We all get bad breath sometimes, but if yours is becoming a
chronic issue, you need to get to the root of the problem. For the most part,
halitosis -- the fancy medical term for stinky breath -- just means you need
better dental hygiene, but sometimes it signals a more serious medical
condition. Here are some potential causes to watch out for.
1. You're not taking care of your teeth.
Bad dental hygiene causes about 85% of halitosis, according to a 2012 study in
the
International Journal of Oral Science. "Food that is not
properly cleared from the mouth serves as a platform for bacteria to latch
onto," says Marc Gibber, M.D. an otolaryngologist (ear, nose, and throat
doctor) at Montefiore Medical Center. Since germs like wet, warm environments,
if you don't clean your mouth properly, it can become a cesspool and start to
smell -- bacteria produce the sulfur compounds that give off that infamous
rotten-egg stench. Brush and floss twice daily, and don't forget to scrape your
tongue, too. "These living-without-oxygen bacteria will collect in the
back part of the tongue," says dentist Richard H. Price, an American
Dental Association consumer adviser.
2. You're not drinking enough water.
Being dehydrated can make you produce too little saliva, which is a problem
because saliva washes away those smell-causing bacteria. "The saliva we
produce will keep the cells in the mouth alive," says Gibber. "When
we decrease the saliva, the cells will start to die off." Dead, rotting
cells stink. Drink water: Nutritionists recommend six to eight 8-ounce glasses
a day. Green tea helps hydrate, too -- and a 2012 Israeli study found the
antioxidants in it change some of the sulfur compounds in bad breath.
3. You're dehydrated because of allergies.
People with allergies who can't breathe through their noses end up breathing
through their mouth, which is also drying, says Dale Amanda Tylor, M.D., MPH,
general and pediatric otolaryngologist in Freemont, Calif. If you have
allergies, make sure to treat your congestion -- and also hydrate.
4. You're eating too much of the wrong stuff.
It's a no-brainer that garlic causes bad breath, and we bet you already know to
pack your (sugar-free) breath mints when heading out to the Italian restaurant.
But did you know that milk products can thicken nasal mucus and lead to a
sulfurous smell? "Many professional singers will tell you they try to
avoid dairy products so they have a clear voice and don't have that
mucus," says dentist Martha Ann Keels, division chief for pediatric
dentistry at Duke Children's Hospital. It can't hurt to go easy on the bread
and pasta either. "High-carbohydrate foods promote more bacteria because they're
high in sugar," says Baldeep Singh, M.D., clinical chief of internal
medicine at Stanford Hospital & Clinics. "Eating fibrous foods may
help."
5. You have a sinus or tonsil infection.
"Infection can fester in the sinuses," says Singh, which leads to bad
smells. Go to a doctor who can prescribe you antibiotics. Clearing out your
sinuses with a Neti pot or Neilmed sinus rinse in a squirt bottle can often
help too, says James N. Palmer, M.D., an otolaryngologist and director of
rhinology at the University of Pennsylvania. Multiple tonsil infections or
cases of strep throat can result in tonsil stones, which are calcium stones
that feel like little pebbles in the back of the throat -- and emit a strong
odor, says Gibber. The best treatment is an old-fashioned salt-water gargle
because the high salt content kills bacteria, says Palmer. Add a tablespoon of
salt to six ounces of warm water and gargle with it every morning for two or
three days. After the salt rinse, eat yogurt with live active cultures --
good
bacteria.
6. You have acid reflux.
People with heartburn are "burping up stomach acid, and that's on their
breath," says Keels. It produces an acidic, vinegary smell. "A lot of
people just think of reflux as heartburn, indigestion," says Tylor.
"[But] it can even go as high as the sinuses or the ears." How to
prevent it? "Everything good is bad for reflux -- alcohol, citrusy things,
cinnamon, chocolate," says Tylor.
7. You have a more serious condition, like cancer.
In very rare cases, extremely bad breath can be one of the warning signs of
cancer in the nose, ear, neck, or throat. "It's what we call amongst
ourselves the cancer smell," says Gibber. "It's a kind of sour,
cheesy smell." People who have been exposed to radiation, such as those with
head and neck cancers, make less mucus -- which makes their breath smellier.
But remember that bad dental hygiene is a far, far more common cause of bad
breath, so don't panic.