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A 19-year-old female asked:

i have gerd and hiatal hernia. that causes me a bad breath. how can i treat my dental hygiene appropriately?

4 doctor answers11 doctors weighed in
Dr. Liawaty Ho
Hematology and Oncology 23 years experience
Dental hygiene: Importantly, to brush in the morning, at night and each time after your meal, to floss and to rinse your mouth using non-alcoholic mouth rinse. And to go to see your dentist at least once a year or as directed. Avoid certain food that may aggravate your gerd and take the medication as directed. Weight loss may help. http://www.knowyourteeth.com/infobites/abc/article/?abc=d&iid=184&aid=3806.
Dr. Joey Bluhm
General Surgery 17 years experience
Consider Surgery: You are young and healthy, i assume. A surgery to repair your hernia and prevent reflux could fix your problems including bad breath if it is being caused by the reflux.
Dr. Jeffrey Collura
Cosmetic Dentistry 14 years experience
Control the GERD: First, get the gerd under control. It can ruin your enamel and put you at risk for esophageal cancer. Then brush, floss, rinse! and use a tongue scraper! brush first thing in the morning and right before bed. Do not brush after every meal..This is when the acid is highest and your enamel is softest...Worst thing you can do for your teeth. Use sugar free gum or mints during the day.
Dr. David Earle
General Surgery 31 years experience
Maybe unrelated : While gerd can damage enamel, and even bad breath, it may also be completely unrelated to your dental hygiene. A trial of anti-acid medications will control the acid, but may not control the reflux of non-acid stomach contents. If the problem is bad enough, consider testing to quantify the the reflux and look for damage to the esophagus - endoscopy, ph test, manometry, & upper GI contrast study.

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