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Bad breath is often evaluated by a dentist. In addition to patient history and physical examination of the mouth, tests may be needed to diagnose the cause of bad breath, such as: Organoleptic testing: assesses the strength of bad breath Sulfide monitors to measure mouth-air volatile sulfur compound (VSC) content, which are produced by anaerobic bacteria from food debris in the mouth that cause bad breath Gas chromatography to measure VSCs X-rays of the mouth Periodontal charting if gum disease is suspected Brush and floss twice daily Mouthwash Can help kill bacteria or neutralize and mask bad breath Mouthwash is only a temporary solution Clean dentures regularly and thoroughly Keep saliva flowing Chew sugar-free gum or suck on sugar-free hard candy Eat healthy foods that require a lot of chewing, such as carrots or apples Use artificial saliva if your dentist recommends it Don’t smoke See your dentist regularly https://www.mouthhealthy.org/en/az-topics/b/bad-breath https://www.uptodate.com/contents/bad-breath?search=bad%20breath&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H2120250223 https://www.healthgrades.com/right-care/oral-health/6-surprising-causes-of-bad-breath#:~:text=A%20diet%20very%20high%20in,unpleasant%20odor%20from%20your%20mouth.&text=There%20are%20many%20types%20of,turn%20leads%20to%20bad%20breath

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Diabetes – the CDC reports that 30.3 million people have diabetes, which is 9.4% of American population[vii]. Diabetes means you have too much glucose, but the body doesn’t produce enough insulin (or at all) to regulate it. Diabetes is a potentially life-threatening disease that requires early diagnosis, control upon the symptoms and proper treatment. People with diabetes are at a higher risk of periodontal disease and bad breath is one of its many symptoms. Diabetes also contributes to halitosis due to extra ketones it produces.
After you eat, let your food digest before performing physical activity or lying down. This can allow the contents in your stomach to digest while your LES stays closed. .

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The Benefits of Drinking Water for Fresher Breath
Halitosis itself is a symptom of an underlying problem. If you feel a foul odor on your breath when you exhale, look out for the possible causes inside and outside your oral cavity. Another way to check whether your breath has an odor or not is to lick your wrist and let the saliva dry. After a few minutes, smell your wrist to figure out if you have bad breath or not. Since most of the causes arise within the oral cavity, the patient might also present with plaque deposits on the tongue and around teeth, redness and bleeding from gums, and multiple carious lesions.

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[vi] 2015 kidney disease statistics, American Kidney Fund http://www.kidneyfund.org/assets/pdf/kidney-disease-statistics.pdf

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Eating food high in fibre can help promote digestion which reduces the likelihood of acid reflux happening. Additionally, food high in fibre can keep you feeling full which may help manage weight.

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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.

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    Disclaimer- The last three remedies might not be safe for several patients. It is best to consult with the doctor first before undertaking the last three remedies.
    Many don’t know how their diet can be one of the causes of bad breath. Eating a high-protein, low-carb diet can cause your metabolism to change because protein is harder for your body to digest. They tend to release sulfurous gases when they don’t metabolize. To avoid this, eat a more balanced and nutritious diet full of vegetables and herbs.

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    When it comes to children, issues like poor oral health, dry mouth, tongue bacteria, medicines, oral infections, and mouth breathing can cause halitosis.

    People with larger tonsils are more prone to developing tonsil stones. The larger tonsils have more crevices and crypts, which can trap debris and lead to tonsil stone formation.
    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.

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    If you’re concerned about your alcohol consumption, your dental professional can help you get assistance with cutting back or quitting for good.

    It is necessary to understand the cause of halitosis to initiate treatment. Certain diseases that might present with similar features as halitosis include dehydration, diabetes mellitus, liver failure, kidney failure, bronchi or lung infection, tuberculosis, or internal bleeding.
    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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    Treatment for throat-related bad breath will depend on the underlying cause. For example, if GERD is the culprit, lifestyle changes and medication may be recommended. If sinusitis is causing bad breath, nasal irrigation and medication may be prescribed. Tonsil stones may require removal by a healthcare professional.
    In some cases, larger tonsil stones may cause difficulty swallowing or breathing. This can be particularly concerning in children or individuals with pre-existing respiratory conditions.

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As stated above, tonsils have many gaps, pits, and crevices known as tonsillar crypts. They trap viruses, bacteria, fungi, and other germs and make the immune system fight infections. Sometimes, crevices can add debris such as bacteria, food, and dead cells, leading to calcium build-up forming the stones.

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Halitosis is characterized by an unpleasant odor emanating from the mouth. It can be caused by a variety of factors, including poor oral hygiene, gum disease, and certain medical conditions. When food particles are left in the mouth, bacteria break them down and release foul-smelling gases. This is why maintaining good oral hygiene is crucial in preventing bad breath.

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In addition to brushing and flossing, tongue scraping is an often overlooked step in oral hygiene. The tongue harbors bacteria that can contribute to bad breath. Using a tongue scraper or gently brushing your tongue with your toothbrush can help remove these bacteria and freshen your breath.

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