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The definition of bad breath, or halitosis, is an unpleasant smell coming from the mouth. Halitosis can occur on occasion, or it can be a chronic condition. It may be caused by foods a person eats, poor oral hygiene, diseases, or other factors. .

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Cigarette smoke has a very strong odor, so it should be little surprise that it’s a common cause of bad breath. Cigarettes and other tobacco products can also increase your risk of gum and bone disease, which can also contribute to bad breath.
Manual tonsil stone removal at home is generally not recommended. Tonsils are delicate tissues, and removing them on your own may cause bleeding and infection. Salt-water gargle: This may help dislodge tonsil stones and get rid of the odor and bad breath they cause. Coughing: Tonsil stones are often coughed up inadvertently. In some cases, a hard cough may help dislodge them. Oral irrigation: Oral irrigators can sometimes be used to gently shoot water into the back of the mouth in an attempt to dislodge the tonsil stones. Follow instructions and use caution because it is possible to injure the tonsils if it is not done gently. Tonsil stones may dislodge or dissolve on their own in a short time. Tonsil stones may last for weeks if bacteria continue to grow on the tonsils due to tonsil stones deep in the throat. If tonsil stones are ignored and left in place without lifestyle changes, they may last for years. The only surefire way to cure tonsil stones and prevent any recurrence is to have the tonsils removed (tonsillectomy). Maintain good oral hygiene: Brush and floss regularly; consider using a tongue scraper to remove bacteria. Gargle regularly with mouthwash or saltwater solution. Drink plenty of water. Quit smoking. Avoid excess alcohol. Reduce consumption of carbonated beverages such as sodas. Treat sinus infections or allergy symptoms promptly. Limit dairy products. American Academy of Otolaryngology. Tonsils and Adenoids. 2019. October 2019. Busaba, Nicholas and Shira Doron. Tonsillectomy in adults: Indications. Sept. 24, 2019. October 2019.

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Dietary Changes to Combat Halitosis: Foods to Avoid and Foods to Eat
Bad breath in smokers is caused by the tobacco itself—the lungs retain a measure of the tobacco smoke for a while after the cigarette has been extinguished and these chemicals remain in the mouth, making a greater case for halitosis.

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Certain foods and drinks can also contribute to bad breath. Foods like garlic and onions contain volatile compounds that are absorbed into the bloodstream and then exhaled through the lungs. Coffee and alcohol can also dry out the mouth, leading to a decrease in saliva production and an increase in bacteria growth.

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Chewing sugar-free gum can help stimulate saliva production and promote fresher breath. Saliva plays a crucial role in washing away bacteria and food particles, so an increase in saliva can help reduce the likelihood of bad breath.

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    - Fresh fruits and vegetables: Crunchy fruits and vegetables like apples, carrots, and celery can help stimulate saliva production, which can help wash away bacteria and freshen your breath.

    There are numerous causes of bad breath. Many causes are harmless, but some conditions that can cause bad breath can be serious. Causes of bad breath include: Bacteria in the mouth Dry mouth Gum disease Food Smoking and tobacco use Certain medical conditions Sinus condition Gastric reflux (GERD) Diabetes Liver or kidney disease Acute rheumatic fever Lung abscess Blood dyscrasias Uremia Diphtheria, dysentery, measles, pneumonia, scarlet fever, tuberculosis Syphilis Hand-Schuller-Christian disease Scurvy Wegner`s granulomatosis Dry mouth When people are stressed, their mouth often gets dry Alcohol and caffeine — which people may consume when stressed — are diuretics that can contribute to dry mouth Without adequate saliva, bacteria can build up Poor eating When people are stressed, they may eat foods that can cause bad breath (foods high in sugar can cause bad breath) Smoking and tobacco use When people are stressed, they may tend to smoke or use tobacco, which can also cause bad breath and oral health problems Acid reflux Stress can aggravate GERD, which can result in bad breath Bad breath (halitosis) is an embarrassing problem of undesirable odor coming from the mouth. An estimated 65% of Americans have had bad breath and many people are not aware they have it.
    Over-the-Counter Products for Managing Throat-Related Bad Breath

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    Another great way you can try to remove them is you start using mouthwash in the morning and right after you eat before bed. This way any food particles stuck in there loosen up or just fall right out. Another thing you can do is gargle with some warm salt water. This is a great way to make loose tonsil stones fall right out of your tonsils and of course, you just spit them into the sink. You suggest grabbing some luke warm water and add enough salt that it is useful but not super unpleasant to have in your mouth. Then gargle to try to knock the bacteria out. You can do this as many times as you want but we recommend three times.

    But your tonsils don’t always do their job well. For some people, they’re more trouble than help. Research suggests that people who have their tonsils removed are no more likely to get bacterial or viral infections than people with who keep their tonsils.
    Tonsil stone treatment is not always needed. Stones frequently either dissolve on their own or are coughed up.

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    Tonsil stones (also called tonsilloliths) form when bacteria and mucus get trapped and calcify in your tonsils' nooks and crannies, leaving a hard piece of matter and a bad taste in your throat. See a picture of Tonsil Stones and learn more about the health topic.

    Halitosis is caused by oral bacteria trapped in your mouth for an extended time. The key to dealing with it is treating the root of the problem – removing the source of the odor. Most over-the-counter remedies such as mouthwash, mints and gum only mask the problem.
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    Seeking support from healthcare professionals and loved ones is important in managing the physical and emotional impact of tonsil stones and halitosis. Healthcare professionals can provide guidance on treatment options and offer reassurance. Loved ones can provide emotional support and understanding.
    The Hidden Health Risks of Halitosis: Understanding the Underlying Causes

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After oral hygiene issues, stomach-related problems happen to be the second most reported cause behind foul smells in the mouth.

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Your dentist may treat the gum disease. Or they may refer you to an oral specialist (periodontist). Cleaning by a periodontist often helps to remove the bacteria, tartar, and plaque that have built up. This will ease the inflammation at the gum line.

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In addition to plaque on the teeth, it can also accumulate in the deep grooves and pits on the tongue. For this reason, many people also need to add tongue cleaning to their oral hygiene routines.

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Certain strains of probiotics, such as Streptococcus salivarius K12 and Lactobacillus salivarius, have been shown to reduce the levels of harmful bacteria in the mouth and improve breath odor. These probiotics can be found in certain oral health products, such as lozenges or mouthwashes.

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