Get a Handle on Bad Breath

Get a Handle on Bad Breath

Been smelling your own breath lately with all the mask-wearing? The harsh realities of the odors coming from our mouths have come front and center these days. Tic Tacs, mints and chewing gum… can’t fix a true breath problem.

While bad breath (also known as halitosis) isn’t often a symptom of disease per se, it can affect our overall well-being as well as our psychology, work life and relationships. So let’s look into why you (or someone you know) may be dealing with halitosis — and how to fix it!

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6 Reasons You Might Have Bad Breath

There are several potential causes of bad breath. Commonly, it’s very simply down to a lack of oral hygiene which may be easy enough to fix. But sometimes there are deeper issues at play. We’ll start by exploring the more benign reasons for bad breath, then cover how and when it may be a red flag for more serious issues.

1 - You May Be Eating Pungent Foods

This will not come as a surprise, but certain foods are linked to transient oral malodor (or temporary bad breath). Garlic, onions and spicy food are common culprits. Sulphur compounds in these foods are particularly high, and when chewing, the bacteria in your saliva release these sulphur compounds from your food.

Volatile Sulphur Compounds (VSC)

Released by the mechanics of chewing and chemically by digestive enzymes, and no longer bound up in the food you ate, these volatile sulphur compounds quickly turn gaseous. Once able to mix with the air, volatile sulphur compounds (VSC) can exit your mouth via the breath.

Tobacco, coffee and alcohol may also perform this foul-smelling trick. It varies, but you may notice a change in breath odour for several hours. (And likely so will your family members, friends and co-workers…)

2 - You May Have Food Sensitivities

Food sensitivities can also contribute to halitosis – and lactose intolerance is a perfect example of this. When the body can’t digest the sugars in milk, the microbes that feast on those particular undigested sugars put off a sulfurous pungent odor that can be smelled on the breath.

Leaky Gut

Further down the system, improperly broken down food can make its way into your bloodstream. Normally, the gut lining works to prevent this. But in situations of chronic food sensitivity and ongoing inflammation, the protective mucosal lining of the digestive system becomes permeable.

Toxins in the bloodstream

Escaped food particles act as toxins in our blood. As the accumulation of toxins builds, we may start to notice symptoms that include bad breath. Your naturopathic /functional /integrative doctor can help you identify any existing food sensitivities, work with you to restore your gut lining, and (as a welcome side effect) get rid of chronic bad breath.

3 - The Bacteria in Your Mouth May be Out of Balance

The mouth is an area rife with microbes and bacteria. Many of them play important roles in the first step of the digestive process. Others, such as gram-negative bacteria (like Enterobacteriaceae) take up residence under the tongue, in plaque and in the deep creases between our teeth and gums where they interact with each other, giving rise to halitosis.

No single bacterial species is to blame for bad breath, but together these bacteria cause Volatile Sulphur Compounds to be released. Some of the bacteria that thrive in the depths of the gum line can cause gum diseases such as pericoronitis or periodontal abscess, which can increase the volume of Volatile Sulphur Compounds released even more.

The Diamine Difference & Gum Disease

As we dive deeper under the gums, we see less oxygen and a lower (i.e. more acidic) pH. This acidic pH creates those smelly diamines. When food-trapping gum pockets arise due to gum disease, regular amino acids from the trapped food are converted into diamines.

When that happens, we (and those close to us) smell the difference.

4 - Your Mouth May Be Chronically Dry

Having a dry mouth, no matter the cause, is a serious issue. It’s not only uncomfortable but if the condition is ongoing it prevents the important cleansing function whereby saliva flushes bacteria out of the mouth.

Why We Get A Dry Mouth

Oral dryness can cause discomfort for a number of reasons beyond the obvious (and easy to rectify) dehydration. Mouth breathing is a common culprit, often arising from an obstruction of the sinuses and nasal cavity, and causing increased airflow and subsequent dryness in the mouth. Salivary glands may be infected, blocked or malfunctioning. And many medications also have a dry mouth listed among their side effects.

The Role of Saliva

Saliva is your mouth’s best friend. It helps wash out the mouth, reducing bacteria and preventing tooth decay, gum disease and plaque formation in the mouth. As oral bacteria have been found to have made their way to the arterial plaque of heart disease patients as well as causing issues in the mouth, we know that avoiding a chronically dry mouth is a whole-body problem – with bad breath acting as a red flag.

