bad breath
Introduction
Bad breath profile The so-called bad breath (also known as "tone") is the unpleasant tone of the population that makes others bored and embarrassed. Don't underestimate the little problem of bad breath. It will make people (especially young people) afraid to get close to people, thus creating a feeling of inferiority, affecting normal interpersonal and emotional communication, which is very distressing. basic knowledge The proportion of illness: 10% Susceptible people: no specific population Mode of infection: non-infectious Complications: depression, anxiety
Cause
Cause of bad breath
Do not pay attention to oral hygiene (25%):
Usually do not pay attention to oral hygiene in life, do not brush your teeth, do not gargle, or brush your teeth, the food residue in the mouth is accumulated for a long time, fermenting and decomposing under the action of bacteria, producing substances such as sulfhydryl and amines. A rotten stench.
Other diseases of the body (20%):
Some bad breath is caused by diseases in other parts of the body, such as indigestion, suppurative bronchitis, lung abscess, etc., which will discharge odor through the respiratory tract, which is characterized by bad breath. In addition, diseases of adjacent organs, such as nasopharynx and nasal diseases, Such as suppurative maxillary sinusitis, atrophic rhinitis, etc., can also cause bad breath.
People wearing dentures do not pay attention to the cleaning of the dentures (15%):
Some people wearing dentures do not pay attention to the cleaning of the dentures, and there is also a smell in the mouth, which is the most common cause of bad breath.
Oral disease (10%):
The decay of the decayed teeth, periodontal disease makes the gums often inflamed, abscess bleeding, ulceration and pus, also prone to a stinky smell.
Special food is good (10%):
Some people especially like to eat garlic, green onions, etc., mouth, stomach will have an unpleasant smell.
Dialectical of Chinese Medicine
Chinese medicine believes that the production of bad breath originates from various acute and chronic diseases of the human body. For example, in the Qing Dynasty, the source of the miscellaneous disease is: "The virtual fire is hot, the bad breath is between the chest and stomach, or the person with good taste is also bad breath. , or the lungs are burning and bad breath," dialectically discussed by the Chinese medicine practitioners, that is, the chest and abdomen are not smooth, the turbidity is reversed, the stomach yin is burnt, the heat is endogenous, the stomach yin is damaged, the body fluid is insufficient, and the virtual fire is steamed; Damaged, the gas is reversed; the qi and blood damage is stagnation, the yin deficiency, the yin deficiency, the gastrointestinal liver, the biliary stagnation, the hot steam, the liver fire, the stomach, the spleen qi stagnation, the cold and the heat, the rise and fall The resulting bad breath, Chinese medicine believes that the pathogenesis of bad breath is:
1. The liver is full of fire, which consumes the essence of the wound and is caused by inflammation.
2, gastrointestinal accumulation of dampness and evil heat, heart and fire, and on the head, eyes, mouth, throat, turbidity down, evil colon stomach caused.
3, the stomach yin is damaged, the lack of fluid, steam on the virtual fire; lung yin damage, the gas is reversed; the qi and blood damage is the virtual fire stagnation, the yin deficiency and the loss.
4, spleen qi stagnation, cold and heat mutual knot, caused by the rise and fall.
5, climate, spirit, diet factors, causing spleen and stomach dislocation, and qi stagnation, food accumulation; mood is not comfortable, causing liver fire, stomach, qi stagnation.
Prevention
Bad breath prevention
prevention:
1. Cultivate children's habit of paying attention to oral hygiene from a young age, so as to gargle after meals and brush their teeth in the morning and evening.
2, the diet should be regular. Eat more fruits and vegetables, mix and match, not picky eaters, not partial eclipse, not overeating.
3. Prevent indigestion. When indigestion occurs, some digestive and gastrointestinal motility drugs can be taken as appropriate.
4, pay attention to prevention and timely treatment of dental caries and uneven arrangement. Eat less sweets, especially if you don't eat sweets before going to bed.
5. Use Chinese medicine Reed Root, Mint, Musk Decoction, or 1% Hydrogen Peroxide, 2% Soda Water, 2% Boric Acid Water, etc., and choose one of them to reduce or eliminate bad breath.
Elderly prevention
Some elderly people often have a bad smell in the mouth, and there are several reasons for the smell in the mouth:
1. There are caries, residual crowns or residual roots in the mouth. Food debris adheres to these lesions. After the bacteria in the mouth, the food residue will produce bad breath after fermentation. As long as the caries, residual crown or residual roots are treated, the bad breath will disappear.
