Do you have persistent bad breath? Doctor shares how it may be related to your gut: 'Instead of using mouthwash…"

In an Instagram post, a doctor shared the reason behind persistent bad breath. She revealed that it may be related to your gut, lack of hydration, and more.
Do you suffer from persistent bad breath? If, even after using mouthwash or brushing twice a day, the problem persists, the answer may be related to your oral microbiome, gut health, and hydration. Dr Shirley Koeh, MD, Functional Medicine and Nutrition (IFM, FMMA), addressed the issue of persistent bad breath in one of her recent Instagram posts.
Also Read | How to achieve the perfect morning oral hygiene routine: Dentist recommends 10 essential steps
Resolving persistent bad breath
Per the doctor, when you have persistent bad breath even after you have already brushed and flossed your teeth, cleaned your tongue, and even used mouthwash, the first step is to visit your dentist. “Bad breath normally indicates that you might have some infection in your oral cavity, but if your dentist has already ruled this out, we now have to look at something that you might be missing,” she said.
If not the oral cavity, then what?
In the video, which she captioned “Resolving Persistent Bad Breath: Oral Microbiome and Gut Health,” Dr Koeh said the bad breath may be because of a compromised oral microbiome.
She explained, “Many people think that using mouthwash can really kill all the germs inside [the mouth] that's causing the bad breath. But they will also kill the bacteria in your oral microbiome. So, instead of using mouthwash to instantly settle a bad breath problem, a better choice will be using oral probiotics to build up the good bacteria in your oral microbiome.”
Second, to maintain oral hygiene, one should always remember to hydrate themselves. According to Dr Koeh, a dry mouth can exacerbate bad breath by allowing the bad bacteria to thrive. “Having yourself hydrated constantly can help with your problem of bad breath,” she said.
Lastly, she stressed not to forget that oral microbiome is always linked to your gut microbiome. So, if you have a problem with your gut, fix your gut first, and then your bad breath will go away automatically.
What is oral microbiome?
For the uninitiated, the oral microbiome refers specifically to microorganisms (bacteria, archaea, fungi, Mycoplasma, protozoa, and viruses) that inhabit the human oral cavity. Practising good oral hygiene can help improve and maintain the health of your oral microbiome by preventing the growth of harmful bacteria. This means brushing twice daily and flossing daily, according to the Centers for Disease Control and Prevention (CDC).
Disclaimer: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.
ABOUT THE AUTHORKrishna Pallavi PriyaKrishna Priya Pallavi is a journalist with over 9 years of experience, covering health, fashion, pop culture, travel, wellness, entertainment, festivals, mental health, art, decor, fitness, and sex and relationships. She is an alumna of the Indian Institute of Mass Communication (IIMC), Dhenkanal, and holds an undergraduate degree in Journalism and Mass Communication from Guru Gobind Singh Indraprastha University, Delhi. Her strong academic foundation informs her analytical and detail-oriented approach to storytelling, helping her uncover stories where none seem to exist. Before joining Hindustan Times, Pallavi worked with some of India’s leading media organisations. She spent close to three years at India Today, where she honed her newsroom skills and developed a sharp editorial sensibility. She also worked for over a year and a half at Vagabomb, ScoopWhoop’s feminist digital platform, where she explored stories through a gender-sensitive, socially aware lens. Pallavi has a deep interest in global fashion trends and international fashion seasons, and enjoys interviewing celebrities and tracking pop culture movements—interests that frequently translate into engaging, reader-friendly stories. Alongside lifestyle and entertainment, she has a keen eye for impactful health and wellness journalism, regularly interacting with doctors, designers, and digital content creators to bring nuance and credibility to her work. Born and raised in Haryana, Pallavi remains deeply connected to her ancestral roots in Odisha. Her ability to spot fresh angles brings curiosity and depth to stories she pursues. When not chasing deadlines, she enjoys spending time with her dog, planning her next vacation, reading, running new trails, and discovering new destinations.Read More
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