Question 1

I've been dealing with really bad breath for a while now and just don't know what to do. My dentist checked and said there's nothing wrong with my mouth, but the bad breath is still there even after I brush. I brush three times a day, use mouthwash, and everything, but the smell just doesn't go away. It's super embarrassing when people keep their distance or cover their noses. Even when I'm a few meters away, they cover their mouths. It makes me feel so left out and embarrassed. Can you help me figure out what might be causing this?

Accepted Answer

It sounds like you may be experiencing chronic bad breath, also known as halitosis. In cases where oral hygiene practices are not resolving the issue, it's important to consider other factors that could be causing the bad breath. One common cause of persistent bad breath is gastrointestinal issues such as acid reflux or gastritis. I recommend trying over-the-counter medication like Omeprazole (Prilosec) 20mg once daily before breakfast for 2 weeks to see if it helps improve your symptoms. Additionally, you can try using a tongue scraper to clean your tongue, as bacteria on the tongue can contribute to bad breath. If the bad breath persists despite these measures, it would be advisable to consult with a gastroenterologist for further evaluation and management.

Question 2

I'm 32 years old and have been experiencing chest pain when I get angry or cry for the last six months. I checked with ECG and ECHO TMT, and everything came out normal. No palpitations or shortness of breath, but I do have a lot of belching and epigastric pain. Im taking two pantocid tablets now. It's scary because it feels like I might be having a heart attack. My gut says something isn't right, and it's really worrying me. Since the pain started, I've become quieter. Any idea what could be going on?

Accepted Answer

It sounds like you may be experiencing symptoms of acid reflux, which can often mimic heart-related issues. The chest pain triggered by emotions, along with belching and epigastric pain, are common symptoms of acid reflux. Since your ECG, ECHO, and TMT results are normal, it is less likely to be related to your heart. To help with your symptoms, continue taking Pantocid as prescribed. Additionally, you can try taking an antacid like Rantac (150mg) when you experience epigastric pain. Avoid spicy and acidic foods, eat smaller meals, and try not to eat close to bedtime. It may also be helpful to elevate the head of your bed while sleeping. If your symptoms persist or worsen, it would be advisable to follow up with your doctor for further evaluation and possible referral to a gastroenterologist.

Question 3

I've been dealing with vomiting issues for the past 15 years where only fluids come out, not food. Even after getting fundoplication surgery based on doctor's advice, the problem hasn't gone away. It usually lasts for two days once it starts in the morning. What could be causing this and is there anything else I can try?

Accepted Answer

Gastroenterologist opinion is advised to the patient.

I'm really worried because I've been feeling a lot of discomfort in my chest, especially at the back, and sometimes I even vomit blood. My appetite is almost gone, and there's this burning feeling in my chest and lower abdomen. What could be causing all this?

do one chest xray

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