HomeAnswersOral and Maxillofacial Surgerybad breathHow do I cure the chronic bad breath and pimples on the right side of my face?

What is the reason for chronic bad breath and pimples on the right side of my face?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At January 16, 2022
Reviewed AtSeptember 7, 2023

Patient's Query

Hi doctor,

I went through a period of dry mouth, dry eyes, and dry skin. The main issue that resulted from this was chronic bad breath. I had some reflux issues years ago and had undergone gastroscopy three months before. I floss regularly and have regular dental checkups. No matter what I did or how much chewing gum I chewed, nothing helped. With specific dietary changes, I could control the dryness. The bad breath is still there. I can feel it originating from the right side of my throat or mouth. That area becomes very painful and tastes terrible, and gets irritated too. When I examined this side of my face, I found strange pimples. I have attached an image. My doctor prescribed antibiotics, but they did not help. She said that I have perfect oral hygiene. I take Venlafaxine 75 mg. I am desperate. Do I need to remove these pimples surgically? Is it something else? I tried to kill myself recently because of the social and self-esteem insecurities it has caused. Please help.

Hello, Welcome to icliniq.com.

Firstly, I suggest you stay calm and composed, as bad breath is a very common finding in many people nowadays. In fact, to even those who visit the dentist for regular checkups! So do not attach yourself to social stigma and think negatively. Irrespective of the situation, please stay calm and confident as nothing is precious than your life. Also, keep taking Venlafaxine if your physician has advised you to do so. But do not be dependent on that for a long time (like for years). I will be giving you some suggestions to counteract your bad breath. I have seen the oral ulcerations (attachment removed to protect the patient's identity), which do not seem severe. That would be attributed to the gastric erosions frequently caused by Helicobacter Pylori bacterium infections which can also cause halitosis and oral ulcerations. You can start using a Listerine mouthwash or LGM (Lysine, Glycerol Monolaurate) mouthwash (Lysine 0.4% & Glycerol monolaurate 0.2%). The composition of local brands will vary. If you cannot get an LGM mouthwash, you can use Listerine mouth rinse multiple times a day, every time after you have food. For the ulcers, you will get dental pain-relieving gels like Dologel CT or Dentogel (choline salicylate and Lidocaine). Benzocaine dental gels will be easy to apply and relieve pain from ulcers frequently on a topical application before bedtime. Unless they interfere with your eating food or are causing you severe pain, there is no need for surgical intervention until you feel they have changed color or are getting serious. Regular dental checkups every six months are a must. Start rinsing your mouth with warm concentrated saltwater five to six times a day to eliminate all possible bacterial infections. It is a good habit to inculcate to prevent gum infections and bad odor. And practice yoga, meditation, and pranayama, or any swimming or exercising activities that can physically boost your immunity and you can have a period of relaxation for yourself to destress. Stress and anxiety are significant factors for gum disease and halitosis. Lastly, every six months, get professional scaling done at the dentist to examine and give suitable gels for your mouth ulcers and reduce the bacterium in the mouth after cleaning.

I hope that helps.

Regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Achanta Krishna Swaroop
Dr. Achanta Krishna Swaroop

Dentistry

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