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4. Freshening agents: Toothpastes that contain ingredients like baking soda or menthol can help freshen breath and leave your mouth feeling clean and refreshed.

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Digestive issues can also contribute to bad breath. When the digestive system is not functioning properly, it can lead to the buildup of gases in the stomach and intestines, which can then be released through the mouth, causing halitosis. Common gastrointestinal problems that can lead to bad breath include acid reflux, gastritis, and constipation.
The commonalities between these causes are that the salivary glands are negatively affected, inhibiting the production of saliva. Saliva keeps the mouth moist and washes away any food particles or bacteria from the surface of the teeth. Without the presence of saliva, bacteria or food stays on the surface of the teeth and can start to produce an odour. .

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By maintaining good oral hygiene and making healthy lifestyle choices, individuals can improve their overall oral health and prevent bad breath.
Accumulation of food debris in the oral cavityDental malpositionsPeriodontal diseases, such as gingivitis or periodontitisPhlegmonTooth decayFixed dentures or orthodontic appliancesXerostomia, commonly known as dry mouthIngestion of coffee, alcohol and tobacco

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It is believed to be made of a material known as biofilm that comprises a collection of microorganisms on the surface. The film combines mouth bacteria and fungi that attach to a moist surface. When the material hardens within the tonsils, plaque is formed.

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    Tonsil stones are small formations that develop in pockets within the tonsils. When you look in your mouth, you may see the white or yellow formations that are causing your breath to change for the worse. Tonsil stones are not growths. They typically don’t pose a health concern. They are more of a nuisance that can create mild discomfort depending on size (stones can range from the size of a grain of rice to a grape).

    To manage gastrointestinal-related bad breath, it is important to address the underlying digestive issues. This may involve making dietary changes, such as avoiding trigger foods or eating smaller, more frequent meals. It is also recommended to seek medical advice from a healthcare professional to determine the best course of treatment for your specific condition.
    What we eat can also have a significant impact on our breath. Certain foods and drinks can cause bad breath due to their strong odors or because they are broken down by bacteria in the mouth. Foods such as garlic, onions, and spicy foods are notorious for causing halitosis. Additionally, beverages like coffee and alcohol can also contribute to bad breath.

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    Cough: You might discover that you have a tonsil stone when you cough. Coughing with some energy may help in loosening the stone.

    Most causes of bad breath are due to inadequate oral hygiene and are rarely life-threatening. If good oral hygiene practices do not eliminate bad breath, see a dental professional. In most cases, a dentist can treat the cause of bad breath. persistent dry mouth, sores in the mouth, pain with chewing or swallowing, white spots on the tonsils, fever, any other symptoms of concern.
    Saliva helps displace bacteria in the mouth that causes bad odors. When you have dry mouth, odor-causing bacteria is not washed away by saliva, resulting in bad breath. This is why most people have "morning breath;" your saliva production decreases when you are sleeping causing dry mouth and bad breath.

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    Regular dental check-ups and good oral hygiene practices are essential for preventing gum disease and tooth decay. Brushing your teeth twice a day, flossing daily, and using mouthwash can help remove bacteria and food particles from the mouth and prevent bad breath.

    Dry mouth, also known as xerostomia, occurs when there is not enough saliva in the mouth. Saliva plays a crucial role in maintaining oral health by washing away bacteria and food particles that can cause bad breath. When there is a lack of saliva, these bacteria and particles can accumulate in the mouth, leading to bad breath.
    If your bad breath is a short-term problem, it only requires a short-term solution! But even long-term halitosis sufferers can often find some measure of relief in these quick fixes, such as:

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    To use parsley for fresh breath, simply chew on a few sprigs of fresh parsley after meals or whenever you need to freshen your breath. You can also make a parsley tea by steeping a handful of fresh parsley in a cup of hot water for 5-10 minutes. Strain the tea and let it cool down to a comfortable temperature. Drink the tea slowly, swishing it around in your mouth before swallowing.

    Using tobacco products will most certainly cause a bad breath and treatment would be to stop smoking when you are ready. Talk to your doctor for advice and support.
    After you remove your tonsil stones, it’s crucial to treat the area with vinegar, peroxide, or saltwater for several days.

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Diet and Tonsil Stones: Foods to Avoid and Foods to Eat

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So, if you have terrible, incurably bad-smelling breath that you can’t get rid of through brushing, you just might have a tonsil stone.

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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.

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If proper oral hygiene does not get rid of bad breath, see a dentist or doctor for a diagnosis if bad breath is accompanied by the following: Persistent dry mouth Sores in the mouth Pain or difficulty with chewing or swallowing Broken teeth or dental pain White spots on the tonsils Fever or fatigue

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