2. There are periodontal diseases in the oral cavity, especially chronic periodontal disease, which forms a blind bag, which produces chronic overflow and odor. At this time, it is necessary to treat periodontal disease and eliminate the blind bag to eliminate bad breath.
3. Acute inflammation occurs in the oral cavity, such as acute periodontal abscess, third molar pericoronitis, etc. There are some acute inflammatory secretions in the mouth, and bad breath will also occur. These diseases will be cured, and the bad breath will be cured after the inflammation subsides. Disappeared.
4. The periodontal tissue of the elderly produces physiological atrophy and gaps between the teeth. After eating, the food crumbs stay in the gaps of the teeth, and the odor is generated after the bacteria in the oral cavity are fermented. Therefore, we must pay attention to oral hygiene, so that morning and evening (before bedtime) brushing your teeth and gargle after eating, to eliminate food residue in the mouth, can prevent bad breath.
5. Digestive diseases. The elderly have digestive dysfunction, often have indigestion or digestive tract reflux disease, which can exhale the odor generated by the food stored in the stomach, which is also an important cause of bad breath. As long as the digestive tract disease is cured, it will eliminate the odor. Improve bifidobacteria in the gastrointestinal tract and treat bad breath. Bifidobacterial factors such as soybean oligosaccharide, isomalto-oligosaccharide, and oligofructose have a good effect on treating bad breath.
Complication
Bad breath complications Complications depression anxiety
Bad breath can make people afraid to communicate with people close together, thus creating a feeling of inferiority, affecting normal interpersonal and emotional communication.
Bad breath can affect people's quality of life and social interactions, and has a negative impact on people's social and psychological, and can also be associated with some mental illnesses, such as depression and anxiety.
Symptom
Bad breath symptoms Common symptoms Stomach, bad breath, bad breath, bad breath, food, mouth, mouth, mouth, dry mouth, mouth, mouth, tasteless, hot, bad breath, mouth, mouth acid, stomatitis
In addition to the bad smell in the mouth, bad breath has different syndrome types and the accompanying symptoms are different.
Bad breath is mainly divided into two major types, one is immune to visceral dysfunction, and the other is simple oral bad breath.
First, immune visceral dysfunction dysfunction symptoms: in addition to the obvious signs of bad breath, according to individual differences in patients, the following individual symptoms or the following symptoms: thick tongue coating, dry mouth, mouth pain, Shortness of breath, chest tightness, gastrointestinal discomfort, abdominal accounts, frequent urination, constipation, loose stools, weak waist and knees, limb numbness, easy to get angry (women are easy to get angry during menstruation), hands and feet are easy to sweat, body is often hot, easy to fatigue, Easy to catch cold, irritability, insomnia, lack of energy, dizziness, dry hair, tinnitus and other symptoms.
Second, the symptoms of simple oral bad breath symptoms: in addition to obvious bad breath, oral gum swelling, pain, local fever and so on. Simple oral bad breath: non-dirty causes, mainly caused by oral diseases such as simple rickets (commonly known as tooth decay) and periodontal disease (gingivitis and periodontitis).
Examine
Bad breath check
1. Ask the ENT to check if there is oral or nasal disease.
2. Enter the internal medicine to check the digestive tract, respiratory related diseases, and systemic diseases such as diabetes and tumors.
Diagnosis
Bad breath diagnosis
Generally, according to the smell of the patient's mouth, a diagnosis can be made without identification.
TCM classification:
Stomach-burning bad breath: It is caused by the hot evil evil stomach. In addition to bad breath, every face is hot, thirsty, cold, or sore mouth, or swollen gums, pus bleeding.
Food product bad breath: mostly caused by over-satisfaction of the stomach, shrinking food and stagnation in the stomach, its mouth is sour and rancid, abdominal pain, not thinking about diet, suffocating bad breath and so on.
Hot sputum bad breath: caused by hot sputum in the lungs or hot sputum stagnation caused by pus rot, its card in addition to bad breath, each cough and vomiting or pus and blood, chest pain and shortness of breath.
Bad heat and bad breath: mostly caused by yin deficiency and internal heat, bad breath and dry nose, dry cough, dry stool, for the lungs and yin deficiency, when the lungs are clear; bad breath and both upset, insomnia and dreams, muscles beat, The claws are not huayin, the liver is yin and blood loss, bad breath and both waist and legs are sore, more dreams and nocturnal emission, dry mouth and throat, especially at night, for kidney yin deficiency, the syndrome of fire.
