Unpleasant odor from the mouth of the stomach

Not always bad breath is a consequence of insufficient oral hygiene. In some cases, an unpleasant odor from the stomach rises. The fact that the odor from the mouth of the unhygienic problem can be understood by the absence of caries cavities and dental deposits, inflammatory processes in the oral cavity.

In diseases of the digestive tract, in addition to halitosis, there are other symptoms, for example, belching, heartburn, pain and heaviness in the abdomen, flatulence, nausea. To begin treatment of a smell from a mouth going from a stomach, it is necessary to find out the reason which has caused the strengthened fermentation and putrefaction, and for this purpose it is necessary to pass medical examination. Only after the elimination of the underlying disease can you get rid of an unpleasant symptom.

Why there is

The causes of odor from the mouth are varied. It can be physiological( associated with the biocenosis of the oral cavity) and pathological, permanent and temporary( after using certain products or medicines).Pseudohalitosis can be triggered by the use of certain foods( for example, indigestible or having a sharp odor), the colonization of the mouth with putrefactive bacteria, gum diseases, enlarged adenoids( breathing in the air with a nose is difficult, so the person breathes through the mouth).

True halitosis is manifested by a constant sharp smelly smell from the mouth and it is impossible to eliminate it with hygienic procedures. With extraoral halitosis, the odor can come from the lungs, upper parts of the digestive tract, since volatile compounds can be released with exhaled air. Odorants are constantly present in the blood in diabetes mellitus, cirrhosis, uremia, internal bleeding.

Problems with the stomach are a relatively rare cause of stale breathing, as the sphincter blocks the movement of gas from the stomach into the esophagus, and the esophagus itself is usually in a collapsed condition. The odor from the stomach can change breathing only if the sphincter is untenable or there is a hernia of the esophagus, pyloric stenosis, but gas from the stomach rises when vomiting, belching, coughing. An eructation arises with increased accumulation of air in the stomach.

In case of hematogenous halitosis, the compounds that impart an unpleasant odor to the exhaled air are produced in the tissues and pathological environments of the body, and also come with medicines or food. These substances from the stomach penetrate into the systemic bloodstream, then are transferred to the lungs, where they acquire volatile properties and come out with exhaled air. If the level of odorants is quite high, then breathing takes on an unpleasant smell.

Unpleasant odor of exhaled air is due to the presence of volatile sulfur compounds( hydrogen sulphide, dimethyl sulfide, methyl mercaptan, dimethyldisulfide, allyl mercaptan, propyl mercaptan, carbondisulfide), amines( cadaverine, putrescine, ammonia, dimethylamine, trimethylamine), organic acid( isovaleric, oily).

Volatile compounds have a different threshold of perception: some smells are barely noticeable, while others approach the threshold of rejection. The most odorous are the compounds present in garlic and onions, as well as methyl mercaptan, which gives the breath the smell of rotten cabbage or feces, and dimethylamine, which is associated with fish, ammonia flavor.

As a result of various diseases of the gastrointestinal tract, the digestive process slows down, the contents of the stomach are poorly digested and, entering the intestine, begins to rot or wander, because it can not be absorbed by the body. With nonspecific chronic diseases of the respiratory system( bronchitis, pneumonia), caused by gram-positive bacteria, mycoplasma or viruses, low-intensity odor from the mouth appears.

In the process of putrefaction and fermentation, a gas with an unpleasant odor is released, and it exhales when the esophageal sphincter is untenable.

The concentration of odorants is much stronger if the disease is caused by gram-negative microorganisms. When the liver functions in the body, dimethylsulfide is formed in large amounts, the smell of which is similar to the smell of sulfur, gasoline or the sweetish smell of cabbage, and in the pathologies of the bile ducts hydrogen sulphide resembles the smell of rotten eggs with exhaled air.

One of the possible causes of foul-smelling breath is the presence in the stomach of a chylobacter. The microorganism causes inflammation of the mucous tissue, which leads to abdominal pain, belching, metallic aftertaste, heartburn, flatulence, and with exhaled air demethyl sulphide and hydrogen sulphide are released( smell of rotten eggs and sulfur).

