What causes bad breath even after brushing?

Bad breath is a common problem almost everyone experiences at some point but for patients with chronic halitosis, the bad breath persists after brushing. Below are some problems that cause chronic bad breath along with possible treatment options.

Poor Oral Hygiene and Gum Disease

Oral hygiene is the easiest way to prevent bad breath. Without proper brushing and flossing, bacteria accumulates on the surface of your teeth and in between teeth and causes bad breath. Poor oral hygiene also leads to gum disease when the bacteria buildup causes sticky plaque and tartar to invade and irritate your gum tissue.

Flossing removes food particles that can become stuck between your teeth and cause bad breath. It’s important to also brush at least twice a day with a soft bristled toothbrush to clean the surfaces of your teeth and your tongue.

Sinus and Respiratory Infections

Colds, strep throat, bronchitis, and sinus infections can all cause bad breath. Bacteria in your nose and throat can make your breath have an unpleasant odor. Your doctor can prescribe an antibiotic to treat the infection.

Ketoacidosis in Diabetic Patients

Ketoacidosis is a medical emergency that occurs in patients with type one diabetes and can cause the patient’s breath to smell like feces due to vomiting or a dry mouth. Ketoacidosis happens when the body produces a high level of ketones which are acids in the blood and requires immediate medical attention and hospitalization.

Treatment will include insulin therapy, fluid and electrolyte replacement impossible antibiotics if an infection is present.

GERD

Another disorder that can cause breath to smell like feces is gastroesophageal reflux disease, or GERD. Patients with GERD experience stomach acid backing up into the esophagus and irritating the esophageal lining. GERD can be treated with over-the-counter or prescription medications including antacids, proton pump inhibitors, or medication to help the lower esophageal sphincter remain closed. Severe cases may require surgery.

Intestinal Obstructions

If a patient is suffering from an intestinal obstruction in the large or small intestine, their breath may smell like feces. This is because anything that the patient ingests if they have an intestinal blockage will not be able to pass into the intestine and well ferment in the digestive tract. It is extremely important to seek medical attention if you believe you have an intestinal obstruction. Severe obstructions to require surgery if they are unable to be treated with IV fluids and medication.

Liver Failure

Another disorder that can cause the breath to smell like feces is acute or chronic liver failure which causes diarrhea and dehydration. Chronic liver failure may be treated with medications or even a liver transplant.

Bad breath can be resolved within a couple of weeks with short term conditions such as signing some functions, GERD, or poor oral hygiene. For patients who have bad breath as a result of him working severe conditions such as intestinal obstructions, ketoacidosis, or liver failure, treatment is critical as these conditions are serious and could be fatal. If you suspect you have any underlying condition that is causing your bad breath, it is vital that you visit your physician as soon as possible.

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