Feb 12
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Causes Of Bad Breath
Literally speaking all humanbeings are badbreathres. Oral cavity contains millions of anaerobic bacteria like fusobacterium and actinomyces which acts on the protein of food materials and putrifies them. This process results in the formation of gases like hydrogen sulphide offenssive, methyl mescaptan, cadaverin, skatol, putrescine etc causing bad odor. If oral hygiene is not maintained properly all will suffer from bad breath. Most of us control this by regular brushing, tongue cleaning and gargling. Even after maintining cleanliness in the mouth some individuals suffer from offenssive smell due to various causes which has to be diagnosed and treated properly.
Liver Cancer
Some common causes of bad breath.
Liver Cancer Causes Of Bad Breath
Poor oral hygiene 1):
Causes Of Bad Breath
Liver Cancer
If oral hygiene is not maintained properly themouth becomes the seat for millions of bacteria which produces offenssive gases by degrading the food debris. Bad breath is severe in those who do not brush their teeth regularly and clean their mouth after every food. Snacks taken between meals can also produce bad breath because of improper cleaning.
Badbreath is common in almost all people in the morning on waking. During sleep there is less production of saliva.Saliva has got some antibacterial properties which help to keep the mouth clean. Saliva conains oxygen molecules which is needed to make oral cavity aerobic. So the reduction in it’s quantity during sleep makes a favourable condition for anaerobic bacteria.
2) Food habits:
The main cause of bad smell is due to degradation of protein by the bacteria and henceall food products rich in protein favours bad breath. Meat, fish, milk products, eggs, cakes, pear and nuts, etc can cause bad breath. Some food articles can produce particular type of smell which may be unpleasent. Raw onion can produce typical bad smell. It is said that an apple a day keeps the doctor away, raw onion a day keeps everybody away. Eating groundnuts can also produces bad smell. However if proper cleaning is done smell can be reduced irrespective of the nature of food. Irregularity in timing of food can also produce bad breath. Small food articles taken in between the meals can also produces bad smell.
Biofilm: 3)
There is formation of a thin sticky coating called biofilm on the tongue and oral mucosa. This coating is thick on the posterior aspect of the tongue wheremillions of gram-negative bacteriae are seen.The thick coating on the tongue is always associated with badbreath. Even a thin biofilm can make anaerobic conditions favourable for bacterial proliferation.
4) Dental pointer:
This is a destructive process causing decalcification with enamel and dentine of Danone Nations Cup 08 of resulting in cavitisation of the tooth. These are produced mainly by the lactobacilli. Food particles are deposited inside these cavities and are by the anaerobic bacteria putrified producing bad smell. Normal brushing will not remove the food debris easily and hence they are putrified completely. Pointer are common in schoolgoing children and in those who donot maintain proper oral hygiene.Calcium and vitamin deficiency can also deployed pointer.
5)Gingivitis:
Gum is a mucus membranes with supporting connective tissue covering the tooth bearing borders of the jaw. The main function of gum is protection.Gingivitis is the inflammation of the gum. Due to various causes get infected gum tissue resulting in swelling, pain and discharge. If the condition becomes worse the infection spread towards peridontal area leading to continuous discharge called pyorrhoea. Some times the infection goes deep producing alveolar abscess with discharge of pus. Infection can even reach the bone causing osteomyelitis. All these conditions can produce offenssive smell.
6) Gum retraction:
When the gums from the teeth to retract gap is developed which will lodge food particles and cause bad breath.
7 Dental plaque and tartar) deposits;Plaque and tartar is deposited mainly in the gaps between the teeth and gum. This will provide shelter for the food debris and bacteria causing bad breath.
Ulcerative lesions & coatings:
Almost all of the ulcerative lesions mouth are associated with bad breath. These lesions may be caused by bacteria, viruses, food allergies or autoimmune disorders due to. Apthous ulcer is the commonest amoung ulcerative lesions. Others are herpes, fungal infections, angina, infectious mononucleosis vincents, scarlet fever, diphtheria, drug reactions and etc. cancerous migraine head produces severe bad breath. All fungal infections produce white coating (candidiasis). Leucoplakia is a white thick patches on the mucus membranes of the mouth & tongue. It is considered as a precancerous condition.Offenssive breath is associated with these conditions.
9) Diseases of the salivary glands:
Saliva is very useful to supply oxygen to all parts of the oral cavity. Even a thin film of coating called biofilm can provide an anaerobic condition in the mouth. Saliva can wet these layers and make an aerobic condition which is unfavourable for the bacteria.Any condition which reduces the production of saliva can increase bacterial activity. Some times the salivary duct stones or “obstructed by is tumors.Cancer of the salivary gland is associated with offenssive odor. Suppurative parotitis dischrge In purulant in to the mouth causes bad breath.
