson drugs, antihistamines/decongestants, anti-psychotics, anti-cholinergics, narcotics, anti-hypertensives, and anti-depressants.
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Gum, mints, and other quick fixes are just temporary solutions to occasional bad breath. If you’re dealing with true halitosis due to decay, illness, or any other reason, you shouldn’t stop at simply masking the problem. Dr. Edwards is an experienced dentist with over thirty years of experience treating families in Memphis and the surrounding areas. If you suffer from halitosis, we encourage you to schedule an appointment with him at our East Memphis or Midtown office to find out the underlying cause of the problem. Once we know what the issue is, we can offer a variety of treatment options to get rid of your chronic bad breath for good!
Academy of General Dentistry: "What is Halitosis?" "Does a Smaller Waist Mean Smelly Breath?"

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To keep saliva flowing and rinsing your mouth naturally, eat healthy, fibrous foods such as carrots, apples, and celery. Not only will the chewing action increase saliva production, the fibers will also act as a natural toothbrush, cleaning your teeth as you eat.

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[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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    Saliva helps to control the levels of bacteria in your mouth. When your body doesn’t produce enough saliva, odor-causing bacteria can thrive.

    If we believe that your bad breath originates elsewhere in the body, we will work with your primary care physician to help you find the right solution for fresh breath.
    Let’s get one thing straight right off the bat: no one is claiming that Listerine invented bad breath. Human mouths have stunk for millennia, and there are ancient breath freshening solutions to prove it. But, as Esther Inglis-Arkell writes at io9, in more modern days, advertisements for Listerine transformed halitosis from a bothersome personal imperfection into an embarrassing medical condition that urgently required treatment. Treatment that—conveniently—the company wanted to sell.

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    I went to this location for a second opinion on some work I have to have done regarding upcoming cancer treatment. I... was treated with honesty, respect, and a empathy for why I was there. The treatment plan was inclusive of work that wasn't included in the plan from the first office I visited. I was so pleased with how I was dealt with, I'm trying to get my wife to see them.read more

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    It is true that in a small percentage of cases bad breath is caused by a problem elsewhere in the body such as the ear, nose and throat, kidneys, lungs or intestines, but when this does happen it’s unusual for halitosis to be the only symptom.

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    If the cause of your halitosis is related to an oral pathology, your dentist should carry out a treatment as a cure for the condition and to stop the bad breath. If the problem is related to dental malposition, an orthodontist must determine the cause and the most appropriate orthodontic treatment for the bad breath.

    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.
    Beverages such as coffee and alcohol can also contribute to bad breath. Coffee can leave a strong odor on the breath due to its strong aroma. Alcohol can dry out the mouth, reducing saliva production and promoting bacterial growth.

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    A large number of ketones in the body can cause bad breath that may smell sweet, or similar to acetone (a type of ketone) which is commonly found in nail polish remover. Diabetics are at risk of diabetic ketoacidosis (DKA), which is when ketones rise to unsafe levels.

    Regular dental check-ups also provide an opportunity for education and guidance on proper oral hygiene practices. Dentists can provide personalized recommendations for preventing tonsil stones and bad breath based on an individual's specific needs.
    Diet and Tonsil Stones: Foods to Avoid and Foods to Eat

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Bring someone with you to help you ask questions and remember what your provider tells you.

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Problems with these senses have a big impact on our lives. Smell and taste contribute to our enjoyment of life by stimulating a desire to eat – which not only nourishes our bodies, but also enhances our social activities. When smell and taste become impaired, we eat poorly, socialize less, and feel worse. Smell and taste warn us of dangers, such as fire, poisonous fumes, and spoiled food. Loss of the sense of smell may indicate sinus disease, growths in the nasal passages, or, at times, brain tumors.

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On the contrary, pathologic halitosis is caused by oral diseases that promote the growth of bacteria, leading to chronic bad breath. Although other factors may also contribute, periodontal diseases, such as gingivitis or periodontitis, are the most common oral diseases that are pathological causes of halitosis.

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