bad breath
Introduction
Introduction Bad breath is a symptom of odor in the mouth. Bulimia spicy food or overeating, fatigue, excessive heat, stagnation, or certain oral diseases, such as oral ulcers, dental caries and digestive diseases can cause bad breath. Chinese medicine believes that bad breath is caused by lung, spleen, stomach heat accumulation or food accumulation. These things become a toxin when they are not deposited in the body for a long time. The formation of bad breath is mostly formed by the long-term accumulation of body toxins. Therefore, the elimination of bad breath needs to be fundamentally adjusted to the body before it can be eradicated. It must not be rushed to use some drugs that are more irritating to the gastrointestinal tract. The prescription is adjusted to fundamentally relieve bad breath.
Cause
Cause
(1) Dietary breath
Eating certain foods, such as garlic, onions, leeks, stinky tofu, etc., have specific odors. When stored in the mouth, they can emit corresponding odors, heat, vomiting, hiccups, and often the contents of the gastrointestinal tract. The smell is transmitted out of the body.
(2) Foreign body corruption
The food residue remaining in the tooth gap is rotted by bacteria to produce an odor.
(three) tissue necrosis
Human tissue is mainly composed of protein, which produces odor such as hydrogen sulfide after decomposition.
(4) Bacterial twins
Some bacteria in the mouth and respiratory tract decompose proteins and starch, and a large number of bacterial metabolites such as strontium, sulfhydryl and ammonia can cause bad breath.
(5) Substances contained in blood
In diabetic ketosis and uremia acidosis, the blood ketone and urea components increase, and the blood flows through the alveoli to distribute the ketone and the decomposed urea to the body, so that the patient may have an acetone smell or a rotten apple smell.
Examine
an examination
Related inspection
Oral X-ray examination McNealy-McCallister test oral endoscope
1. Feedback method for close people: According to the feedback from relatives, friends or spouses.
2. Sensory perception analysis method: The analysis method selects the following six parameters.
1 full mouth breathing smell;
2 speech smell, also known as 20 count test;
3 tongue anterior area smell, also known as wrist test; 4 tongue behind the area smell, also known as plastic spoon test;
5 nasal odor;
6 tooth gap smell. The above odor evaluation is calculated by a 0-5 semi-integer integral.
3. The direct nasal test method of the professional division teacher: it is an easy to implement and more accurate one of the objective evaluation methods of bad breath. It is diagnosed by a professional bad breath nasal tester, and the degree of bad breath is measured by a score of 0 to 5, and the result is reproducible.
4. Chemical analysis method:
1 Gas chromatography/mass spectrometry is a gas chromatograph for detecting exhaled gases from a subject.
2 The level of VSCs can be detected using a sulfide monitor.
3 High-pressure liquid chromatography (HPLC) was used to detect rancid compounds such as cadaverine in saliva.
4 The zinc oxide thin film semiconductor sensor uses a mouth exhalation into a bag for detection.
Diagnosis
Differential diagnosis
It should be differentiated from the following symptoms:
1. Virtual heat, bad breath, bad heat, bad breath: mostly caused by yin deficiency and internal heat. Bad breath and both dry nose, dry cough, dry stool, for the lungs and yin weakness. When clear lungs; bad breath and both upset, insomnia and more dreams, muscles beat, claws are not good, for the liver's yin and blood loss. Bad breath and both waist and legs are sore, more dreams and nocturnal emission, dry mouth and dry throat, especially at night, for kidney yin deficiency, the syndrome of fire.
2. Stomach, bad breath, stomach fire, bad breath: more caused by the evil of evil. In addition to bad breath, each side of the face is hot, thirsty, cold, or sore mouth, or swollen gums, pus bleeding.
3. Food, stench, food, and bad breath are more common in urban children aged 1 to 6 years old, and are related to improper diet and improper feeding. These children have long-term loss of appetite, thin yellow face, but normal mental health, medication to digestion and stomach.
4. Hot, bad breath, bad breath, bad breath: caused by phlegm and phlegm. In addition to bad breath, each card has cough and turbidity or pus and blood, chest pain and shortness of breath.
