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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.

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On the contrary, pathologic halitosis is caused by oral diseases that promote the growth of bacteria, leading to chronic bad breath. Although other factors may also contribute, periodontal diseases, such as gingivitis or periodontitis, are the most common oral diseases that are pathological causes of halitosis. .

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Causes of halitosis can originate either inside or outside your mouth. A person with poor oral hygiene maintenance has a higher chance of halitosis than who regularly brushes. Common causes include gingivitis, periodontitis, dental caries, excessive plaque accumulation on teeth and tongue, pericoronitis, or oral ulcers. Food substances having a strong, pungent smell are another common cause. Frequent smoking, alcohol, or caffeine intake results in temporary bad breath. Any diseases or medications that cause dryness of the oral cavity are another contributing factor. Outside the oral cavity, inflammation of the tonsils or sinuses is another important factor that affects the quality of breath. Gastric diseases, especially gastroesophageal reflux, are another cause of halitosis.
Apple cider vinegar is another natural remedy that can help freshen breath. It has antimicrobial properties that can help kill the bacteria responsible for bad breath.

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Bad breath can also be caused by poor dental hygiene, as it enables the buildup of food particles in the mouth and creates an environment that fosters the growth of bacteria on the teeth and tongue, both of which can lead to bad breath.
Tonsil stones are an embarrassing problem. They can cause tons of discomfort, and they are hard to get rid of. It's also difficult to find tonsil stones treatments that will actually work for... link to How Quickly Tonsil Stones Can Form (and How To Prevent Them)

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Understanding the Causes of Bad Breath

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How to Detect and Diagnose Halitosis Symptoms

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    Oral health, especially dental issues happen to be the main troublemaker when it comes to halitosis.

    Dr. Birch and his team were great! I had a really good overall experience at Premier Family Dental Care. They were... courteous, caring, and thorough. Chloe and Mackenzie do a wonderful job at the front desk, Christian was patient and made me feel comfortable with the x-ray process, and Stacey is an excellent dental hygienist. From the time I called to make an initial appointment for check-up/x-rays to the second appointment for cleaning, they were all top-notch. I would highly recommend Dr. Birch for those considering a dentist in the East Valley. He is knowledgeable, professional and listens to you!read more
    There are two types of halitosis or bad breath, which can vary depending on the cause. In the following sections, we will define each type and highlight their differences.

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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.
    Halitosis, or bad breath, is a common symptom of tonsil stones. The stones themselves do not have a strong odor, but they can release volatile sulfur compounds when they interact with bacteria in the mouth. These compounds have a foul smell and can cause persistent bad breath.

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    Smoking and alcohol consumption are two habits that can contribute to bad breath. Smoking not only leaves a distinct odor on the breath but also dries out the mouth. This creates an ideal environment for bacteria to thrive and can lead to chronic bad breath.

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    Sore throat (throat pain) usually is described as pain or discomfort in the throat area. A sore throat may be caused by bacterial infections, viral infections, toxins, irritants, trauma, or injury to the throat area. Common symptoms of a sore throat include a fever, cough, runny nose, hoarseness, earaches, sneezing, and body aches. Home remedies for a sore throat include warm soothing liquids and throat lozenges. OTC remedies for a sore throat include OTC pain relievers such as ibuprofen or acetaminophen. Antibiotics may be necessary for some cases of sore throat.

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    Another way that alcohol can lead to bad breath is by changing the makeup of bacteria in your mouth. A study published in Microbiome found that people who drank the most were more likely to have bacteria in their mouths that contributed to bad breath.
    Choosing the right toothpaste is important in fighting halitosis. Here are some ingredients to look for in a toothpaste:

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Most of the time, the most effective way to treat bad breath is by practicing good oral hygiene.

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Alcohol is pretty drying, which is why people often feel as if they need to drink a gallon (or two) of water after a night out. The drying effects of alcohol can also contribute to bad breath.

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It can be difficult to determine if your breath smells bad, as we become accustomed to our own odors. However, there are a few ways to test your breath. One method is to lick the back of your hand and let it dry for a few seconds. Then, smell your hand. If there is an unpleasant odor, it may indicate that your breath smells bad.

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