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Uneasy feelings when talking

Answered by: Dr Sri Viknarajan

Last Updated: September 3, 2020 6:13 AM
Anonymous 4 months

Hi Doc, I’m 2+ years old from Selangor. I have a bad breath which this thing really ruined my life. The thing is, I do many things that perhaps other people won’t bother to do so. Besides brushing my teeth, I scrub my tounge, I floss my teeth & I use mouthwash.

Despite doing these things, I still have the same problem which I then realised that could be because of other things. I recently saw a random video on peptic ulser that could cause the bad breath. But I’m not sure if I have one. How do I check or how do I tell the doc that I want to do this kind of check up ya doc?

Dr Sri Viknarajan 4 months
General Practitioner

Thank you for your question.

Persistent bad breath or a bad taste in the mouth may be a warning sign of gum (periodontal) disease. Gum disease is caused by the buildup of plaque on teeth. Bacteria cause the formation of toxins to form, which irritate the gums. If gum disease continues untreated, it can damage the gums and jawbone.

Other dental causes of bad breath include poorly fitting dental appliances, yeast infections of the mouth, and dental caries (cavities).

The medical condition dry mouth (also called xerostomia) also can cause bad breath. Saliva is necessary to moisten the mouth, neutralize acids produced by plaque, and wash away dead cells that accumulate on the tongue, gums, and cheeks. If not removed, these cells decompose and can cause bad breath. Dry mouth may be a side effect of various medications, salivary gland problems.

Many other diseases and illnesses may cause bad breath. Here are some to be aware of: respiratory tract infections such as pneumonia or bronchitis, chronic sinus infections, postnasal drip, diabetes , chronic acid reflux and liver or kidney problems.

Based from your question, GERD may affect anyone old or young though your risk does increase as you age. The more prominent risk factors for GERD include obesity, pregnancy, hiatal hernia, delayed stomach emptying, smoking, eating large meals, alcohol or coffee.

Avoid the nuisance stomach problems with the right care for your digestive system.

Symptoms may be managed with over-the-counter medications. Lifestyle changes to manage the risk factors are also necessary. You may be recommended to lose weight, eat smaller meals, avoid meals before lying down, stop consumption of alcohol and smoking and reduce caffeine intake. In severe cases such as when GERD is due to a hiatal hernia, there may be a need for surgery.

You may also click on this link (DoctorOnCall) to speak with our doctors online. We assure you that our conversations are kept in confidentiality unless additional consultation needed with other medical parties. Thank you.

Talk to a gastroenterologist to address your stomach problems and get their expert opinion.


Last Updated: Thu Sep 03 2020 06:13:54 GMT+0000 (Coordinated Universal Time)
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