5 - You May Have a Yeast Overgrowth

If a candida yeast overgrowth appears in the mouth, deeper factors are often at play in the body. A healthy immune system prevents this fungus from taking root and growing. The candida species is commonly found in and on your body, but it seizes the opportunity to grow when the immunity is vulnerable.

In the case of bad breath, this underlying immune dysfunction alters the balance between your immune system and oral microbes. Candida and other microbes proliferate. Volatile Sulphur Compounds and methyl mercaptan (another player in the malodour scene) are then produced and released.

6 - You May have Ear, Nose and Throat Problems

While 90% of halitosis cases arise from the mouth alone, other systems can also be involved: Calcium deposits in the tonsils can cause a 10-fold increase in Volatile Sulphur Compound levels if they are overloaded; foreign bodies in the nose (often seen in children) are slowly dismantled by bacteria, resulting in breath odour; and infected sinuses can leak pus on the back of the tongue.

While bad breath is typically transient (think: morning breath) it can linger. For those dealing with chronic halitosis, you know just how impactful it can be.

But don’t worry. Your naturopathic/ functional/ integrative doctor can help you battle your bad breath.

The Importance of Oral Hygiene

Oral hygiene is paramount when treating halitosis. Brushing, flossing, and regular dental check-ups are the foundation of good oral health. Unchecked cavities, gum disease and other dental pathologies must be addressed if you want to achieve better-smelling breath and the health benefits that come with it.

But it is important to remember that the mouth is a delicate area, it is the starting point of a carefully balanced digestive system which requires a fine balance of moisture and bacteria to work optimally.

Mouthwash

Gurgling with mouthwash is a powerful tool in your halitosis arsenal. Anti-bacterial agents flush unwanted microbes from the crevices of your teeth, tongue and gums. However, conventional products typically include an array of irritating ingredients as well.

Irritating Ingredients in Conventional Mouthwash

Artificial food dyes make mouthwash look good on a shelf, but these components can be detrimental to your mouth (and body). All nine FDA- approved artificial food dyes are linked to various health concerns. These range from sensitivities all the way to cancer.

Meanwhile, acidic stabilizing agents and alcohol can strip your teeth of and temporarily soften the enamel (make sure to brush before using mouthwash and not after for this reason).

A Better Way to Rinse

Herbal mouthwash is a safer (yet effective) approach. The right combination of botanicals can deliver multiple beneficial medicinal actions. Peppermint, for instance, is antimicrobial, anti-inflammatory and helps to increase salvation. A handful of herbs and essential oils can combat bad breath on multiple fronts.

Additionally, unlike the antibacterial agents found in conventional mouthwash, these herbal ingredients don’t kill as many of the good bacteria, preserving a balance.

Oil Pulling

Oil pulling – a traditional remedy originating in India – has many therapeutic benefits. An organic oil, such as coconut or sesame, is swished around in the mouth for about 20 minutes. During this period, antioxidants in the oil break down the cell walls of harmful bacteria, effectively killing them. These bacteria stick to the oil and are “pulled” out of your mouth.

There are many benefits to oil pulling. By reducing the formation of plaque, this technique can help prevent dental cavities, gingivitis, periodontitis and, of course, bad breath.

Tongue Hygiene

While odorous bacteria are often in the gums, poor tongue hygiene also poses a problem.

The back of the tongue in particular is a source of concern. Large papillae (bumps on the tongue often containing multiple taste buds) trap particles and microorganisms that lead to bad breath. A backlog of white blood cells, saliva constituents and flakes of dead cells may all be found here – even in those with otherwise good oral hygiene.

While tongue scraping gives some short term relief, recent studies show the benefit over time is minor. Cleansing your tongue (gently and regularly) won’t cause any harm. If you’re struggling with bad breath, it may be worth a shot. But remember: there are other options.

Healthy Habits To Reduce Bad Breath

For many cases of chronic bad breath, sticking to a few simple lifestyle habits can achieve great benefits:

In some cases, further investigation may be warranted. Underlying medical conditions — like sinus infections, acid reflux and diabetes — may be contributing factors to halitosis, so it is important to check in with your naturopathic/ functional/ integrative doctor for the right testing and to tailor a health plan specifically for you.

