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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
Answers (19)
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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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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Need more details for better understanding on case kindly connect
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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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Consult ASAP
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Avoid fried food and spicy food and
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
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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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Try to get an indirect videolaryngoscopy or a flexible naso pharyngo laryngoscopy,
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Avoid garlic onion non veg ,
Chlorhexidine mouth wash
Sucrafate tds
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Betadine gargle.
Gerd is one of the cause, consult gastroenterologist.
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Connect
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Use mouthwash twice daily
Consult ent specialist for nasal drip
Apply rexidine gel for gums
Consult online will guide
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Brush twice a day
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Betadine gargle .
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Dr. Rajwinder
General Physician
5 yrs exp
Delhi
consult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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