Unpleasant odor from the mouth occurs due to the stomach as a result of metabolic disorders. During fasting, combined with intense physical activity( with losing weight), the body lacks liquid and energy, so the deferred fat begins to be split. This leads to the development of ketosis, since ketones enter the bloodstream, which have a strong aroma of acetone, acetoacetic acid and b-hydroxybutyrate.

In violation of the splitting of plant proteins, trimethylaminuria or "fish odor syndrome" develops. Patients from the mouth feel a putrid smell, which includes notes of sulfur compounds and trimethyleneamine. In people with a deficiency of the enzyme lactase after the use of dairy products, sulfur-containing amino acids penetrate the bloodstream, which cause the formation of volatile sulfur compounds.

Similar occurs and if gluten is not broken down. The lack of enzymes in the digestive juice leads to the development of microorganisms involved in the decomposition of food and emit odorogenic gases that can smell bad.

When rotting and fermenting in the intestine, the volume of gases that penetrate into the blood and escapes through the lungs increases.

Characteristics of the halitosis

The characteristics of the odor suggest the cause of its occurrence. So, if it smells rotten, then this indicates a decrease in the acidity of the gastric juice. An acidic smell arises as a result of increased production of hydrochloric acid. Sweetish smell is a sign of liver and gallbladder disease.

If on exhalation the aroma of ammonia is caught, then, most likely, the kidneys work is broken. With chronic diseases of the respiratory tract, tonsillitis, tonsillitis, sinusitis, a putrid odor from the mouth is felt. The smell of acetone appears if ketone bodies are formed( they are released during the period of starvation, when fats stored in the body are split).

The cause of bad breath from the stomach can be gastritis, reflux disease, stomach or duodenal ulcer, intestinal dysbacteriosis, pancreatitis, hepatitis, hepatic insufficiency, cholecystitis, esophagus or stomach cancer. With the use of certain products in the body odorants are formed, which give the exhaled air a specific flavor.

For example, garlic, onions, cabbage contain sulfur-containing substances. After consuming garlic from the intestine, thioallymercaptan and methylmercaptan enter the blood, which are completely metabolized within an hour, and allammethyl sulfide betrays the bad smell of breathing. Onions also impart a specific smell to breath, since it contains a lot of methylpropyl mercaptan. Children after eating the mixture with choline may develop a fishy smell from the mouth.

How to eliminate

To eliminate bad breath you need to adjust your diet. With malnutrition develops fermental dyspepsia, which leads to halitosis, flatulence, belching. It provokes excessive gassing by excessive consumption of proteins and carbohydrates.

From the menu it is desirable to remove pastries, bread, sweets, fatty meat, potatoes, legumes, cabbage, alcohol, carbonated drinks, strong tea and coffee, pickled products. It is recommended to consume more sour-milk products( kefir with lactulose, yogurt with bifidobacteria, fermented bacon), as they promote the growth of useful intestinal microflora.

Lactobacilli and bifidobacteria alter the acidity of the medium, which slows down the development of putrefactive microorganisms. For the same purpose, agents containing living beneficial bacteria or being a substrate for them can be prescribed. Probiotics and prebiotics are dispensed without a prescription, do not cause side effects and have almost no contraindications.

To clean the intestines from rotting contents, you need to consume more foods containing dietary fiber. Fiber enters the large intestine, increases in size and collects stagnant stool from the walls. In addition, it stimulates the motor activity of the intestines, which contributes to the rapid excretion of feces.

Contains dietary fiber in vegetables and fruits, dried fruits, groats, nuts, legumes, whole grain bread, berries. As an additive to the dishes you can use wheat bran, which will not only improve the work of the digestive tract, but also help to lower the level of cholesterol in the blood and normalize the composition of the intestinal microflora.

