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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
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