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Beyond Brushing and Flossing: Exploring the Lesser-Known Causes of Chronic Bad Breath

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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.
Physiological halitosis is caused by bacteria that accumulate on the upper back of the tongue, even when the person has good oral hygiene. Ingesting certain types of food, smoking, or drinking alcohol can worsen the condition and produce unpleasant odors in the mouth. .

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The Link between Halitosis and Gastrointestinal Problems
Dr. Jonathan Everett received his Doctor of Dental Surgery from the University of Washington and completed his undergraduate studies in biochemistry at Washington State University. During this time, Dr. Everett served as both the President of the American Student Dental Association chapter as well as the Student Council Vice President. As a board-member of DentPAC for the Washington State Dental Association, Dr. Everett fought to maintain the quality of dental care provided in Washington State by working with state legislators and advocating for patient-centered dentistry in Olympia.

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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.
If you suspect that your bad breath is caused by sinus issues or allergies, it is important to see a healthcare professional for an accurate diagnosis and appropriate treatment. They may recommend nasal sprays, antihistamines, or other medications to help alleviate your symptoms and improve your breath.

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Your liver is also supposed to filter out toxins. And like the kidneys, when it’s not doing its job, the result can be a toxic buildup that you can smell. The type of breath related to liver disease is called fetor hepaticus, and it’s usually described as a musty smell. If you have this type of bad breath, you need to talk to a doctor.

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Sometimes certain medications are the cause of smell or taste disorders, and improvement occurs when that medicine is stopped or changed. Although certain medications can cause chemosensory problems, others particularly anti-allergy drugs seem to improve the senses of taste and smell. Some patients, notably those with serious respiratory infections or seasonal allergies, regain their smell or taste simply by waiting for their illness to run its course. In many cases, nasal obstructions, such as polyps, can be removed to restore airflow to the receptor area and can correct the loss of smell and taste. Occasionally, chemosenses return to normal just as spontaneously as they disappeared. Quick Links News Physician Portal CME Calendar Online Orientation Careers Take Charge of Your Health Publications Pay Your Bill Vendors Foundation - Ways to Give Residency ValleyWay MyChart Institutional Review Board Practices Primary Care Offices Specialists Care Offices Walk-in Care Services Urology Cancer Heart & Vascular Women & Children Neuroscience Orthopedics Bariatric Weight Loss Program Physical Rehabilitation Other Services Patients & Visitors A Message From the Joint Commission Notice of Privacy Practices Patient Rights & Responsibilities Community Education Programs Advance Directives Support Groups Locations Cape Fear Valley Medical Center Highsmith-Rainey Specialty Hospital Rehabilitation Center Behavioral Health Care Bladen County Hospital Hoke Hospital

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    Bad breath, also called halitosis, can be an embarrassing problem. It can be caused by the foods one eats, dry mouth, tobacco products, or a medical disorder. Maintaining proper oral health can help reduce or eliminate bad breath. Causes of bad breath include diet, medication, poor oral hygiene, and diseases such as diabetes, GERD, gum disease, and more. Signs and symptoms may only be temporary. See a doctor for bad breath if you have: persistent dry mouth, bad sores in the mouth, pain with chewing or swallowing, white spots on the tonsils, fever, and more. There are 6 home remedy tips. Treatment for bad breath depends upon the cause. The prognosis for bad breath is generally good as bad breath is usually more of a nuisance rather than a serious medical condition.

    If your breath still smells bad even after brushing your teeth it may be a sign of gum disease and/or cavities. The bacteria that cause bad breath can hide in cavities in your teeth. This makes it difficult to get rid of the bacteria when you're brushing your teeth because it's hidden in places that you can't reach. Similarly, these bacteria can hide in deep pockets caused by gum disease.
    Making an appointment with a dentist like Dr. Edwards twice a year will give him the chance to learn what’s normal and what’s not when it comes to your oral health. He’ll also be able to detect any potential issues early, so that they can be treated before becoming more serious.

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    Not everyone who thinks they have bad breath, does. They misinterpret people stepping back or turning away when in real cases of halitosis this isn’t the way people tend to react. One study put this proportion at 27%.

    The first thing many people do if they suspect they have bad breath is to reach for the mouthwash. The mint or clove flavouring does of course, disguise the smell for a short time, and many mouthwashes also contain antiseptic. The idea is to eliminate the bacteria that leads to foul-smelling compounds. For a time this can work. But there has been some debate concerning containing alcohol and whether it does or doesn’t exacerbate dehydration. A very dry mouth can cause breath to smell worse.
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    Bad breath bacteria loves the back of your tongue, because it’s an area that’s often neglected, allowing the stinky stuff to multiply. Use a toothbrush or a tongue scraper to clear them all out during your morning and evening hygiene routine.

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    Here are characteristic bad breath odors associated with some of these illnesses:

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    An upper respiratory infection is a contagious infection of the structures of the upper respiratory tract, which includes the sinuses, nasal passages, pharynx, and larynx. Common causes of an upper respiratory infection include bacteria and viruses such as rhinoviruses, group A streptococci, influenza, respiratory syncytial, whooping cough, diphtheria, and Epstein-Barr. Examples of symptoms of upper respiratory infection include sneezing, sore throat, cough, fever, and nasal congestion. Treatment of upper respiratory infections are based upon the cause. Generally, viral infections are treated symptomatically with over-the-counter (OTC) medication and home remedies.

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Tonsil stones are risk-free buildup that will go away on their own. However, the duration of tonsil stones can vary from person to person. They may go away or melt on their own in a short period, or they can also stay for weeks if they are deep in the throat and bacteria continue to grow on them. Besides, if proper oral hygiene is not performed, it may last for years and lead to a more serious problem, such as tonsillitis.

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In most cases, halitosis can be treated and prevented through good oral hygiene practices and lifestyle changes. However, there are instances where bad breath may be a sign of a more serious underlying condition.

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Bacteria is usually to cause of bad breath, but there are a number of health conditions that can be a culprit as well. Bad breath may be the first warning sign to more serious problems. Postnasal drip, respiratory and tonsil infections, sinus problems, diabetes, liver and kidney issues, and certain blood disorders can be causes of bad breath. It’s rare, but bad breath can be a sign of cancer or other serious conditions like metabolic disorders.

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