How to get rid of chronic bad breath?

Question

Hello doctor,

I have been suffering from bad breath for a very long time. I consulted a dentist three to four months back and she told me that my teeth are fine and there is nothing wrong. But I feel I have this bad breath all the time, even if I brush twice a day. I tried using mouthwash as suggested but it is of no use. I am not sure what the issue is and I feel the white coating on my tongue appears within an hour of brushing. Could you please help me with this bad breath issue? Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I am here to answer your queries.

I will help you out. But before that, I would like to see the status of your teeth and tongue. Kindly upload an image as it will help me find what other dentists have missed out. I will be waiting for the image. Kindly do not use flash so as to keep the colors natural. Coating over the tongue is due to food layer deposition after you eat or drink anything.

Kindly let me know if you have had acidity or GERD (gastroesophageal reflux disease). These issues need to be ruled out first. Kindly avoid being on an empty stomach. A fall in the pH of the mouth also leads to an acidic smell. Avoid sulfur-rich foods such as eggs. They create a sulfur smell that might lead to bad breath. I advise chewing sugar-free chewing gum. Eat some snacks or biscuits in short intervals to avoid being on an empty stomach.

If acidity is an issue, try Mucaine gel (antacid). Use a tongue scraper every time you brush. Brush twice gently using a soft brush. Use a good toothpaste. Your reply will be the key to my diagnosis. Kindly read and answer me so that I can decide what is exactly causing the bad breath issue.

I hope this helps.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Glad to have you back.

I went through both images (attachment removed to protect the patient's identity). The tooth looks fine. There is nothing to worry about. Kindly follow the previous advice. Acid reflux is causing the bad smell. Kindly avoid being on an empty stomach. A fall in the pH of the mouth can also lead to an acidic smell. Avoid sulfur-rich foods such as eggs, as they create a sulfur smell that might lead to bad breath. I advise chewing sugar-free chewing gum.

Eat some snacks or biscuits in short intervals to avoid being on an empty stomach. If acidity is an issue, try Mucaine gel (antacid). Brush twice gently with a soft brush. Follow these, and you will be fine.

I wish you good health.

Thank you.