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Halitosis
I have chronic Halitosis problem .my dental hygiene is certified by many doctors and dentist . Took many PPI domepridone ,sibo medicines digestive enzymes .took antibiotic like metronidazole .amox etc for bacterial infection and clotrimazole flucanazole for fungal ...nothing benefitted took pro and pre biotic ..no thyroid issues ....hallitosis is worse in empty stomach and improved after eating . No tonsil issues only i have slight post nasal drip due to allergy . I took copper chlorophyillin for tma issue bt not beneficial .i dont understand the root cause ..CBC lft rft test are ok ...no problem in sputum culture ...Any doctor please help
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Take a glass of milk daily.
Thanks.
Dr☆MPB ,
Dr Praful Mahamuni,
Family Doctor,
MBBS .
Jai hind. 🇮🇳
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Dear patient,
Since your dental hygiene, CBC, LFT, RFT, and sputum culture are all normal, and common causes like tonsils, PPI-refractory GERD, infections, and SIBO have been ruled out, this may be a case of extra-oral halitosis possibly linked to:
1. Sinus/postnasal drip (as you mentioned mild allergy)
2. Coated tongue or dry mouth
3. Psychogenic halitosis or heightened odor awareness (Halitophobia)
Next Steps
Simple Recommendations:
1.Use tongue scraper twice daily
2.Stay hydrated, chew sugar-free gum to reduce dry mouth
3. Consider a nasal saline spray or antihistamine for allergies
4. Try chlorhexidine or zinc-based mouthwash for 1 week
5. Avoid fasting long hours and include probiotic-rich food
6. If still unresolved, consider ENT re-evaluation and halitophobia counseling if necessary
Health Tips
Let’s manage this step by step
This condition is manageable with the right approach
Take care.
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Do regular steam inhalation 2 times daily.
For post nasal drip, also use fluticasone nasal spray 2 puffs stat whenever sneezing or runny nose starts. Tab cetrizine 5mg one morning and one evening for 5days.
Rinse mouth with listril mouth wash, 2 to 3 times daily.
Drink more water, take more of fresh vegetables and fruits.
Avoid very spicy and or fried foods.
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