Halitosis diagnosed by a specialist

[Jimi Stein]

he got a 2 month prescription for an antibiotic, for sure his breath is still ok.....2 months is very long time, never heard of anybody got such a long duration......

[ribeiro86]

he got a 2 month prescription for an antibiotic, for sure his breath is still ok.....2 months is very long time, never heard of anybody got such a long duration......

I did a 10 day antibiotic treatment with Clavamox and Flagyl. Omeprazol is not an antibiotic.

[Crazyred91]

Hi, did your gums bleed before the diagnose and did he take the sample from your tongue or your gums?

thank you!

[ribeiro86]

Hi, did your gums bleed before the diagnose and did he take the sample from your tongue or your gums?

thank you!

My gums didn't bleed and the sample was taken from tongue and tonsils, and an air sample from the mouth. Tongue positive, tonsils negative.

[gotshot26]

Hi. My name is Ribeiro, I'm 31 and I'm from Portugal.
I had Halitosis for almost 15 years and visited a lot of Doctors and Dentists with no success.
Since 24 January, I've been diagnosed with type 1 Miyasaky Halitosis (3/5). I've had positive for 3 types of bacteria in my mouth: tanerella forsythia; solobacterium moorei; provetella intermedia. Also had presence of indol, escatol, putrescine and cadaverine in my saliva. The saliva flow was normal, although a bit alcaline.
The Doctor prescribed the following treatment:
Metronidazol 500mg every 12h for 10 days
Amoxiciline 875mg + Clavulanic Acid 125mg every 12h for 8 days
Omeprazol 20mg every day, first thing in the morning, for 2 months
Wash both nostrils with 5ml saline solution - morning and night (ingest some of the solution to clean the back of the throat).
Use Ultradex Mouthwash twice a day gargling (after breakfast and after dinner)
Use Micropore adhesive in the mouth during sleeping (to discard mouth breathing).
Drink at least 2 liters of water every day.

Also gave me an extensive Nutrition plan wich consists on eating more raw foods, vegetables and fruit. Stopped eating Dairy, processed foods, fast food and specialy Pork meat. I have to avoid red meat also, but chicken and turkey are both Ok.
He told me that my BB is most likely due to Post nasal drip (allergies) and maybe gastrointestinal issues (unknown at the moment).

Im on the 7th day of treatment and my BB is almost gone.
I hope my story will help others.

Hi Ribeiro,

Could you please tell me what test they did to detect those species of bacteria living in your mouth? My doctor has agreed to do the test he just needs to know more about it? I told him i'll come back with a list of strains to look for but is it just one mouth swab that they detected all those bacteria living in your mouth? Or was it multiple? Was it just a swab test or something else? Any information you can provide would be amazing. Thanks.

[ribeiro86]

Update:
90% or more of my bad breath went way with the treatment.
Its very important to keep the diet. No dairy, no pork, no sugar and no processed food.
Also I have to clean my nose every week with 1/4 Hydrogen peroxyde solution.
Next step will be checking my upper respiratory and allergies treatment.

[rinitico]

Do you experience bb only from your mouth or also from your nose?

[heregoesnothing]

Make sure you take a good probiotic so that you can replenish the good bacteria

[9yearsStillFighting]

Ribeiro...
I don't know where you are based in Portugal, but I am passing through Lisbon next week, and can give you honest feedback...
and report it to the group too to see if this treatment is working.

Thank you for your availability, but its a bit distant from Lisbon to where Im actually based (Oporto)
Yesterday I´ve been with a friend of mine and asked her honest opinion about my breath. She laughed a lot and told my my breath smells like normal breath, she didn't noticed any bad smell at all. I have to confess that I felt relieved.

Hi Ribeiro
I hope you are doing well and not living the bb nightmareanymore since your treatment ended?
I just came across this post by searching some reviews on Dr that you have consulted in 2018, and it's been a year and half that you haven't posted anything. so I assume that your problem is solved permanantly?
I booked a consultation for next month's availbility but the consultation and test prices are very expensive. so if possible , I would love to have some update from you on your current situation?

[KL123]

Ribeiro...
I don't know where you are based in Portugal, but I am passing through Lisbon next week, and can give you honest feedback...
and report it to the group too to see if this treatment is working.

