I am a 31 old male. For the last couple of years I am having bad breath. I dont' know the reason why. When I wake up in the morning the bad breath smells very strong but after brushing my teeth it goes away then I take my breakfast at 8 am in the morning then everything seems fine for 2-3 hours but after start working in office near about 11 am it comes back again and stay untill I am having supper I am afraid to talk with my friends these days because of my strong bad breath. Please help me to diagnose this.

Dr. Krinita MotwaniDentist16yrs exp

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Hi, there are various reasons of bad breath, like impurities in blood, inefficient digestive system, dry mouth (lack of saliva production), gum disease, cavities, plaque and tartar formation around teeth and gums, kind of diet, improper brushing / cleaning of mouth etc. I would advise you to get a thorough physical and dental examination to rule out the cause of bad breath and to solve it permanently. 

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Dr. Yasmin Asma ZoharaDentist24yrs exp

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Gastritis, lung & sinus infection may also be the cause of bad smell in the mouth. 90% of bad breath is due to a dirty tongue. Kindly consult a physician & dentist in person for further suggestion. We need more investigations to decide upon treatment. You may need deep cleaning. Rinse your mouth thoroughly with a mouth wash until then. Advance procedures can be done with laser too. You may consult me in person dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush. Tooth brush to be changed every 2 months. 

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