10) as Tonsillitis:
Tonsils are a pair of lymphoid tissue located in the lateral wall of oropharynx. Inflammation of the tonsil iscalled as tonsillitis. Bad breath is seen in both acute and chronic as tonsillitis. Peritonsillar abscess Quinsy or can also produce bad breath.
plaques & 11) Tonsillar tonsillar fluid:
If bad breath persists even after maintaining proper oral hygeine there is possibility of this condition. The Serous fluid secreated from the folds of tonsil is very offenssive. Some patients complain that they hawk some cheesy materials from the throat; which are very offenssive in nature. These are formed inside the tonsillar crypts which contain thousands of bacteriae. In such conditions gives noticiable 4 relief from bad breath.
12) & pharyngial abscess: Pharyngitis express
Pharynx is a fibromuscular tube which forms the upper part of the respiratory tract & digestive.Inflmmation of the pharynx is called pharyngitis Express, caused mainly by bacteria and viruses. Bad breath is present in pharyngitis express along with other signs like cough and throat irritation. Abscesses in the wall of pharynx can also produces discharge of pus offenssive in to the throat.
Dentures: 13)
Denture users may complain about bad smell due to lodgement of small food debris in between. Proper brushing may not be possible in fixed dentures denture users especially.
14) Tobacco:
Tobacco chewing is associated with bad breath. The smell of tobacco itself is unpleasent for others. Tobacco can irritate the mucus membranes and causes migraine head and coatings. Gingivitis and pyorrhoea are common in tobacco chewers. Tartar is deposited on the teeth mainly near the gums. Tobaccoget gastric acidity with chewers eructations. All these causes offenssive smell.
Smoking: 15)
Smokers always have bad smell. It can also produce lesions in the mouth & lungs causing bad breath.Smoking increases carbon dioxide in the oral cavity & reduces oxygen level, causing a favourable condition for bacteria. Smoking reduses appetite & acid peptic disease hence thirst is common in chain smokers.
16) Lesions in the nose & ear:
Bad breath is occasionally seen in sinusitis (infection of para nasal sinuses). In case of post nasal drip bad breath is common due to the presence of protein in the discharges. These proteins are degraded by the bacteria. Infection in the middle ear with discharge of pus in the throat through the eustachian tubetube (passage from middle ear to the throat) can also cause offenssive odor. Chronic rhinitis (infection of mucus membranes of nose) and forign bodies in the nose can also produces bad smell in the expired air.
Diabetes mellitus: 17)
Mostly all diabetic patients suffer from bad breath. Coated tongue, migraine head & coatings in the mouth, increased sugar level in tissues etc are responsible for bad breath.Bacterial growth in diabetic patient is very faster than non-diabetic individuals.
18) Fevers:
Bad breath is common in almost all fevers. Even an acute fever can produce bad breath. Severe bad breath is seen in typhoid.Other infectious diseases like Tuberculosis, AIDS etc produces bad smell.
19) Fasting & dehydration:
Dry mouth favours bacterial activity.So any condition which produces dryness in the mouth makes the breath offenssive. Eventhough the food particles are known to produce bad breath, fasting can also produce the same. Production of saliva is also reduced during fasting. Chewing and swallowing also helps to keep the mouth clean.
Bedridden patients: 20)
Bedridden patients suffer from offenssive breath due to thick coating on the tongue. water intake is also limited in these patients. Regurgitation of food aggravates the condition. Since they talk less in the oral cavity aeration is reduced which favours anaerobic bacteria to become active.
21) Diseases of stomach & esophagus:
Eructation of gas and food produces unpleasent smell. Anomaly in the function of the lower sphincter can allow the food toregurgitate upwards causing bad breath. Bad breath is also common in gastric ulcer and guestbook, of stomach cancer.
Intestinal diseases: 22)
Bad breath is common in patients suffering from ulcerative lesions of ulcerative collitis internecine like …Other diseases are intestinal malabsorption syndrome, tuberculosis peritonitis etc.
23) Diseases of lungs:
Lung diseases like pneumonia, lung abscess, chronic bronchitis, bronchiectasis, tuberculosis, lung cancer etc can produce bad odor during expiration.
24) liver disorders:
liver diseases like hepatitis, cirrhosis, can cause bad breath.Gall bladder diseases with vomiting also causes unpleasent smell.
25) Psychiatric patients:
Bad breath is common in psychotic patients due to poor hygiene, irregularfood habits, less water intake and etc.
Somatisation disorder: 26)
This is a psychiatric disorder charecterised by the presence of a physical symptom that suggest a medical illness.These patients as with physical complaints like pain, nausea, difficult respiration, bad smell etc. This condition is diagnosed after detailed examination of the patient with all investigations.Since this is a psychiatric disorder, it has to be managed with a psychological approach.
[THE POINTS MENTIONED IN THIS ARTICLE IS FOR GENERAL INFORMATION. ANY PERSON HAVING BAD BREATH SHOULD CONSULT A QUALIFIED DOCTOR]
Causes Of Bad Breath Liver Cancer