Can bad breath from childhood be cured?

Patient's question:

I am 22 years old and have had this condition for many years. It seems to have been present since I was a child... I am very troubled and don't know the cause. I have searched online for many explanations about this, but I have also checked with an oral medicine specialist and there were no issues. A gastroenterologist recommended that I undergo a 13C urea breath test and various respiratory tests. I don't know if this will be helpful or if it can identify the cause. This condition is long-term, not temporary... Do you have any good methods to suggest? Thank you.
First follow-up question: I want to know if Hangzhou Guangren Hospital has a specialized department for bad breath and if it can treat it. I have looked at many hospitals and...

Doctor's answer:

Hello: Bad breath can be caused by many factors:
1. Purulent Bad Breath: Common causes include chronic sinusitis, atrophic rhinitis, nasal foreign bodies in children, acute purulent tonsillitis, lung abscesses, and bronchiectasis. These conditions often lead to ulcers, erosion, or purulent discharge, resulting in bad breath. Eliminating the underlying causes and lesions can eliminate the bad breath.
2. Sour Bad Breath: Also known as acidic odor, it is more common in children and is caused by digestive disorders due to gastrointestinal dysfunction. This odor is often detected during belching. After treatment, when gastrointestinal function recovers, the bad breath disappears.
3. Food-Induced Bad Breath: Consuming raw garlic, raw onions, leeks, lamb, or other foods can cause food-induced bad breath, especially when eating raw garlic. For this type of bad breath, simply avoiding these foods will lead to natural disappearance within one to two days. Chewing tea leaves or dates in the mouth for a while can also help accelerate the elimination of bad breath.
4. Habit-Induced Bad Breath: Long-term smoking and alcohol consumption can cause bad breath that emanates from the mouth. This is purely due to habits. Once smoking and drinking are quit, the bad breath naturally disappears.
5. Decomposition-Induced Bad Breath: This is often caused by poor oral hygiene, such as not brushing teeth in the morning or evening, not rinsing the mouth after meals, or the accumulation of dental plaque along the gumline or food debris lodged in teeth gaps or cavities. Fermentation and decomposition of these substances release foul odors. To eliminate this type of bad breath, maintaining good oral hygiene and developing the habit of brushing teeth in the morning and evening, as well as rinsing the mouth after meals, is essential.
This information was analyzed by the Head of the Stomatology Department at Hangzhou Guangren Hospital!

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