Let’s face it. Chronic bad breath can put a damper on social life without you even knowing it!

 

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Resources:

Kapoor U, Sharma G, Juneja M, Nagpal A. Halitosis: Current concepts on etiology, diagnosis and management. Eur J Dent. 2016;10(2):292-300. doi:10.4103/1305-7456.178294

Kobylewski S, Jacobson MF. Toxicology of food dyes. Int J Occup Environ Health. 2012 Jul-Sep;18(3):220-46. doi: 10.1179/1077352512Z.00000000034. PMID: 23026007.

Koga, Chihiro & Yoneda, Masahiro & Nakayama, Keisuke & Yokoue, Satoru & Haraga, Mariko & Oie, Tomoko & Suga, Arisa & Okada, Fumiko & Matsuura, Hiroshi & Tsue, Fumitake & Taniguchi, Nao & Hirofuji, Takao. (2014). The Detection of Candida Species in Patients with Halitosis. International journal of dentistry. 2014. 857647. 10.1155/2014/857647.

Munch R, Barringer SA. Deodorization of garlic breath volatiles by food and food components. J Food Sci. 2014 Apr;79(4):C526-33. doi: 10.1111/1750-3841.12394. Epub 2014 Mar 4. PMID: 24592995.

Porter SR, Scully C. Oral malodour (halitosis). BMJ (Clinical research ed.). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1570844/. Published September 23, 2006.

Shanbhag VKL. Oil pulling for maintaining oral hygiene – A review. Journal of traditional and complementary medicine. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5198813/. Published June 6, 2016.

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Fight Fall Allergies from the Inside Out

Fight Fall Allergies from the Inside Out

Are you excited for fall? Many people love the vibrant colours of this beautiful season. It’s a time to get out our cozy sweaters, enjoy the crisp fall air, and for some people, sneeze a lot. Yes, unfortunately, many people experience watery eyes, sinus pain and other allergy symptoms when fall arrives. This annoying phenomenon can occur even if you made it through spring without sneezing.

That’s because even though the symptoms of fall and spring allergies are the same, the triggers are different. So it’s definitely possible to enjoy one season allergy-free but suffer through another. And because there are more culprits to blame for fall allergies, many people experience the adverse effects.

The good news is that fall allergies can be avoided, In fact, new research in immunotherapy and nutrition has made it easier than ever to get through autumn sneeze-free.

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The Symptoms of Fall Allergies

We tend to hear more about spring allergies, but fall allergies can be just as unpleasant. Symptoms often include:

These symptoms can appear when you’re exposed to an airborne allergy trigger. Common sense would suggest that the best solution may be to avoid the trigger, but, of course this isn’t always possible.

Because allergies are often due to weaknesses in the adrenal, immune, or the digestive system, sometimes a more lasting – and practical – approach is to treat allergies from the inside out, by getting to the root cause within your body.

Fall Allergy Triggers

The environment goes through seasonal cycles, and observing those changes is one of the pleasures of the great outdoors. Who doesn’t love to see the leaves turn to bright colours every fall?

However as a seasonal allergy sufferer, changing seasons can often mean the start of unpleasant symptoms. As a result, just when you thought you had things under control, the natural cycle of our environment creeps up to create a whole new set of sensitivities and reactions.

Some of the allergy challenges specific to fall include:

4 Natural Ways to Control Fall Allergies

Instead of moving to the southern hemisphere every fall, you can gain control of fall allergies by working with your body’s immune system and adapting your environment.

1. HEPA FILTER

No matter how careful you are with keeping outside pollution from getting into your home, allergens can still get into your home. After all, you have to open the door many times a day, so they can easily enter uninvited. Using an air purifier with a HEPA (High Efficiency Particulate Air) filter can significantly reduce airborne allergens like dust, dust mites, pollen, mould spores, and pet dander. HEPA filters trap these allergens and lock them away. If you’re particularly sensitive to allergens, it could also be helpful to use a vacuum cleaner that also has a HEPA filter so that you can allergen-proof your home even more.

2. NASAL IRRIGATION

Flushing the nose and sinus with saline solution twice a day goes a long way in ensuring that congestion-causing allergens like pollen, spores, dust and dander are expelled before they can settle in and cause the symptoms that make it hard to enjoy the change of seasons.