Dietary nutrition will be developed by the attending physician in view of other symptoms and diseases of the digestive tract. If slow digestion is the result of an inflammatory process in the stomach, then a therapeutic diet No1 is prescribed, and in the case of diseases of the hepatobiliary system, a treatment table No5 is indicated.

For any pathology, it will be recommended to exclude products that increase gas generation

Medication

If the acidic odor from the mouth is a symptom of a hyperacid gastritis, then drugs are prescribed that reduce the acidity of the gastric juice or reduce the production of hydrochloric acid( antacids or proton pump inhibitors), antispasmodics, antibiotics, envelopingfacilities. Again, it is important to follow the diet, so as not to provoke the development of the disease, the use of foods that further stimulate the secretion of gastric juice.

With peptic ulcer, drugs that suppress the production of hydrochloric acid( Ranitidine, Omeprazole), antibacterial drugs( Metronidazole, Clarithromycin), antacids( Gastal, Maalox), antispasmodics( No-sppa, Papaverin), sedative and vitamin complexes.

When hepatic or gallbladder disorders occur, hepatoprotectors( Hepabene, Karsil), lipotropic drugs( Betargin, Heptral), phospholipids( Phosphogliv, Essentiale), cholagogues( Ursosan, Exoll) are prescribed.

The inflammatory process in the pancreas is removed with the help of proton pump inhibitors( Omeprozol), antiferment preparations( Trasilol), and the pain syndrome is reduced by taking antispasmodics( Papaverin, No-shpa) and analgesics( Promedol, Ibuprofen).If the disease has occurred against a background of bacterial infection, then antibiotics are prescribed.

As can be seen, the list of drugs prescribed for various gastrointestinal diseases may differ significantly. Therefore, in order to get rid of such a symptom as a bad breath, you first need to find out what exactly causes it and only then proceed to treatment. The fight should not be conducted with the smell itself, but with what it causes.

Traditional medicine tips

For the treatment of diseases of the stomach can be used as part of complex therapy and recipes of traditional medicine. Decoctions and infusions are used that have:

• anti-inflammatory action( chamomile, St. John's wort, hog urchin, meadow chamber, English oak, European birch);
• choleretic effect( calendula, elecampane, nettle, dandelion, milk thistle, wormwood, dog rose, lemon balm);
• enveloping properties( seeds of flax, marshmallow, elecampane, dyagel, oats);
• antimicrobial effect( root of the blood-groove, mother-and-stepmother, root of the aura, St. John's wort, eucalyptus, sage, anise, chamomile).

Mouthwashes, chewing gums, mint candies only interrupt the smell, but unable to eliminate it with a sick stomach

While the stomach treatment is going on, you can use the following tips to help keep the breath fresh for several hours:

• decoction of mint.10-12 leaves of mint pour boiling water and let it brew for half an hour, then strain. Broth gargle every 2-3 hours;
• decoction from the bark of oak. Spread a large spoonful of oak bark with 200 ml of boiling water, hold in a water bath for 30 minutes, then drain the broth. Rinse the mouth several times a day;
• tea from grass aira. One teaspoon of boiling water is taken by a teaspoon of vegetable raw materials. It is necessary to drink liquid 4 times a day on a tablespoon;
• infusion of lemon balm. A tablespoon of lemon balm should be poured into a glass of water and cooked on low heat for 5 minutes, let it brew for a quarter of an hour. Drink infusion on an empty stomach in the morning and in the evening for half a cup.
• carnations. If you chew a few cloves of cloves, the breath will be fresh for several hours, in addition, the seasoning has antiseptic properties;
• basil leaves. The plant refreshes breathing for a long time;
• coffee beans. To destroy the smell from the mouth, you can chew a few grains of coffee.

Bad breath is not in all cases caused by diseases of the oral cavity, it can provoke diseases of the digestive system. Why the inhaled air stinks, the doctor can find out only after carrying out of diagnostic actions. To eliminate bad smell from the mouth, you need to undergo a comprehensive therapy of the underlying pathology, which consists in taking medications and observing a therapeutic diet.