Bad breath (halitosis)
Halitosis (foetor ex ore) · Zápach z úst (halitóza)
What it is
Persistent bad breath, nearly always from bacteria on the back of the tongue and in gum pockets; only rarely from the stomach or elsewhere.
Symptoms & signs
- Unpleasant breath noticed by others
- coated tongue
- bad taste
- dry mouth
- white stones in the tonsils
🚩 Get help if…
- see a doctor soon Bleeding, swollen gums or loose teeth
- see a doctor soon A mouth sore or lump lasting over 3 weeks
- see a doctor soon Bad breath with weight loss, cough or trouble swallowing
- see a doctor soon Sweet or fruity breath with thirst — test for diabetes
Where it strikes
Medical treatment
- Dental check for gum disease and decay
- tongue cleaning
- zinc or chlorhexidine mouthwash
- treat dry mouth, sinusitis or tonsil stones
Natural & lifestyle
- Brush and floss twice a day, scrape the tongue
- drink water, chew sugar-free gum
- less alcohol, no smoking
Emerging & experimental
- Probiotic lozenges (Streptococcus salivarius K12)
- photodynamic tongue therapy
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Probiotics (S. salivarius K12) — small trials reduce odour early / small studies
- Green tea — polyphenols cut odour in small studies early / small studies
- Parsley, mint and fennel seeds — mask odour; do not treat the cause anecdotal / traditional
- Oil pulling with coconut oil — anecdotal anecdotal / traditional
ICD codes
- ICD-10 R19.6
- ICD-11 MD94 Halitosis