checked by a dentist for signs of gum disease and/or failing dental work.
If all else fails try using either a mouthrinse containing chlorine dioxide
(Oxyftesh) or else use the Dental Herb products. A bacterial analysis can
also be made using a saliva samples a properly trained dentist for
You are right. Chronic gastro-esophageal reflux Disease (GERD) CAN cause bad breath. The food digested is broken down by bacteria in your gut. The back flow of undigested food, the bacteria, and the broken down food up your esophagus emits an odor causing bad breath and of course and dissolve and erode your teeth. Speak with your primary physician about going on an H2 blocker or Proton pump inhibitor for serious GERD. This will reduce the acidity of the contents of your reflux but you also have to make some lifestyle adjustments. As you said, just taking Nexium might decrease discomfort but won=E2=80=99t remove the bad breath issue. Some adjustments you can try are listed below:=20
1) stop smoking (if applicable)- smoking loosens the musculature at the junction of you stomach and esophagus (decreases lower esophageal tone) making it easier to reflux contents
2) wait 2 - 3 hours after eating before laying down to avoid back flow - allow gravity to help keep the contents down
3) eat smaller meals rather then one large dinner
4) try chewing gum or mint losanges to help contents stay down and to hep freshen breath
5) Try brushing your tongue more often after meals.
Hope this helps.
Dr. Jeff Litman
Daley Oral and Maxillofacial Surgery associates
For patients with GERD, we also recommend that they use Proenamel toothpaste. It is especially formulated for acidic mouths which are more prone to erosion and accelerated wear.