Thank you for your availability, but its a bit distant from Lisbon to where Im actually based (Oporto)
Yesterday I´ve been with a friend of mine and asked her honest opinion about my breath. She laughed a lot and told my my breath smells like normal breath, she didn't noticed any bad smell at all. I have to confess that I felt relieved.

Hi Ribeiro
I hope you are doing well and not living the bb nightmareanymore since your treatment ended?
I just came across this post by searching some reviews on Dr that you have consulted in 2018, and it's been a year and half that you haven't posted anything. so I assume that your problem is solved permanantly?
I booked a consultation for next month's availbility but the consultation and test prices are very expensive. so if possible , I would love to have some update from you on your current situation?

who is the doctor? Is this the same doctor that ribeiro86 went to?

[KL123]

Hi Ribeiro
I hope you are doing well and not living the bb nightmareanymore since your treatment ended?
I just came across this post by searching some reviews on Dr that you have consulted in 2018, and it's been a year and half that you haven't posted anything. so I assume that your problem is solved permanantly?
I booked a consultation for next month's availbility but the consultation and test prices are very expensive. so if possible , I would love to have some update from you on your current situation?

who is the doctor? Is this the same doctor that ribeiro86 went to?

[9yearsStillFighting]

Hi Ribeiro
I hope you are doing well and not living the bb nightmareanymore since your treatment ended?
I just came across this post by searching some reviews on Dr that you have consulted in 2018, and it's been a year and half that you haven't posted anything. so I assume that your problem is solved permanantly?
I booked a consultation for next month's availbility but the consultation and test prices are very expensive. so if possible , I would love to have some update from you on your current situation?

who is the doctor? Is this the same doctor that ribeiro86 went to?

Yes, it's the same doctor. he has a website called The Breath inistitute. on this website, he said to have developped a kit called Arthyaga which is basically what Ribeiro have discribed, mouth swab, nasal swab et gaz from the mouth. but it's pretty expensive, so would love to have more review on this.
there is another doctor in the US,Joseph R Nemeth DDS & Associates. he has a youtube channel where he explains how he treates bad breath. and he basically does the same thing, but with different test, but looks for bacteria which is suppovsidly causing periodental issue and bad breath. he himself is a periodentist, so. what I have learnt from his video was:
he does deep cleaning first the gum line and probably unther the gum and washes the oral cavity and tongue with high pressure to eliminate the bioflim of the bacterias. and gives hydrogen peroxide + activator (two bottle of products that can be bought online) to keep cleaning teech and mouth at home. that's all.
there was a review from someone from Newyork. I will copy past it in the next reply, as it's a bit long.

if I understood wel Ribeiro and Dr. Joseph Nemeth, they all looks for the bacterias and proceeds to kill or remove it.
because: the 2 antiobiotics that were priscribed to Ribeiro was Flagyl (Metronidazole, Flagyl is commercial brand name, there is other generic from of this under other brand name, same effect)
and Amoxiciline. these too are the very common two types of antibiotcs to treat periodental infection.
another one is Doxycycline.

interestingly there is another post: how i got rid of bad breth by Khalid

Code: Select all

https://www.badbreathhalitosis.com/phpBB2/viewtopic.php?f=1&t=7222&p=63383#p63383

a pharmacist recommended him to use oraly as mouth wash for 2 month Doxycycline, and he said to have cured his many years struggled bad bread.
so all comes to one place: killing or removing bacteria or bioflim of bacteria which is/ are said to be causing this problem orally.

[9yearsStillFighting]

This post is a bit long, but if a few people find this helpful, I'd be glad to have helped.

Having not got any feedback from people who actually got this treatment done and given that the referenced articles are more confusing (laser treatment or not, treatment for BB borne from gum disease or other oral areas, etc.), I finally called them. The staff is friendly and transferred me to Dr. Nemeth's assistant with whom I was on the phone for about 35-40 minutes, and she patiently went over the treatment with me.

First, this is not a laser treatment, and secondly, they are upfront about what type of BB they can treat and what types they cannot. They can treat only if the BB is caused by anaerobic bacteria on the back of the tongue. To determine if the BB is indeed caused by anaerobic bacteria on the back of the tongue they do a test on the first visit. If the test result is positive, they would proceed with the treatment on second visit. Being an out-of-town patient, they were open to do the test and treatment on same visit for me.