Since your eyes, nose, and throat are connected, nasal irrigation or using a Neti Pot is a great way to naturally remove allergens. If you choose to make your own saline solution it’s important to make sure the water you use is distilled or purified so no microorganisms are present.

3. ELIMINATION DIET

If your allergies are unbearable and the above solutions fail to provide relief, it might be time to try an elimination diet, temporarily removing common inflammatory foods to provide your gut the opportunity to heal. Optimal gut health can give your body the strength to better deal with allergens.

As well, sensitivity to airborne allergens and sensitivity to certain foods may be related. At the very least, when the body is already on high alert coping with one form of sensitivity, it can be more reactive overall, making it harder to fight off multiple allergens. The result is often a worsening of any already-present allergy symptoms.

Elimination diets can be challenging and are best implemented under the care of your integrative health team. Speak to your practitioner about whether an elimination diet could help you better manage your allergy symptoms this season.

4. NUTRITIONAL SUPPLEMENTS

Often allergies are the result of weakness or exhaustion in the adrenal, immune, or digestive system. There are a number of nutritional supplements that are known to support and strengthen each of these systems. That means you’ll be better prepared to deal with allergens when they appear.

Bioflavonoids and Vitamin C

While onions make our eyes tear up, they also contain the bioflavonoid quercetin – a natural antihistamine – that can treat allergy-related itchy, watery eyes! Quercetin also has antiviral properties and can help reduce other symptoms including asthma, hay fever, and even cold sores. Onions aren’t the only source of quercetin; apples, berries, cruciferous vegetables like cabbage & cauliflower, and black tea are all good sources.

Bioflavonoids work best when taken with Vitamin C. That’s because they work together to amplify their effects, keeping the immune system strong and prevent the formation of histamine (rather than interfering with the histamine the body produces like over-the-counter antihistamines do).

Probiotics (such as lactobacillus acidophilus)

When you take care of the good bacteria in your gut, your digestive system and your immunity can benefit. And a strong digestive system can combat allergies by keeping inflammation at bay. Probiotics occur naturally in fermented foods like yoghurt, kimchi and sauerkraut, kefir, kombucha, pickles, and miso soup.

Local Honey

The allergens you’re exposed to in the fall will reflect the pollens that are circulating in the air where you live. Honey produced in your area can contain these same pollens (thanks to local bees). Some studies have found that consuming this honey can reduce allergy reactions, possibly because you build up immunity to the allergy-triggering pollen.

Fish Oil

Omega-3 fatty acids offer an effective defense against inflammation. Because inflammation plays a big role in allergy symptoms, fish oil, which is rich in omega-3, can help reduce those annoying autumn allergy symptoms.

Vitamin D

Some research suggests that having low levels of Vitamin D in your body can make you more susceptible to allergies. So it may not be a coincidence that as the number of people deficient in Vitamin D has gone up, so has the number of people developing allergies.

Zinc

You may know that zinc lozenges are great for the scratchy throat that can accompany a cold, but did you know that getting enough zinc can help reduce your allergy symptoms, too? Zinc plays an important role in how histamine is kept in check. A deficiency means that more histamine can be released throughout the body, increasing your sensitivity to allergens.

Immunotherapy for Allergies

This cutting edge allergy-reduction strategy centres around exposing patients to small amounts of an allergen from their environment and gradually building up their immunity. At first glance, immunotherapy may seem counter-intuitive. Why would you willingly expose yourself to the cause of your symptoms? However, when done carefully, your body can become less sensitive to allergens and build up its natural immunity.

Many people experience lasting relief from symptoms over the course of treatment (Which can often last a few months – this is a gradual, but effective, approach.) Of course, immunotherapy should only be done under close supervision from an experienced healthcare provider.

Final Thoughts

Natural treatments for seasonal allergies often take longer to take effect than typical medications. So it’s wise to begin natural treatments one or two months before the season starts to help prepare your body ahead of when allergens are at their most severe.

Not sure you can wait that long for relief? Try pairing nasal irrigation or HEPA filter air purifiers with your nutritional supplement of choice for speedier results.

Just remember: good health begins in the gut and we recommend starting with ensuring your gut is balanced. If you’d like to get tested to see what imbalances you may have, what foods and allergens you may be sensitive to and get a clear picture of what’s going on so you can reduce the risk of bad allergies, give us a call we can help!

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