What causes bad breath?

Sep 22, 2024 Source: Cainiu Health
Dr. Liu Chao
Introduction
In general, bad-tasting saliva may be caused by poor oral hygiene, dry mouth upon waking, improper diet, periodontal disease, chronic gastritis, and other factors. It is important to maintain good oral hygiene through regular tooth brushing and mouth rinsing, eat a balanced diet, avoid irritating foods, maintain a regular sleep schedule, and reduce mental stress to improve the issue. If discomfort persists, it is recommended to seek medical attention promptly.

Generally, bad breath (foul-smelling saliva) may be caused by poor oral hygiene, dry mouth upon waking, improper diet, periodontal disease, chronic gastritis, and other factors. If discomfort occurs, it is advisable to seek medical attention promptly. Specific causes are analyzed as follows:

1. Poor Oral Hygiene

Inadequate cleaning allows food debris to remain in the mouth for extended periods, where bacteria break it down and produce unpleasant odors, leading to bad breath. Regular tooth brushing, using dental floss to clean between teeth, and antibacterial mouthwash can help maintain oral hygiene.

2. Dry Mouth in the Morning

Saliva secretion decreases during sleep at night, reducing the mouth's natural self-cleaning ability and resulting in foul-smelling saliva. Maintaining adequate daily fluid intake and chewing sugar-free gum can help stimulate saliva production.

3. Improper Diet

Consuming spicy, irritating, or strongly odorous foods may leave residues in the mouth that cause bad breath. It is best to avoid excessive intake of such foods. Rinsing the mouth after meals can help eliminate oral odor.

4. Periodontal Disease

Periodontal disease is usually caused by bacterial infection, weakened immune function, and other factors. It may lead to excessive bacterial growth in the mouth, which breaks down food debris and produces foul odors, resulting in bad breath. Symptoms may include gum bleeding, redness, and swelling. Under a doctor’s guidance, medications such as amoxicillin capsules, compound chlorhexidine mouthwash, and hydrogen peroxide solution may be used for treatment.

5. Chronic Gastritis

Chronic gastritis is primarily caused by Helicobacter pylori infection, abnormal gastric acid secretion, and other factors. The inflammatory response may delay gastric emptying, causing food to remain in the stomach too long and producing excessive gas and malodorous substances, which travel up the esophagus into the mouth, resulting in bad breath. This condition is often accompanied by symptoms such as stomach pain and bloating. Patients may take medications such as omeprazole enteric-coated capsules, domperidone tablets, and hydrotalcite chewable tablets under medical supervision.

To prevent and improve bad breath, it is important to maintain good oral hygiene by regularly brushing teeth and rinsing the mouth, eating a balanced diet, avoiding irritants, maintaining regular sleep patterns, and reducing mental stress.

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