I visited several dentists, couple of GI doctors, an ENT doctor, an allergy specialist, an oral pathologist over the past five years, without any success. None of them actually seem to be knowledgeable about BB, and this was the first time I talked to a professional who seems to at least have a clue about BB. That itself was enough for me to decide to make a trip to Detroit from New York. At least I'd know if the source of my BB is the anaerobic bacteria on the back of the tongue or not.

The test is essentially a “smell test”. They scraped the back of the tongue with a 2x2 gauze and smelled it. I did too. That was the first time in over five years (since the onset of my BB) I was been able to smell my own BB and it was gross. The treatment involved scrapping my tongue off of the anaerobic bacteria and cleaning the tongue and entire oral cavity with chlorine dioxide rinse (commercially called ProFresh, which probably everyone on this forum heard of).

For two hours after the treatment my mouth was gushing saliva non-stop, like a fresh water spring gushing water. If it is true that anaerobic bacteria makes the mouth dry and reduce saliva production, the treatment seems to have got the intended effect of eliminating the anaerobic bacteria very effectively. At least for two hours. It remains to be seen if it is permanent.

Since my return I have been following the ProFresh protocol twice a day—first thing in the morning and last thing in the night before bed. Before using ProFresh, I do the smell test, and for someone like me, who is single and do not have a trusted friend/family to tell me how my breath is on a daily basis, this test is great. I know exactly where I stand regarding my breath.

It's been almost two weeks and so far the smell test indicates that my BB is mild compared to how it was when the test was done at Nemeth's office. When talking to people, the step backs, the upper body arch backs to move away from me, the finger covering of noses, and the "how disgusting" looks have disappeared. The finger covering of noses when I'm talking to people from few feet away have now changed to occasional swipes across their noses when I'm really close to them, confirming the smell test that my BB is not entirely eliminated, but is now mild.

I don't know if this is a permanent change in my oral bacteria or temporary—time will tell—but I have a barometer in the smell test for me to know it myself. I cannot explain how frustrating it was over the past five years not knowing how my breath was until I interact with people and embarrass myself. Now if I can find a way to eliminate the remaining mild BB, life will be back the way it was before! I'm thinking of eating yogurt and may be use Blis K12 lozenges to colonize my oral cavity with good bacteria.

it was this post.
I saw this one review on DR. Joseph Nemeth last year when I came across him on Youtube. You can look up yourself by searching his name in the searhing box. this post was on 2013. I don't how he is doing now.
my point is, for Rebeiro and Khalid they just used some antiobiocts for some time. in Robeiro's case only for 10days, and he said cured for 90%,( at least for that time being, after that we don't know) as conventional antiobiotcs in majority of case, it's not recommended more than 2 weeks. but people take Accutan for as long as 6 months, but will cause dysbiosis( I know someone who has Ulcerative colits blames thhat it was long term antibiotique taking has caused dysbiosis which led him to have this disease).
I think on dysbiosis topic, Gutshot26 have deeper knowledge.
but in Khalid's case, he only used it as mouth wash and it's like topically using antiseptic, it doesn't go into blood stream, lesser chances that we might developpe resistance to it.
and my theory as to why this worked for Khalid( I suppose it worked, otherwise he would keep coming back here) is: in his case, he used it for 2 moths, long enough to destroy bioflim and kill the pathogenic bacteria that might have caused his bad bread. because after so many years of trial not being able to treat the cause, during all those time, even the bacteria probably has developped a quite strong defense for themselves in our body for them to be able to eliminated. that's why 2 month or he just kept to make it compeletly disappear, once seeing it working.
what do you think?
after all, all these three were treated for oral

[Jimi Stein]

Hi Ribeiro
I hope you are doing well and not living the bb nightmareanymore since your treatment ended?
I just came across this post by searching some reviews on Dr that you have consulted in 2018, and it's been a year and half that you haven't posted anything. so I assume that your problem is solved permanantly?
I booked a consultation for next month's availbility but the consultation and test prices are very expensive. so if possible , I would love to have some update from you on your current situation?

who is the doctor? Is this the same doctor that ribeiro86 went to?

