How to deal with severe bad breath since childhood?

Patient's question:

Halitosis has been severe since childhood. After brushing my teeth for a while, it returns. Is it due to stomach issues or nasal problems? Both places have issues. Should I get an anaerobic bacteria test done?

Doctor's answer:

The causes of bad breath are more than 80% oral bad breath. It is necessary to have a follow-up visit to the stomatology department for a comprehensive oral examination, completely eliminate the above causes, and then suppress bad breath. Non-oral bad breath includes adjacent diseases of the oral cavity, producing purulent secretions, which will again cause bad breath. After ruling out oral causes, further examination of relevant systemic diseases is necessary to actively treat them in order to completely suppress bad breath. It is recommended to have a follow-up visit to the stomatology department for a comprehensive oral examination, completely eliminate the oral causes, rule out oral causes, and further examine relevant systemic diseases, including the test for Helicobacter pylori in the stomach.

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