Causes
Bad breath occurs as a symptom of many diseases. It can either be about local diseases of the oral cavity, pharynx, esophagus, stomach or upper and lower respiratory tract, or system diseases and poisoning.
In about 90% of cases the cause of the mouth it can be about poor oral hygiene, dental caries (cavities) and inflammation of the gums (gingivitis both acute and chronic periodontitis). The bad smell is due, mostly evaporation of sulfur compounds resulting from bacterial protein degradation. Of plaque and tongue back and dry mouth is important causes of bad breath. When food gets stuck between defective teeth and broken down by bacteria in the mouth, the exhaled a putrid odor, seeping blood from inflamed gum's often unpleasant odor. Patients rarely even notice the smell, but it may be accompanied by a bad taste in your mouth. When bad breath should always first consult your dentist. Some may even imagine that they have bad breath and no reason to avoid other people. In rare cases, large due to the dreadful spirit of a tumor in the mouth where there is dead tissue, and bacteria grow on the surface. The smell can also come from a chronic tonsillitis (tonsillitis) or from an inflammation of the nasal sinuses. Then pus drained out into the stomach compartment. At a special form of chronic nesekatarr, ozoena or stinknese, creating a sweet smelling discharge. Because the patient's sense of smell is lost at the same time, only the surroundinges that are disturbed by the stench.
Among the diseases of the lower respiratory tract that can cause bad breath to include bronchiectasis. The smell is caused when the rotting slime. By lung, abscess developed vevshenfall and suppuration a very penetrating odor.
Bad breath originating from the digestive tract, usually caused by expansion of the esophagus, where food particles can get caught and go to decay. A more rare cause is diseases where the food stagnates in the stomach while a lack of stomach acid also gives bacteria the ability to multiply in the stomach contents. Gastritis, dyspepsia and reflux of gastric contents back into the esophagus may be accompanied by halitosis, and the bacterium Helicobacter pylori plays a role in some people. Bowel disorder, eg. inflammatory bowel disease, accompanied occasionally by bad breath.
Halitosis can also be caused by bad-smelling substances that are brought around the body with the blood, is excreted in the lungs. The system disease is often very characteristic smell and was previously the important diagnostic aid to the doctor. Acetone odor indicates very serious complications of diabetes, and ammonia odors indicate kidney failure. When liver failure is a characteristic sweetish odor. Odor of bitter almonds may be the symptom of poisoning with hydrocyanic acid (potassium cyanide). Rare metabolic disorders (eg. trimethylaminuria) can cause halitosis. Diet (garlic, low carbohydrate content), alcohol and smoking affect the smell of exhaled.
Treatment
Treatment directed at the cause of bad breath. Usually, there will be about improving the cleaning of teeth, spaces between the teeth, tongue and any prostheses, and treatment of the gum disease dentists. Mouth Chicks with chlorhexidine may help, but can cause discoloration of the teeth and tongue, if dry mouth is recommended to drink more water, use sugar-free lozenges or artificial saliva.