Yes, it's the same doctor. he has a website called The Breath inistitute. on this website, he said to have developped a kit called Arthyaga which is basically what Ribeiro have discribed, mouth swab, nasal swab et gaz from the mouth. but it's pretty expensive, so would love to have more review on this.
there is another doctor in the US,Joseph R Nemeth DDS & Associates. he has a youtube channel where he explains how he treates bad breath. and he basically does the same thing, but with different test, but looks for bacteria which is suppovsidly causing periodental issue and bad breath. he himself is a periodentist, so. what I have learnt from his video was:
he does deep cleaning first the gum line and probably unther the gum and washes the oral cavity and tongue with high pressure to eliminate the bioflim of the bacterias. and gives hydrogen peroxide + activator (two bottle of products that can be bought online) to keep cleaning teech and mouth at home. that's all.
there was a review from someone from Newyork. I will copy past it in the next reply, as it's a bit long.

if I understood wel Ribeiro and Dr. Joseph Nemeth, they all looks for the bacterias and proceeds to kill or remove it.
because: the 2 antiobiotics that were priscribed to Ribeiro was Flagyl (Metronidazole, Flagyl is commercial brand name, there is other generic from of this under other brand name, same effect)
and Amoxiciline. these too are the very common two types of antibiotcs to treat periodental infection.
another one is Doxycycline.

interestingly there is another post: how i got rid of bad breth by Khalid

Code: Select all

https://www.badbreathhalitosis.com/phpBB2/viewtopic.php?f=1&t=7222&p=63383#p63383

a pharmacist recommended him to use oraly as mouth wash for 2 month Doxycycline, and he said to have cured his many years struggled bad bread.
so all comes to one place: killing or removing bacteria or bioflim of bacteria which is/ are said to be causing this problem orally.

bullshit, these doctors are quacks...they all do the same, flagyl was prescribed years ago, never helped anybody here....also metro helps but then when you start taking it goes back to full bad breath....these scammers just want money....they did not invent anything new.....it is just New Dr Speiser, Katz, in diffrent suit and office....

[Jimi Stein]

Hi Ribeiro
I hope you are doing well and not living the bb nightmareanymore since your treatment ended?
I just came across this post by searching some reviews on Dr that you have consulted in 2018, and it's been a year and half that you haven't posted anything. so I assume that your problem is solved permanantly?
I booked a consultation for next month's availbility but the consultation and test prices are very expensive. so if possible , I would love to have some update from you on your current situation?

who is the doctor? Is this the same doctor that ribeiro86 went to?

Yes, it's the same doctor. he has a website called The Breath inistitute. on this website, he said to have developped a kit called Arthyaga which is basically what Ribeiro have discribed, mouth swab, nasal swab et gaz from the mouth. but it's pretty expensive, so would love to have more review on this.
there is another doctor in the US,Joseph R Nemeth DDS & Associates. he has a youtube channel where he explains how he treates bad breath. and he basically does the same thing, but with different test, but looks for bacteria which is suppovsidly causing periodental issue and bad breath. he himself is a periodentist, so. what I have learnt from his video was:
he does deep cleaning first the gum line and probably unther the gum and washes the oral cavity and tongue with high pressure to eliminate the bioflim of the bacterias. and gives hydrogen peroxide + activator (two bottle of products that can be bought online) to keep cleaning teech and mouth at home. that's all.
there was a review from someone from Newyork. I will copy past it in the next reply, as it's a bit long.

if I understood wel Ribeiro and Dr. Joseph Nemeth, they all looks for the bacterias and proceeds to kill or remove it.
because: the 2 antiobiotics that were priscribed to Ribeiro was Flagyl (Metronidazole, Flagyl is commercial brand name, there is other generic from of this under other brand name, same effect)
and Amoxiciline. these too are the very common two types of antibiotcs to treat periodental infection.
another one is Doxycycline.

interestingly there is another post: how i got rid of bad breth by Khalid

Code: Select all

https://www.badbreathhalitosis.com/phpBB2/viewtopic.php?f=1&t=7222&p=63383#p63383

a pharmacist recommended him to use oraly as mouth wash for 2 month Doxycycline, and he said to have cured his many years struggled bad bread.
so all comes to one place: killing or removing bacteria or bioflim of bacteria which is/ are said to be causing this problem orally.

bullshit, these doctors are quacks...they all do the same, flagyl was prescribed years ago, never helped anybody here....also metro helps but then when you start taking it goes back to full bad breath....these scammers just want money....they did not invent anything new.....it is just New Dr Speiser, Katz, in diffrent suit and office....