Gastrointestinal problems: Causes, Effects and Symptoms

A lot of people suffer from bad breath. This is not only very unpleasant for those affected, but also for those around them. However, it is rarely due to inadequate oral hygiene. We explain why bad breath can be a sign of gastrointestinal problems and which tips can help.

This is how bad breath develops

Bad breath in the morning: Everyone knows the problem. The nasty bad breath is completely normal, however, because there is less saliva in the mouth at night than during the day. Especially people who sleep with their mouth open can develop bad odors thanks to the bacteria in the mouth .

Saliva ensures that bacteria are transported from the mouth into the esophagus. On the other hand, since it is absent at night and the tongue becomes very dry, the microbes on the dry mucous membranes can produce the unpleasant smell. The bacteria feed on leftover food or on human cells and blood. With this food intake, substances such as acetone, sulfides and fatty acids are formed, which in combination are the cause of the bad odor in the oral cavity.

If a penetrating, unpleasant bad breath occurs, you should first check your oral hygiene . If leftovers are left between the teeth, on the tongue or in the oral cavity due to poor oral hygiene , they could deteriorate and create the unpleasant smell. However, if there is no improvement after brushing your teeth, rinsing your mouth and professional teeth cleaning, the cause of bad breath can also be an illness.

Tooth decay, metabolic disorders, diabetes , lung diseases or kidney disorders can all be causes of the bad taste and odor in the mouth. However, the bad breath is then very succinct and not only noticeable in the morning after waking up.

Possible causes for the musty smell can also be disorders in the gastrointestinal tract . We have compiled diseases that can have an impact on the breath. You will also find a few helpful tips against bad breath.

Gastrointestinal diseases affecting the breath

Heartburn: Heartburn can result in an intensely uncomfortable, acidic mouth wheeze. Especially when chyme and stomach acid flow back into the esophagus. You notice it by pain in the middle of the chest and acid regurgitation. The unpleasant burning sensation can also occur when leftover food gets stuck in the esophagus. They then impede the passage of food and other leftovers can get caught. This increases the odor from the mouth and nose as the food breaks down in the body.

Diaphragmatic hernia: This condition occurs when part of the stomach leaks through the diaphragm into the chest where it meets the esophagus. This can lead to heartburn with acid regurgitation, which causes bad breath.

Inflammation of the gastric mucosa: Smokers and people with excessive alcohol consumption are particularly affected by this disease, as these two addictive substances irritate the mucous membrane. But food poisoning can also lead to acute inflammation of the gastric mucosa . The disease becomes noticeable through a strong odor from the mouth and nose. In addition, gastritis is accompanied by severe pain in the upper abdomen, a feeling of fullness and heartburn.

Stomach ulcer: A stomach ulcer can lead to a narrowing of the stomach outlet. The result is blocked bowel movements and thus bad breath from the mouth and nose as well as heartburn. A gastric ulcer can be recognized by pain in the upper abdomen, which can occur while eating or at night.

Intestinal obstruction: The small or large intestine can become blocked due to foreign objects. But twists or adhesions after surgery and colon cancer can also lead to an intestinal obstruction . Such is accompanied by constipation , fever, cramping pains and a bloated abdomen. If the stool backs up in the stomach due to the obstruction, unpleasant-smelling odors arise from the mouth. This can lead to nausea and vomiting in those affected. If you show signs of an intestinal obstruction, action is required as this is an acute emergency.

Food allergies: Allergies or food intolerances can also be the cause of indigestion with subsequent bad breath. In the case of an intolerance , the symptoms can be very different. Bad breath is just one symptom alongside general fatigue, a feeling of fullness, flatulence , belching, skin reactions or abdominal pain. When it comes to your diet, pay attention to the food after which the symptoms appear.

Do I have bad breath? Take the self-test!

