The so-called bad breath (also known as "breath") refers to the unpleasant odor emitted from the population, often caused by certain oral diseases (such as mouth sores, chycoma, caries), nasopharyngeal diseases (such as nasal abyss, milk moth) and other diseases (such as pulmonary carbuncle, stomach fire, food stagnation).
The production of bad breath originates from various acute and chronic diseases of the human body, such as the Qing Dynasty's "Miscellaneous Diseases Source FlowIng Rhinoceros Candle" said: "False fire is hot, hidden between the chest and stomach, bad breath, or people with a thick taste also have bad breath, or the lungs are burning bad breath." ”
According to the theory of Traditional Chinese medicine, the chest and abdomen are not smooth, the turbid qi is reversed, the stomach yin is consumed, the hypothermia is endogenous, the stomach yin is damaged, the jin fluid is insufficient, and the virtual fire is steamed; if the lung yin is damaged, the qi is reversed; the essence and blood are damaged, the fire is depressed and the heat is hot, the yin is weak, the gastrointestinal liver and gallbladder are weak, the heat is steamed, the liver is burned, the spleen is inflamed, the spleen is weak, the cold and heat are intertwined, and the bad breath caused by the loss of the division is lost.
Clinically, bad breath caused by stomach disease is mostly putrid acid odor. Most are associated with infection with Helicobacter pylori. When the pyloric part of the stomach is narrowed or obstructed, the food stays in the stomach for too long, producing a sour and rotten odor that emanates through the mouth.
There are also many people with liver disease who have Helicobacter pylori infection. In addition, many hepatitis B patients have similar clinical manifestations to those infected with Helicobacter pylori, so it is easy to overlook.
It is recommended that patients with hepatitis B have suspected stomach disease symptoms, in addition to reviewing liver function and other items, it is best to check whether they are infected with Helicobacter pylori and do a gastroscopy.
What are the routes of transmission of Helicobacter pylori?
Helicobacter pylori is present in the feces of people infected with Helicobacter pylori, and if the water source is contaminated, healthy people can be infected if they drink water containing Helicobacter pylori.
Bacteria may also be present in the mouth of people infected with Helicobacter pylori, and it is possible to infect Helicobacter pylori by eating together, kissing, using unclean tableware, mother-to-child transmission, and saliva transmission.
Especially mouth-to-mouth feeding children, it is very easy to transmit Helicobacter pylori to children.
What are the main symptoms of Helicobacter pylori infection in patients with hepatitis B?
Most infected people are asymptomatic, but ulcers can cause symptoms, most commonly:
●Pain or discomfort in the upper abdomen
●A feeling of fullness occurs after eating a small amount
●No hunger feelings
●Nausea or vomiting
●Stools are dark or black
●Tiredness worsens
Some ulcers are not caused by Helicobacter pylori infection, and can also cause ulcers such as certain analgesics. However, healthcare professionals should be informed when these symptoms occur.
How to check for Helicobacter pylori?
include:
●Blood tests
●Breath test – that is, the person is asked to drink a special liquid and then detect the exhaled gas.
●Stool detection
●Biopsy – A small amount of gastric mucosal tissue is taken for microscopic observation and can be sampled by endoscopy (for observing the manipulation of the esophagus, gastric, and duodenal mucosa).
When should I be tested for Helicobacter pylori infection?
Those who develop symptoms should be checked for Helicobacter pylori infection:
●There is a stomach or duodenal ulcer
●Previous ulceration
●Previous stomach cancer
●Some symptomatic patients who require long-term use of anti-inflammatory drugs such as aspirin may also be tested.
Precautions for the prevention of chronic stomach disease in patients with hepatitis B.
Hepatitis B patients usually pay attention to stomach care work.
Especially no disease, do not take medicine indiscriminately, because most drugs not only hurt the liver but also hurt the stomach, such as aspirin, hormone drugs, salicylic acid preparations, etc. should be carefully selected.
Hepatic gastric disease is not uncommon in people with hepatitis B, because the hepatitis B virus invades the stomach and causes damage to the gastric mucosa. Hepatitis B virus, also known as a widespread invasive virus, invades not only the liver but also the gastric mucosa.
For high incidence of hepatic gastric disease, once hepatitis B patients are found to have epigastric pain or other suspected discomfort, they should review the relevant stomach disease as soon as possible.
How to prevent Helicobacter pylori?
1. Divide meals.
It is recommended to use a male spoon and not to pinch each other's vegetables to reduce the risk of cross-infection.
2. Disinfect and replace chopsticks regularly
Helicobacter pylori can attach to used dishes and chopsticks and should be disinfected or replaced regularly.
3, raw food should be washed.
Develop good hygiene habits and wash your hands before and after meals.
Vegetables, melons and fruits should be washed or peeled, and half-cooked foods should not be eaten.
4. Eat less irritating foods.
Do not drink raw cold water, do not eat too hot things, especially hot pot, barbecue, as well as wine, coffee and spicy food, they will stimulate the gastric mucosa, reduce its resistance, thus creating conditions for the invasion of Helicobacter pylori.
5. Keep your mood comfortable.
Diet should be nutritious, food is soft and easy to digest, a small number of meals, chew slowly, maintain a good attitude every day, a happy mood, etc., can avoid stomach problems.