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72   COMMON CONDITIONS: MOUTH, NOSE, AND THROAT PROBLEMS

         Bad breath





              Unpleasant-smelling breath, known medically as halitosis, is usually due to poor mouth hygiene. Particles
              of food left in the mouth and between the teeth are broken down by bacteria and cause an offensive smell.
              Particular foods and drinks, such as garlic and beer, can make your breath smell. Bad breath also tends to
              occur when your mouth is dry, and is often a problem right after waking up. Other possible causes include a
              sinus or throat infection, diabetes, lung disease, or a weight-loss diet.



         What you can do yourself
                                                                    DRUG REMEDIES
              The following simple measures will help you tackle
              bad breath. Make them part of your daily routine.  Mouthwashes (see MOUTH AND THROAT
                                                            TREATMENTS, p.187) usually contain flavorings and
              ● Brush your teeth before going to bed and when
                                                            extracts such as menthol to freshen the breath. They
              you get up. Brush your tongue as well. Use    may also contain fluoride to protect against tooth
              a soft-bristled brush and a fluoride toothpaste,   decay and gum disease. Don’t give mouthwashes to
              and make sure you rinse thoroughly afterward.   children because they could easily swallow them.
              ● Floss your teeth once a day to remove plaque  Breath fresheners (see MOUTH AND
              (see PRACTICAL TECHNIQUE: ORAL HYGIENE, p.74).  THROAT TREATMENTS, p.187), in the form of sprays and
                                                            little strips that dissolve on the tongue, can be an
              ● If you wear dentures, take them out at night
                                                            effective short-term remedy for bad breath. They
              and clean them thoroughly, as recommended by  mask the breath with a pleasant (usually minty)
              your dentist. You should also clean removable  smell; the effect usually lasts for about 20 minutes.
              braces and attached dental appliances as advised
              by your orthodontist.                         Breath freshening
                                                            Use a breath-freshener
              ● Make sure you eat breakfast because it      spray as a temporary
              stimulates saliva, which helps to wash away   measure to mask
              bacteria that may have built up overnight.    lingering smells
                                                            after a spicy meal.
              Fruit and vegetables also stimulate saliva,
              so include plenty of them in your daily diet.
              ● Take a toothbrush to work or school so you
              can brush after meals. If you can’t clean your
              teeth between meals, chew sugar-free gum,
              which encourages saliva flow.

              ● Mouthwashes and breath fresheners have only
              a temporary effect but can be a useful short-term
              measure (see DRUG REMEDIES, right).
              ● Avoid spicy or strong-smelling foods. When you
              can’t avoid these foods, finish the meal with some  Seek medical advice
              fruit to freshen the mouth.
                                                            Arrange to see your doctor if:
              ● Drink at least 6–8 glasses of water each day.
              Avoid alcohol, tea, and coffee; they have a   ● You have tried the above measures for
              dehydrating effect that can encourage bad breath.  about a week and bad breath persists
                                                            ● You also have a toothache, or inflamed
              ● Don’t smoke. Cigarettes are a major cause
                                                            or bleeding gums
              of bad breath.                                ● You feel generally unwell and think this
                                                            may be contributing to bad breath
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