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Suggest Treatment For Bad Breath

Posted on Tue, 28 Oct 2014

Question: Hi Doctor,

I have a problem of bad breath; it’s been growing worse on time. I have consulted a doctor a year back and he asked me take scan to check for Sinus. In the reports it was clear that I did not have any major sinus issues. Also I have followed the prescription given by the doctor (drops for nose) which also did not help the cause. It’s like even after brushing and floss and even I use tongue cleaner it's the same.

Please suggest.

Answered by Dr. Hariom Sharma (28 hours later)

Brief Answer:
Need some more information.

Detailed Answer:
Hi,

Thank you for your query.

According to you, you have a problem of bad breath since many years and consulted a doctor year back for same and also have a CT scan PNS without major problem.

Your age is 25 year and male.

For the near possible diagnosis , I need the answer of the some questions-->
Have you any dental/ gum disease?
Have you habit of smoking/drinking/chewing tobacco?
Have you dry mouth(Xerostimia)?
Have you acid refux/burning sensation in throat?
Have you any history of liver,kidney,respiratory and diabetes disease?

Please give me the answer of these question for better diagnosis.

Regards,

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Hariom Sharma (1 hour later)

Thanks so much for the response.

Below are the details that you have asked for,

Have you any dental/ gum disease?
--No I dont have any dental/gum disease.

Have you habit of smoking/drinking/chewing tobacco?
--I dont smoke or chew tobacco.

Have you dry mouth(Xerostimia)?Have you acid refux/burning sensation in throat?
--No, I drink lots of water at home and as well at office. Also no burning sensation in throat.

Have you any history of liver,kidney,respiratory and diabetes disease?
--No.

let me know if you need any other details. If you want me to XXXXXXX you in person, I can do that as well.

Thanks Again.

Answered by Dr. Hariom Sharma (3 hours later)

Brief Answer:
Halitrophobia

Detailed Answer:
Hello,

Thanks for your follow up query.

These all symptom suggestive that you are probably suffering from Halitrophobia. You have bad breath which as to be assessed, but you have not asked anyone for an objective opinion.

If you are confident then you may go for some test for bad breath such as--->

Organoleptic measurements- Gold standard test for the bad breath.
Halimeter-
Gas chromatography-
BANA test-
β-galactosidase test

If you have any doubt, I will be available for your query.

Regards,

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Hariom Sharma (4 hours later)

Thanks doctor.

I am confident that I have bad breath and it was also confirmed by close friends and the doctor whom I visited a year back.

As you have mentioned I need to take all those tests. Could you please suggest which doctor to consult here? ENT specialist would be fine? or should I visit a dentist for all those checkups?
Also, please let me know if I can do anything from my side to avoid bad breath. It's really embarrasing when I talk to someone.

Answered by Dr. Hariom Sharma (10 hours later)

Brief Answer:
Consult ENT specialist

Detailed Answer:
Hello,
Thanks for follow up query
As you are confident that you have bad breath and it was also confirmed by your close friends and the doctor whom you visited a year back.
Then it is necessary to go for above mentioned test for further management under the guidance of ENT specialist.
I personally advised some supportive management to bad breath such as-->
Probiotic treatments- to suppress malodorous bacteria growth.
Chewing gum- containing Xylitol.
Gargling before bedtime with an effective antiseptic mouthwash.
Maintaining proper oral hygiene by daily tongue cleaning, brushing, flossing.

If you have any doubt, I will be available for your query.
Regards.

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Hariom Sharma (1 hour later)

Thanks very much. I will contact that doctor and will let you know for any queries.

Thanks Again..!!

Answered by Dr. Hariom Sharma (6 minutes later)

Hello,
Thanks for follow up,
I am waiting for your query.
Wish you good health.
Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Hariom Sharma (2 days later)

Hi Doctor,

As per you suggestion I have visited Dr. Vinnakota Sriprakash MS ENTSpecialist ENT Head & Neck Micro Surgeon.

He did some Nose endoscopy and throat endoscopy and it was all fine. So he ruled the cause of due to ENT. He asked me to consult and gastroenterologist for further diagnostics.

I will probably visit a gastroenterologist this week and update you the findings.

Thanks..!!

Answered by Dr. Hariom Sharma (4 hours later)

Brief Answer:
Waiting for update information

Detailed Answer:
Hello,
Thanks for follow up
I am waiting for your update information (after gastroenterologist check up).

Wish you good health.
Regards

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj