Bad Breath - Any ideas?

Posted , 14 users are following.

Hello, I wondered if anyone has any insight into my condition. I would be grateful for any advice. I've suferred from bad breath for as long as I can remember (I'm 25, male). My main symptoms in addition to the bad breath include a sore throat, near-constant feeling of a lump in the throat and sour taste in the mouth 5-10 times a day in particular when swallowing. In the past I have visited several NHS ENT consultants who performed nasendoscopy (camera in nose) and said I had 'redening' and 'congestion over the posterior glottis'. One prescribed a high dose of omeprazole as he suspected it was acid reflux or LPR. The tablets helped a bit with the sore throat but not at all with the bad breath. I was on them for 6 months.

More recently I visted a private gastro consultant who after a range of tests including an gastroscopy and 24 hour pH manometry said that he thinks I have LPR. The pH monitoring showed that I have only little acid reflux but significant non-acid reflux which reaches the top of my throat. He thinks it's probably saliva mixed in with a little bit of stomach 'juice'. My lower sphincter was OK but a 'little short'. The weird thing about the tests was this it showed that I belch more often than usual and that when I do that brings up the non-acidic liquid to the top of my throat. 

He said that the LINX surgery might be of benefit to me because it aids the function of the sphincter at the bottom of the oesophogus. Also the gastrocscopy showed mild eosophogitis.

My problem is I'm not 100% convinced that the LPR is the root cause of my bad breath. I can live with the other symptoms but not the BB. I don't want to make the decision to undergo a major/expensive surgery if it is going to fix the LPR and not the BB. My main concern is that I could have 2 conditions -LPR and sinusitis for example. The sinusitis might cause the BB and the LPR has nothing to do with it. 

If it really is the LPR causing the issue how does it cause BB? I don't understand the mechanism by which it can be doing this..

Has anyone else had similar symptoms to me? Is ther another potential cause? 

Any help is appreciated

Thanks

 

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  • Posted

    Hi

    sounds to me like you have either Reflux or post nasal drop or maybe a bit of both. I have both of them. With reflux your ausophagus produces excess mucus in order to protect inself and this could result in the lump in the throat. Also post nasal drip can producethe same feeling. Sinus infections can smell somewhat and also the excess mucus can putrify in the back of the throat causing bad smells. I take Lanzoprazole for the reflux and I irrigate my sinuses every day with a nelimed irrigator. Mix 50/50 salt and baking soda. It really does clear you out especially if you do the flip and turn method. Google it. 90% of bad breath is from the VERY back of the tongue. If you have a bad taste inj your mouth then it will be coming from there. Stick your tongue out as far as you can and then put your finger to the very back and press down. If this reveals a ridge of white/yellow coted gunk then that will be it. Get a tongue scraper and give it a clean twice per day . Make it routine when brushing your teeth to brush the very back of the tongue as well. Since I followed this routine my bad breath has gone and also I now dont get tonsil stones. Lastly make sure it is not your teeth. Before I had two molers out believe me they stunk to high heaven. The first thing I noticed was my morning breath had vanished. Rub your clean finger arount every tooth and smell your finger. Also I use a probe to poke inbetween my teeth to try and find any cavities.

    This sounds a lot but now I have been to the dentist and sorted cavities out and now I only do my sinuses three times a week but still clean my tonguem twice per day. Tongue cleaning takes 20 second per day.

    Hope this helps

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    • Posted

      First of all thanks for your reply. I have been recommended the netipod before but haven't used it yet, I'll be sure to do so. You say that you have pnd, do you why you have it? I wondered if there always had to be an obvious cause? I do feel that I swallow saliva quite often but I really don't know whether I do as I have nothing to compare it against! I read today that gerd/LPR can cause excess mucous production as you mentioned. I wonder if taking drugs to reduce this might help?

      Thanks again

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  • Posted

    Hello, I also had a problem with bad breath and it turned out that I had strep throat although I showed no signs at all other than bad breath. You might wanna go to the doctor to have a throat culture to see if that might be the problem. If so, he'll give you antibiotics and they will completely cure the bad breath within a day or two, but the hardest part is maintaining after the antibiotics are gone. When I was on them, about 6 tonsil stones fell out and some were from inside my sinuses or somewhere near the roof of my mouth. After they were gone, the bad breath disappeared.Also, it may be salivary duct stones, which are simple to clear up. You just need to suck on something sour(lemon wedge) while manually massaging your salivary glands. You can look up how to do that. That has really helped with my sour tasting saliva. I'll massage the glands a few times throughout the day for a minute or two. That's something to really consider is you have a strange or itchy sensation behind your ears. It's been about two weeks since antibiotics for me and I'm doing fine with a healthy diet and probiotics. I eat a sliced up clove of raw garlic mixed into my dinners before bedtime so the garlic smell will be gone by the next afternoon(I go to school in the evenings),  I eat miso soup, organic extra virgin olive oil(not along with probiotics though because it's antibacterial, I suggest at least a few hours apart), turmeric, I've made sauerkraut, and I take Ultimateflora 30 billion count probiotics morning and night. I also drink green tea(antioxidant quality) with high quality honey so the probiotics are being fed. Fiber also feeds good bacteria. Quinoa, flax, and even benefiber are some suggestions. Grapes are also good to eat since they contain a certain chemical that inhibits the growth of some bacteria, mainly the bacteria that grow on your skin and cause acne. You wil notice smoother skin the next day after eating like 30. I also suggest therabreath toothpaste and mouthwash, they really help. Brush then scrape your tongue with mouthwash. I try not to chew gum too much because I think it makes my breath stronger by adding a scent to it. I only chew it after I eat a meal with onions or something like that. Drink lots of water to keep producing saliva. Make sure you wash behind and in your ears, and your hair very thoroughly and make sure your ears are completely dried afterwards. These are areas where bacteria and fungus flourish when they are moist and unclean. If you start getting hives or small rashes, it may just be die-off from a yeast infection so don't worry. Wash your sheets and pillowcases once every week or two to stay clean, vacuum your floors, keep the bathroom window open after showers to get rid of that moist air, basically keep a good environment to inhibit bacterial growth. If you have nasal problems, just get a prescription decongestant along with a prescription anti-inflammatory. Store-bought items just don't compare. If you have acid-reflux, keeping your posture is a good idea since it leaves more room in your stomach to prevent the acids from rising up to your esophagus. So overall, check for strep throat, take antibiotics FIRST(the key to cure your bad breath), take lots and lots probiotics SECOND, make sure the probiotics are being fed, keep good hygeine(oral and body), eat well, and keep your salivary glands active. That's how my bad breath went away.
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  • Posted

    Hey Matthew,

    I have the exact same symptoms as you do. I'm 28 and have had bb for as long as I can remember. Every morning I have a stuffy nose, bb that will stay right after eating (regardless of what - I was on several diets, histamine, dairy free, non-acid nothing worked for me) at any day time. My throat is irritated when I have conversations longer than an hour. Running nose right after eating.

    I haven't seen an ENT yet though I did a gastroscopy a couple of years ago and the doctors said there was nothing. I've had several check ups but there was nothing conspicious. I really have no clue what to do anymore but I think I've suffered enough from this BB...

    Have you taken the surgery yet?

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  • Posted

    Hi mat

    I have the same symptoms as you do. Exactly the same! I visited an ENT specialist and told him of my symptoms and he told me straight away that i have LPR. He prescribed me 40mg Pantoprazole and to go on a low carb diet. I am on the last week of the first month taking the medication and following the diet and i can truly tell that 1. My mouth feels cleaner 2.The funky acid taste in the mouth has decreased 3.I burp less 4. The 'pain' in the throat has dissapeared 5. The PND is slowly getting better- how do i know?- when i wake up in the morning and brush my tongue the mucous that accumulates on the toothbrush/scraper has decreased, basically when i brush my tongue it nolonger feels as if im just spreading mucous all over the tongue surface. However the BB hasnt dissapeared yet because i still get those nasty noserub reactions from ppl but i strongly feel as though i am close to getting rid of it, Out of all the excitement then dissapointments from coming across possible cures such as adenoidectomy, tonsilectomy, wisdom teeth extraction, DGL licorice, Turbinectomy, u name it i've done it, I feel that LPR is the strongest candidate and if we explore it (ppi- double dose for long enough, Linx, proper diet,Fundo etc etc) i believe that those whose BB is caused by LPR will start smiling forever.

     

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  • Posted

    hi Matthew72973

    How have you been, did you end up doing the Linx surgery?

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  • Posted

    OMG. i never thought of someone could ever posted any thing like this. I thought i was the only one on Earth battling with this symtom. I has Bad Breath for 4 years so far and it totally ruins my life. I wonder if anyone has Linx and does it really stop Bad Breath????!!!!! Any piece of information. plz help us!
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  • Posted

    Maybe a few tonsil  stones? Could be both too.
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  • Posted

    I just found out i have lpr and i do have bad breath. I have no sinus issues. My ent said that bad breath is caused either from your stomach up or your sinuses down. There is dr. Kaoufman who recommends avoiding acid foods to treat lpr because the acid reacts with pepsin. Also gargle with water with baking soda. I am also recommended by ent to take omperazole and zantac at night for a month and then steam twice a day and using saline spray. I am also going to follow the diet which dr koufman recommends and hopefully all these things work.

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