What should I do if I have bad breath and my stomach is often grunting?
1. Abnormal peristalsis of the intestine is not directly related to bad breath.
2. 80% to 90% of bad breath is the problem of the oral cavity itself, not brushing the teeth cleanly, or periodontal disease.
3. Improve the oral environment first and pay attention to oral hygiene. It is recommended to clean the tooth coating while brushing your teeth in the morning and evening, and visit the dental clinic at least once a year for cleaning. If the bad breath still does not improve, go to rule out other pathological conditions that may cause bad breath.
4. Ruling out physiological bad breath problems. Physiological bad breath usually occurs in the morning when saliva production is relatively low. It disappears after brushing, flossing, and drinking plenty of water.
5. Pathological bad breath needs to be diagnosed in a hospital. Pathological bad breath is usually associated with diseases of the oral and nasal cavities, such as gingivitis, sinusitis, tonsil stones, etc. Only 3% of pathological halitosis may be related to digestive tract diseases, usually seen in gastric fistulas. There are also systemic diseases that can cause bad breath, such as diabetic ketoacidosis, advanced liver disease, etc.
6. Frequent gurgling of the bowels is usually associated with dietary or gastrointestinal disorders. If there are no other symptoms and no other gastrointestinal disorders, it can be ignored.
7. If the gastrointestinal motility is often abnormal, and there are familial intestinal polyps, intestinal cancer, or long-term blood in the stool, mucus in the stool, and alternating constipation and diarrhea in the stool, you should be alerted. In such cases, a colonoscopy is recommended.
8. At present, there is no clear evidence in the medical community that Helicobacter pylori infection and gastroesophageal reflux disease can cause bad breath. There is a lot of information on the Internet that gastroesophageal reflux can cause bad breath, but there is no scientific basis for this.
Bad Breath Causes
Most bad breath starts in your mouth, and there are many possible causes. They include:
- Food. The breakdown of food particles in and around your teeth can increase bacteria and cause a foul odor. Eating certain foods, such as onions, garlic, and spices, also can cause bad breath. After you digest these foods, they enter your bloodstream, are carried to your lungs, and affect your breath.
- Tobacco products. Smoking causes an unpleasant mouth odor. Smokers and oral tobacco users are also more likely to have gum disease, another source of bad breath.
- Poor dental hygiene. If you don’t brush and floss daily, food particles remain in your mouth, causing bad breath. A colorless, sticky film of bacteria (plaque) forms on your teeth. If not brushed away, plaque can irritate your gums and eventually form plaque-filled pockets between your teeth and gums (periodontitis). Your tongue also can trap bacteria that produce odors. Dentures that aren’t cleaned regularly or don’t fit properly can harbor odor-causing bacteria and food particles.
- Dry mouth. Saliva helps cleanse your mouth, removing particles that cause bad odors. A condition called dry mouth or xerostomia can contribute to bad breath because the production of saliva is decreased. Dry mouth naturally occurs during sleep, leading to “morning breath,” and it worsens if you sleep with your mouth open. Chronic dry mouth can be caused by a problem with your salivary glands and some diseases.
- Medications. Some medications can indirectly produce bad breath by contributing to dry mouth. Others can be broken down in the body to release chemicals that can be carried on your breath.
- Infections in your mouth. Bad breath can be caused by surgical wounds after oral surgery, such as tooth removal, or as a result of tooth decay, gum disease, or mouth sores.
- Other mouths, nose, and throat conditions. Bad breath can occasionally stem from small stones that form in the tonsils and are covered with bacteria that produce odor. Infections or chronic inflammation in the nose, sinuses, or throat, which can contribute to postnasal drip, also can cause bad breath.
- Other causes. Diseases, such as some cancers, and conditions such as metabolic disorders, can cause a distinctive breath odor as a result of the chemicals they produce. Chronic reflux of stomach acids (gastroesophageal reflux disease, or GERD) can be associated with bad breath. Bad breath in young children can be caused by a foreign body, such as a piece of food, lodged in a nostril.
Bad Breath Treatment
To reduce bad breath, help avoid cavities and lower your risk of gum disease, consistently practice good oral hygiene. Further treatment for bad breath can vary, depending on the cause. If your bad breath is thought to be caused by an underlying health condition, your dentist will likely refer you to your primary care provider.
For causes related to oral health, your dentist will work with you to help you better control that condition. Dental measures may include:
- Mouth rinses and toothpaste. If your bad breath is due to a buildup of bacteria (plaque) on your teeth, your dentist may recommend a mouth rinse that kills the bacteria. Your dentist may also recommend a toothpaste that contains an antibacterial agent to kill the bacteria that cause plaque buildup.
- Treatment of dental disease. If you have gum disease, you may be referred to a gum specialist (periodontist). Gum disease can cause gums to pull away from your teeth, leaving deep pockets that fill with odor-causing bacteria. Sometimes only professional cleaning removes these bacteria. Your dentist might also recommend replacing faulty tooth restorations, a breeding ground for bacteria.
To reduce or prevent bad breath (lifestyle and home remedies):
- Brush your teeth after you eat. Keep a toothbrush at work to use after eating. Brush using fluoride-containing toothpaste at least twice a day, especially after meals. Toothpaste with antibacterial properties has been shown to reduce bad breath odors.
- Floss at least once a day. Proper flossing removes food particles and plaque from between your teeth, helping to control bad breath.
- Brush your tongue. Your tongue harbors bacteria, so carefully brushing it may reduce odors. People who have a coated tongue from a significant overgrowth of bacteria (from smoking or dry mouth, for example) may benefit from using a tongue scraper. Or use a toothbrush that has a built-in tongue cleaner.
- Clean dentures or dental appliances. If you wear a bridge or a denture, clean it thoroughly at least once a day or as directed by your dentist. If you have a dental retainer or mouth guard, clean it each time before you put it in your mouth. Your dentist can recommend the best cleaning product.
- Avoid dry mouth. To keep your mouth moist, avoid tobacco and drink plenty of water — not coffee, soft drinks, or alcohol, which can lead to a drier mouth. Chew gum or suck on candy (preferably sugarless) to stimulate saliva. For chronic dry mouth, your dentist or physician may prescribe an artificial saliva preparation or an oral medication that stimulates the flow of saliva.
- Adjust your diet. Avoid foods such as onions and garlic that can cause bad breath. Eating a lot of sugary foods is also linked with bad breath.
- Regularly get a new toothbrush. Change your toothbrush when it becomes frayed, about every three to four months, and choose a soft-bristled toothbrush.
- Schedule regular dental checkups. See your dentist regularly — generally twice a year — to have your teeth or dentures examined and cleaned.