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Bad Breath







Halitosis, breath odor

  • This is an unpleasant, malodorous, or offensive breath odor.  Sometimes it is caused by an underlying medical condition or diet.  Most often, the cause is unknown.

  • Poor dental hygiene
  • Cavities/impacted or infected tooth
  • Alcoholism
  • Smoking
  • Gum disease
  • Sinusitis
  • Bronchiectasis (a lung disease)
  • Lung Infections
  • Foreign bodies in nose
  • Some medications (e.g., Paraldehyde, Insulin, Triamterene)
  • Vitamin supplements
  • Foods (e.g., onions, garlic)
  • Bowel obstruction
  • Kidney failure
  • Diabetes
  • Esophageal Cancer
  • Stomach Cancer
  • Throat infection
  • Zenker's Diverticulum

  • Doctor needs to check for underlying cause if it exists
  • Tests include sinus X-Rays, chest radiographs, throat cultures, and endoscopy may be done.
  • Referral to an ear, nose, and throat (ENT) physician, or a dentist may be necessary.
  • A halimeter is occasionally used to measure levels of volatile sulfur compounds responsible for bad breath.

  • Proper dental hygiene (flossing).
  • Discontinue smoking
  • Avoid mouthwashes that contain alcohol, because they can dry the mouth and make the odor worse.
  • Drink plenty of fluids
  • Antibiotics are prescribed if bacterial overgrowth or infection is identified.
  • Proper brushing
  • Using a tongue scrapper will help
  • Teeth extraction (if infected)
  • Abscess drainage may be needed
  • Parsley or strong mints temporarily improve bad breath.
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