Khaberni - Most people suffer from bad breath when waking up, which may be harmless and completely natural. However, in some cases, it can be a sign of underlying health problems.
In a report by "Soury Life", dentist Dr. Muhammad Ali explained that persistent or unusually strong bad breath may sometimes indicate an underlying health problem.
He added: "Bad breath in the morning is very common due to decreased saliva flow during sleep. Saliva is more than just moisture; it dilutes acidity and carries antimicrobial proteins such as lactoferrin, lysozyme, and secretory immunoglobulins, which help combat bacteria and eliminate food particles. When this natural protection weakens at night, bacteria can accumulate and proliferate."
Severe health issues
Gum disease is one of the most common and significant causes of persistent morning bad breath.
The bacteria associated with sulfur gases produced inside the mouth during sleep, resulting from food residues, are linked to inflammation and damage to the supporting tissues of the teeth.
Because early gum disease may develop with few clear symptoms, persistent bad breath may be an early warning sign.
Dry mouth
If you consistently suffer from dry mouth, it may exacerbate morning bad breath.
Saliva not only helps moisturize the mouth, but also provides protective factors that limit harmful bacteria and reduce acidity.
Many common medications, including blood pressure drugs, antidepressants, and antihistamines, reduce saliva flow.
With decreased protection, bacteria thrive, sulfur compounds accumulate, and the bad smell may continue even after brushing your teeth.
Sinus and throat infections
Persistent bad breath may be caused by an infection in the upper airways.
Post-nasal drip resulting from sinus inflammation may cover the back of the throat and the tongue with mucus, which bacteria transform into foul-smelling gases.
Continual tonsillitis may have a similar effect, especially if there are tonsil stones, which may exacerbate the problem.
These calcified deposits can release concentrated sulfur compounds that mouthwash may not completely remove, as their source lies deep in the throat.
Esophageal reflux
Esophageal reflux is another possible cause. At night, stomach acid and partially digested food can move back into the esophagus, and sometimes into the mouth.
Systemic diseases
Sometimes, morning bad breath may indicate an underlying disease, such as diabetes, or liver and kidney diseases.
Prevention methods
Brush your teeth and tongue with a toothbrush and floss.
Stay hydrated.
Use an alcohol-free antimicrobial mouthwash.
Be mindful of your diet, especially garlic and onions.
Avoid late-night snacking.
Consult a dentist or doctor if morning bad breath persists.




