Ok this is going to be long. Please bear with me.


Hi, I'm a 27 yr old male. I started suffering from BB or from what I could tell is 5 months (May, 2013). The first two months we're good and bad days. I've never been able to smell my mouth odor being fowl but by the reactions I get, I know it stinks. The reaction are nose touching, clearing of throat.

But I can smell this fecal odor from my nose. Especially after I smoke. It isn't smoke smell completely. It smell like tonsil stones except not as strong. People can also smell it even if my mouth is closed.

I've had GERD and duedonitis and ulcers from 2011 because of my drinking but never had bad breath.

I'll give you the pattern BB took with me:

5th May realized I had a problem during an interview. At this time I had 2 rotten molars on my left side and on my right side I had no 3rd molar. All wisdom teeth out.

End of May - In the office I started getting reactions


Had a runny nose for the next two weeks.

My BB at this point was still controllable.

July 10th - Started my dental treatment - My first sitting for root canal (2nd left lower molar). Implant next sitting - 11th

July 12th - 2nd sitting root canal(2nd left lower molar). 18th Extraction of lower left 3rd molar. I didn't follow after-extraction-instructions that well though I got no dry socket. Thank god.

On 22nd I noticed a white coating on the back of my tongue. Asked the dentist during the follow up time whether it was thrush but they said no it isn't.

Ever since my dental treatment started, my BB condition got worse. Firstly I couldn't chew my food well.

on 25th I got myself tested for Aids(negative) and saw an ENT. He asked for a x ray of my sinuses and said I have sinusitis. He gave me a decongestant, probiotic, anti-allergy/ cold medicine. Things didn't get better.

Mind you though I'm allergic to dust, i've never suffered from sinusitis.

By now - even when I went for an interview and gargled with mouth wash, 5 mns later I'd be smelling by the reactions. I could never smell it.

20th August - saw my ENT again. The tongue hadn't gotten better. My mouth was drier. Whatever I ate, the tongue took on that color.

By August the smell was pretty bad by reactions. People couldn't ride in a car without the windows down. The runny nose was better but still runny.

I quit my job on the 23rd of August. Because I was to go for post grad studies which I've deferred now.

I'm regular in my bowel. Atleast 2 to 3 times a day. On 15th September I noticed undigested food particles in my stool and steatorrhea like ragged edged stool.

My diet has been much better after I quit my job. I started having more veggies. Drinking no coffee. But I often found undigested food particles.

I started gargling with salt water and my tongue became much better. Though at the base i still had a small white patch which wouldn't go.

17th September I got an endoscopy done and asked them to check for H pylori. - Result - H pylori positive - Fundus, antrum and stomach show erythema - Large Hiatus Hernia

I took the triple Antibiotic treatment - 10 days. I have to get myself tested for it again.

23rd September noticed my left tonsil bigger than my right.

During this time I would have bowel movements quite often. I would also feel less tired.

During the time I was taking the Antibiotics , the stench seem to reduce, according to the reactions I was getting.

1st October got two tonsil stones out while brushing deep.

5th Oct - Sinus CT Results - Polypoidal opacities within left maxillary antrum with partially opacified ethmoid air cells.

Right side is fine.

ENT says that polyp is small and no need to operate and also says that this can't be the cause of BB. He suggested a tonsillectomy. Though the smell has gotten better. Its still there.

One thing that has made things better is salt water gargling, especially my tongue but my nose smell is still there.

I also went to another dentist because my lower gums have turned purple, but the dentist said it was pigmentation. I have no cavities. My implant crown will we put this month end.
I personally only get this weird smell which isn't that strong. The fecal smell I get is from the nose.

My runny nose is much better. My stool is becoming more solid. BB is definitely better. Nose odor a little better.

I have a few questions?

Does my left nostril/ sinus symptoms and left enlarged tonsil have a connection.

Do my PNS CT findings reveal a cause?

How come I can smell my nose odor but not from my mouth.(I close my mouth an exhale from my nose and then smell it to know the odor. Then I do it vice versa to check.)

I've read that tonsillectomy doesn't cure BB often.

Update

Went to another dentist, than my usual, to check how was treatment going. She said the work is going on just fine, i'm healing well.

Asked her whether there is a connection between the left tonsil, left side treatment and left polypoidal opacity in the left sinus. She said its just a coincidence.

I asked her how I smell and whats the origin? She said smoke and it could be GERD.

But I told her I had just brushed. I think she wasn't being straight. It is never nice to say you smell of shit.

The dentist said that all my dental work is going fine and gave me a Chlorhexidine mouth wash.

She also took and x ray of the root canal tooth and she said all was fine. They missed no canals or anything. Healing fine. She suggested I go in for a scaling and polishing. Does that help because my oral hygiene isn't bad. There is slight discoloration because of years of smoking(9 yrs).

I get this weird smell from my mouth, which at best i can describe it as humid and mouldy.

The nose odor is fecal and smoky.

I've asked my ENT whether he can smell anything from the nose and he said no and neither my mouth. I know my BB is much better now but i still need to know the origin of it to get the root and be sure.

I don't want to unnecessarily go in for surgery. I really have a feeling its a fungal/ bacterial infection.

Also I find undigested food particles in my stool though I'm regular of bowel. Maybe that can be a cause.

I'm lactose semi intolerant. But there isn't any dairy in my diet. Veggies, fish and meat only.

I was H Pylori +. I'll get myself tested again. That can be a cause but I highly doubt it.

I also started swimming in the summer. Maybe there might me a bacterial infection because of that.

Maybe there are sinoliths in my sinuses. The mouth has been ruled out except for the small patch of white tongue.

What can I do for that small persistent patch of white tongue? I've tried Hydrogen peroxide. It never helped much. Salt water does. But that small patch still stays.


Most recent update 10th October

Ok the chlorhexidine is working in my mouth. My mouth bacterial flora is much better. My saliva production is better. The white tongue development has reduced. The stubborn patch is still there at the base of the tongue. Now I don't get those reactions

I think the topical administration of the mouth wash has helped.

My mouth odor is much better but my nose odor is bad. I smoke 10 cigs a day. The odor is mouldy smoke like.

And thanks for replying and for the advice. Its really a lot of help because this condition hardly has much information or understanding.