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.
If your dentist has ruled out any oral problems that might cause a chronic bad breath, it is best to see you doctor for an evaluation too. This may indicate infection somewhere else in your body and can be a sign of a range of conditions like diabetes, strep throat, tonsilitis, respiratory tract infections, bronchitis, chronic sinusitis, HIV, digestive system ailments such as ref-lux or liver and kidney problems.
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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.
How to Detect and Diagnose Halitosis Symptoms
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.
The Risks of Ignoring Tonsil Stones and Halitosis
Other symptoms of tonsil stones may include sore throat, difficulty swallowing, ear pain, and a persistent cough. Some people may also experience a sensation of something stuck in the back of their throat.
To carry out a proper diagnosis to combat halitosis or bad breath, several fundamental aspects are taken into account: health status, lifestyle, oral situation and hygiene habits.
The tonsils are lymph nodes located at the back of the throat. Tonsil stones (also called tonsilloliths or tonsil calculi) are small clusters of calcifications or stones that form in the craters (crypts) of the tonsils. Tonsil stones are hard and appear as white or yellowish formations on the tonsils. They usually smell bad (and make your breath smell bad) due to bacteria.
At times, tooth extraction, dental implant, incorrectly fitted dental fixtures, wrongly performed root-canal surgery, and incomplete tooth extraction can also result in a foul smell. So, it is advisable to visit your dentist first for a check-up. Medical professionals should be approached only when advised to do so by a dental care expert.
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.
Halitosis and Gum Disease: How to Treat and Prevent
At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new directions your provider gives you.
Dry mouth is one of the leading causes of halitosis and can be the result of stress, medications, radiation or chemotherapy, tobacco or recreational drug use, and autoimmune diseases such as Sjorgren’s syndrome.
The most common cause of chronic severe bad breath is a dental infection. We do not mean a simple overgrowth of oral bacteria due to a buildup of plaque. That is what we discussed in the previous section. We mean an active dental disease, like decay (cavities) or gum disease.