I have bad breath for years. I don?t feel comfortable to visit a doctor and to ask him about that. I have a few medical issues that I think might be the reason. My mouth is dry most of the time and I forget to drink, but even when I do drink I feel I have bad breath. I think I have reflux because I have heartburn (my doctor gave me a medicine but I did?t feel it helped in solving the bad breath). I feel that I have chronic rhinitis and phlegm. I sometimes have tonsil stones (can it be related to the reflux and phlegm?) which doctor should I visit? Thank you very much.

Dr. Krishnan Nair M PGeneral Physician47yrs exp

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Your health problems discussed in your question are ---bad breathe ; heart burn ; reflux--gerd--;chronic rhinitis with sputum & tonsillitis. These problems are inter-related and many of the symptoms are common--as you know ----bad breathe is due to -imporper dental health care leadin g to caries and cavities with infection and food particles decayed inside //-- eminating foul smell --//-- ;chronic sinusitis with purulent pus ; tonsillitis; pharyngitis ;bronchitis;--//-- food habits including eating frequently ---//with out mouth washing -//-- especially after eating egg ; egg products ; pastries ; meat and meat products --//the remnants of them decaying in corners of mouth and cavities of teeth--//with foul gas production ;---infections; and---// diseases of salivary glands --- decresing production of saliva--hence aggravating the foul smell --//---use of tobacco ; alcohol ; chewing etc producing nasty smell ;---//and effects of some medicines --leading to dry mouth and hence foul smell -//---; apd and gerd and eating full stomach -- before sleep --leading to regurgitation of foul smelling semi-digested acidic food from stomach to throat and mouth --//thereby -increasing the infection and acid-effect on throat and mouth; tonsils etc //-- with consequent infection ; bad odour mobileare the causes of your problem-- -foodstyle and lifestyle adjustments ; exercise ; dental ; ent and gastroenterologist's treatment are mainly needed -- as per the above detailed causes of bad smell--- thank you for asking this important question ---so that I had explained the details of the issue -- which makes life miserable for patients and those who have to live close to them--///- don't feel depressed ---drink 12-15 glasses of water daily ;//; clean teeth twice daily //; make healthy habits of oral hygiene// - do gargling with warm saline twice daily// ; take steam inhalation twice daily //; do treatment for caries; dental cavities by your dentist ;// take regular treatment for urti ; gerd etc //-- and be confident and always smile and make happiness in others ------with out fear of foul smell ---ok -  

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