Bad breath forum
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https://www.badbreathhalitosis.com/phpBB2/viewtopic.php?t=1743
I have been struggling with GERD for 4 years now with no success; tried almost every possible medication, diet, sleping with my back elevated, etc.BB is still here and some doctors say GERD has caused it, some say GERD has nothing to do with it..Nissen operation is not an option because there are lots of people on the net, that have had that operation and it has been unsuccessful. How do u know "The bad breath that can be caused by GERD is not bad" and can be cured?Artery wrote:What nonsense are you people talking about. There is a cure for GERD. If your GERD is not severe you can control it by taking antacids and sleeping with your back elevated. But if your GERD is severe and no medication helps there is the nissen operation. I have also GERD although i dont get food/acid thrown back into my mouth and i can control the acid via antacids. The bad breath that can be caused by GERD is not bad. It smells little like puke or if your PH level of your acid is too low, sour. But it does not smell like chronic BB and can be cured so dont panic and write stuff that will make other people panic. Change your diet, sleep elevated (or on your left side, like i do), take antacids and you will have no BB from GERD.
GERD is the 1st thing most doctors suspect when you bring up the case of halitosis.baguio wrote:To those of you who believe you have GERD, has this been confirmed to you by a medical professional?
Is there any 'test' for GERD?
For me the endoscopy confirmed that I had GERD which caused erosive wounds in the esofagus. Its true that many people live with GERD and have no BB, so there is smth else too..I`m starting to think that I mignt also have laryngopharyngeal reflux, which might explain the halitosis.baguio wrote:To those of you who believe you have GERD, has this been confirmed to you by a medical professional?
Is there any 'test' for GERD?
b]Laryngopharyngeal Reflux
If you have any of the following symptoms, you may have Laryngopharyngeal Reflux.
Hoarseness
Thick or too much mucous
Chronic throat irritation
Chronic throat clearing
Heartburn
Chronic cough
Cough that wakes you from your sleep
What is Laryngopharyngeal Reflux (LPR)?
Acid is normally produced in the stomach. It is prevented from backing up or refluxing into your esophagus (or food pipe) and throat by a band of muscle at the entrance of the stomach known as the lower esophageal sphincter. If this band of muscle is not functioning well, you can have a backflow of acid into your esophagus and into your throat and voice box, this is called laryngopharyngeal reflux (LPR).
But I Don't Have heartburn?
Many people with LPR do not have symptoms of heartburn. Compared to the esophagus, the voice box and the back of the throat are significantly more sensitive to the affects of the acid on the surrounding tissues. Acid that passes quickly through the food pipe does not have a chance to irritate the area for too long. However, acid that pools in the throat and voice box will cause prolonged irritation resulting in the symptoms of LPR.
What are the symptoms?
The symptoms of laryngopharyngeal reflux can consist of a dry cough, chronic throat clearing and a sensation of something being stuck in the throat. Some people will also complain of heartburn, while others may have intermittent hoarseness or loss of voice. Another major symptom of LPR is "postnasal drip". The patients often have been told that their symptoms are abnormal nasal drainage or infections, however, this is rarely the cause of the irritation. In order for the "postnasal drip" to cause the complaints described, signs and symptoms of active nasal infection has to be present.
What To Expect at the Doctor's Examination?
After a detailed history is taken, a head and neck examination will be performed. Particular attention will be placed on the nose and throat area. The doctor will use an instrument called a Flexible Fiberoptic Laryngoscope. This is a thin flexible fiber lens that allows the doctor to look at your voice box and throat. If the area is very inflamed and red, you might have LPR.
What Other Tests Might The Doctor Order?
Sometimes if the symptoms of LPR are very severe or if the symptoms fail to resolve with medical treatment your doctor might order a test called Ambulatory 24-hour pH Monitoring to verify the diagnosis. This test involves inserting a tiny tube through the nose into your esophagus. This small tube has monitors which measure the amount of acid that backs up into your esophagus and throat. The tube is connected to a small pocket size computer which records the activity in a 24 hour period.
What Treatment Will the Doctor Recommend?
There are four general treatments for LPR:
Posture changes and weight reduction.
Diet modifications.
Medications to reduce stomach acid or to promote normal motility.
Surgery to prevent reflux.
Your doctor might prescribe medications to either reduce or completely shut off the amount of acid in the stomach. Sometimes a medication that promotes motility might also be prescribed. Rarely, there are individuals who have a severe resistant to medical management. Surgery is then recommended to tighten the lower esophageal sphincter.
How Long Do I Need Medication?
Most patients will begin to notice some relief in their symptoms in about two weeks. However, it is generally recommended that the medication be continued for about two months. If the symptoms completely resolve, the medication can then begin to be tapered. Some people will be symptom free without the medication while other people may have relapses which require treatment again.
Things That You Can Do To Prevent Reflux
Do not smoke. Smoking will cause reflux.
Avoid tight fitting clothes around the waist.
Avoid eating three hours prior to bedtime. In fact, avoid eating a large meal at night.
Weight loss. For patients with recent weight gain, shedding a few pounds is often all that is required to prevent reflux.
Foods to avoid: caffeine, cola beverages, citrus beverages and mints, alcoholic beverages, particularly at night, cheese, fried foods, eggs and chocolate.
For patients with more severe symptoms, it is helpful to sleep with the head of the bed elevated. Six inches of bed elevation will decrease reflux significantly.
For additional information or a consultation please call Jerry Huo, M.D at 212-746-2270
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I don't think the mucus comes from the sinuses, but anyway yeah I've wondered the same thing. My mucus is incredibly glue-like, sticky, back there. So maybe food is simply getting stuck there, stinking after a while... How do we find out?prey wrote: can the food that i eat stuck in the mucus that comes from the sinuses?Because in my mucus that i spit i find little pieces of what i eat before,if i eat chocolate the mucus is brown and i have small pieces in it.
Another major symptom of LPR is "postnasal drip". The patients often have been told that their symptoms are abnormal nasal drainage or infections, however, this is rarely the cause of the irritation.
Go up to the article.
It's acid reflux.
