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by Dr Umang Khanna (BHMS)
Halitosis is a condition where the breath is altered in an unpleasant manner for the affected individuals and impairs them socially as well as psychologically. Halitosis can be clinically classified as real halitosis, pseudohalitosis, and halitophobia. Real halitosis has oral and extra-oral etiologies and the pathophysiology involves interaction of anaerobic microbes (mainly) with the proteins present in the oral cavity fluids and contents, resulting in production of volatile sulfur compounds (VSCs). These VSCs, beyond responsible for halitosis, can also initiate and accelerate periodontal disease progression. Thus, this review is about the pathophysiology and various etiologies of halitosis, the knowledge of which can help in the betterment of treatment options.
Nux vomica is particularly helpful when halitosis is due to digestive issues, such as constipation, acid reflux, or indigestion. It is useful when the person has morning breath that is especially foul.
Key symptoms: Acid reflux, constipation, nausea, irritability, and bad morning breath.
Mercurius solubilis is often indicated when bad breath is caused by gum disease, gingivitis, ulcers in the mouth, or infections in the oral cavity. It helps in cases of metallic taste in the mouth and excessive salivation.
Key symptoms: Foul-smelling breath, metallic taste, excessive salivation, and mouth ulcers.
Kali bichromicum is useful when bad breath is due to sinus infections, post-nasal drip, or thick mucus in the throat. It is indicated when the breath smells foul and putrid, especially if associated with stagnant secretions in the nose or throat.
Key symptoms: Thick mucus, sinus infections, post-nasal drip, and putrid breath.
Carbo veg is often used for bad breath due to weak digestion or gastritis. It is particularly useful for individuals who experience bloating, belching, or a sensation of fullness in the stomach.
Key symptoms: Bloating, belching, flatulence, acid reflux, and foul breath from digestive issues.
Sulphur is commonly used when halitosis is associated with poor hygiene, skin issues, or digestive disturbances. It is indicated for individuals who have a sour, rotten egg-like, or foul breath due to gastrointestinal causes.
Key symptoms: Foul-smelling breath, skin problems, burning sensation in the stomach, and digestive disturbances.
Natrum muriaticum is helpful when bad breath is caused by dry mouth, dehydration, or emotional stress. It is often used when the person experiences chronic dry mouth with a salty or metallic taste.
Key symptoms: Dry mouth, salty taste, dehydration, and bad breath after prolonged stress or grief.
Lachesis is useful for individuals who suffer from halitosis associated with throat infections, tonsillitis, or strep throat. It is often indicated when there is a putrid odor in the mouth, especially in the morning, and it may be associated with throat pain.
Key symptoms: Putrid breath, throat infections, morning breath, sore throat, and bad taste.
Ferrum phosphoricum is used when halitosis occurs due to mild infections or inflammation in the mouth, throat, or sinuses. It helps in cases where the breath has a metallic or iron-like smell due to minor infections.
Key symptoms: Mild infections, metallic breath, mild sinusitis, and general weakness.
Pulsatilla is often indicated when halitosis is related to digestive issues or gastrointestinal disturbances, especially in children or individuals with shifting symptoms. It is useful when the person has a thick, creamy, or sour breath.
Key symptoms: Sour breath, gastrointestinal disturbances, shifting symptoms, and thick saliva.
Arsenicum album is useful when bad breath is associated with anxiety, stress, or food poisoning. It helps when the breath smells rotting or putrid, and it is often used when there are also gastrointestinal disturbances such as vomiting or diarrhea.
Key symptoms: Putrid breath, nausea, anxiety, vomiting, and gastrointestinal disturbances.
Graphites is indicated when halitosis is caused by skin conditions such as eczema or scalp infections. It is also helpful when bad breath is associated with dandruff, itching, or skin eruptions around the mouth.
Key symptoms: Eczema, itchy scalp, foul breath, and skin eruptions around the mouth.
China is indicated when halitosis is due to weakness following blood loss, fever, or debilitating illness. It is useful for individuals who have a foul taste in the mouth or bad breath that is a result of post-illness weakness.
Key symptoms: Weakness, post-illness bad breath, foul taste, and fatigue.
Thuja is helpful when halitosis is associated with sinus infections or post-nasal drip, especially when the odor is foul or rotting. It is commonly used when there is a stale breath or when the person experiences chronic nasal congestion.
Key symptoms: Sinus infections, post-nasal drip, rotten breath, and stale breath.
Hydrastis is beneficial for bad breath due to nasal congestion, sinusitis, or throat infections. It is especially useful when there is a mucous buildup in the throat or sinus-related breath odor.
Key symptoms: Mucus in throat, nasal congestion, sinusitis, and foul-smelling breath.
Cocculus indicus is used when halitosis is linked to nausea, vomiting, or digestive issues. It is particularly helpful for individuals who have motion sickness or vertigo along with bad breath.
Key symptoms: Nausea, vomiting, motion sickness, vertigo, and foul breath.
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This clinic is not about giving medicines. This clinic is about curing with medicines rapidly, gently and permanently to the whole extent in the shortest, most reliable and most harmless way.