I have a nasal odor due to PND. How do I treat it?

Question

Hello doctor,

I have been dealing with bad breath for a while now. Because of that, I got my teeth cleaned last year. I brush twice daily, floss regularly, and brush my tongue too, so oral hygiene is not the problem. My diet is healthy too, so gut health is not a problem either.

I noticed that the smell comes from the nose as well because I see people covering their noses when they are around me, even when my mouth is closed. I researched it, and post-nasal drip might be the cause of it. I have allergies too, so that could be the issue. I do not know how to treat it.

Kindly help.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

Your description strongly suggests that post-nasal drip related to your allergies is likely contributing to your persistent bad breath, especially since your oral hygiene is excellent and you have already ruled out dental causes.

Post-nasal drip leads to mucus accumulation at the back of the throat and nasal passages, which can promote bacterial growth and produce unpleasant odors that may be noticeable even when your mouth is closed.

Managing this effectively requires controlling the underlying allergic inflammation. So, I recommend the following -

Start with a daily saline nasal rinse to help clear mucus and reduce bacterial load, along with a topical intranasal corticosteroid spray (like Fluticasone or Mometasone) to decrease nasal inflammation.

Additionally, oral antihistamines can help reduce allergy symptoms and subsequent post-nasal drip. If symptoms persist or worsen, further evaluation with nasal endoscopy might be necessary to look for any sinus infections or anatomical issues.

Maintaining hydration and avoiding known allergens is also important. If you experience associated symptoms like nasal congestion, facial pain, or prolonged nasal discharge, please seek further evaluation, as you may need a short course of antibiotics or other treatments. Addressing the allergy-driven post-nasal drip will likely improve your breath significantly.

I hope I have answered your question.

Let me know if I can assist you further.

Regards.