If you are now wondering whether the taste in your mouth is normal or whether you may be suffering from bad breath, you can find out with a simple bad breath self-test:

  • Lick the wrist with your tongue. Wait a moment for the saliva to dry, then smell the spot. An unpleasant odor indicates bad breath.
  • Put your hands in front of your mouth and blow into them vigorously. Then stick your nose into the exhaled air. If you perceive these as bad, this indicates bad breath. Alternatively, you can breathe into a bag.
  • Take a tongue scraper or cotton swab and gently scrape a small amount of coating from the back of the tongue. Wait a moment before smelling the scraper or stick.
  • Another quick trick will also tell you if you are suffering from bad breath. If you notice the unpleasant odor through your nose even when you close your mouth, it is in all probability pathological bad breath.

Bad breath tips

  • Dentist: Everyone should visit the dentist once a year to remove tartar and have a general check of the teeth. Also, ask your dentist about the medications you are taking. Certain medications can, in rare cases, cause bad breath.
  • Brushing your teeth: It is obvious and yet it is the be-all and end-all for a clean mouth. Brushing your teeth two to three times a day for three to five minutes helps remove bacteria and keep your mouth clean. Also change your toothbrush at regular intervals – after three months at the latest. It is also importantnot to forget the spaces between the teeth. These should also be cleaneddaily with dental floss or interdental brushes .
  • Cleaning your tongue : You can regularly and thoroughly brush your tonguewith a soft toothbrush or special tongue toothbrushes. Leftover food and many bacteria that can cause bad breath are mainly found on your tongue.
  • Sugar-free chewing gum: A good solution for in between meals is dental care chewing gum . Be it after a meal or with a dry mouth. Chewing gum stimulates the flow of saliva, which in turn flushes the bacteria from the mouth into the body and also ensures fresh breath.
  • Mouthwash: For a fresh breath, a mouthwash is also suitable, which also fights bacteria in the mouth. However, only use this once a week, as too frequent use can disturb the balance of the oral flora.
  • Drinking: Drinking plenty of fluids is generally important for health. If you suffer from bad breath, you should make sure you drink a lot to keep your mouth moist. This will help wash away bacteria and food debris. However, sweetened drinks are not suitable because they are a nutrient medium for bacteria.
  • Food: A balanced diet is helpful. Make sure you eat lots of fruit and vegetables and avoid spicy food. High-protein food and fatty foods also cause unpleasant bad breath. It is also important to eat regularly when there are signs of bad smell. Fasting or dieting lead to an overly acidic stomach, which in turn leads to bad breath.
    Alcohol and nicotine should be avoided as far as possible. While obvious, but worth mentioning again, garlic and onions cause bad breath for up to 72 hours.
  • Home remedies: There are numerous home remedies that can help with bad breath:
    Chewing coffee beans and aniseed and fennel seeds is a natural way to neutralize acid when belching and freshen breath. Parsley is also said to neutralize the smell of garlic. Sage tea is alsoa helpful home remedy for bad breath, as it ensures fresh breath and has an antibacterial effect. oil pullingBinds toxins and bad smelling substances in the mouth. Ideally, use cold-pressed olive or sesame oil and swish it around in your mouth for five to ten minutes. Then spit out the oil and rinse your mouth well. Another effective remedy for bad breath is lemon juice . Put some juice in a glass of water and rinse your mouth regularly. The sour lemon inhibits bacterial growth and causes salivation. Ginger is also a great home remedy for bad breath. Put a small piece in your mouth and chew on it. The tuber has an antibacterial and refreshing effect.
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Bad breath: when to see a doctor?

If you suffer from bad breath over a longer period of time, thorough oral hygiene does not provide any relief, or if you experience other symptoms such as breathing difficulties, headaches, body aches, abdominal pains or a cough, you should consult your family doctor or dentist. Tell your doctor if you have any pre-existing medical conditions or are taking any medications. It can also be helpful if you keep a log of when and to what extent you have bad breath.

Crystal Waston MD

Crystal Waston has a degree in Cross Media Production and Publishing. At vital.de she gives everyday tips and deals with topics related to women's health, sport, and nutrition.

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