Dr. Mohammed Osama Aboborda
Otolaryngology (E.N.T)
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have had this problem for years where a bad smell comes from my nose when I breathe. I am desperate for any type of help. It started after I got sick in high school. My tonsils were infected and enlarged. The infection came back a few more times until I was unable to get sick again. I have not gotten sick in a couple years, but I still get infections sometimes.
Hi,
Welcome to icliniq.com.
Do you smell the bad odor? Or the others only smell this odor? Please capture a photo of your throat using your mobile phone camera and send it to me. If you do not smell the bad odor, you may have atrophic rhinitis. If you can smell the bad odor, the problem can be in your throat or mouth. So I need a picture of your throat. Tell me about any other symptoms you have and your medical history as any chronic diseases. Chronic sinusitis can cause the bad smell too. Chronic sinusitis is characterized by a persistent headache, head heaviness, and persistent postnasal discharge.
Patient's Query
Thank you doctor,
Usually, it is only others, but I can smell it too when I am in a closed area with someone else like a car. Chronic halitosis.
Hi,
Welcome back to icliniq.com.
So now we can exclude atrophic rhinitis. Your tonsils in the photo do not look huge but if you have recurrent acute attacks of suppurative tonsillitis you have to remove tonsils (attachment removed to protect patient identity). CT scan for your nose and sinuses can approve or exclude chronic sinusitis. Stool analysis is helpful to exclude parasitic infestation that can cause this smell too. Do you have dental carries?
Patient's Query
Thank you doctor,
Yes, I have dental caries.
Hi,
Welcome back to icliniq.com.
It is an important main cause of bad breath. Treat these carries quickly and use mouthwash.
Patient's Query
Hi doctor,
Thank you so much.
Hi,
Welcome back to icliniq.com.
You are welcome. Take care.
Patient's Query
Thank you doctor,
So am I supposed to schedule a doctor appointment and show them this conversation?
Hi,
Welcome back to icliniq.com.
I think that this conversation will be helpful for any other physician to complete your management journey. This helps the next physician not to start from ground zero. Thanks for positive feedback.
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Otolaryngology (E.N.T)
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