So I'm not really sure where to begin.... I apologize for the lengthy post, but I want to be thorough.
I am 22 years old, and a male.
Ever since I can remember, (around the 3rd-4th grade) when I was around 11 years old, I have suffered from bad breath. This coming from classmates, cousins, and others. I never really thought much of it, until it became a major issue.
I suffered from very INTENSE post nasal drip when I was a child. I always had to "snort" the mucus back and swallow it. It was very consistent.
As I entered high school, I became aware of the fact that even when my mouth is closed, the air I exhale through my nose is still quite rotten smelling. I have confirmed this through many sources. Even today I get very very harsh reactions, but I try to not let them get to me. Covering noses, rubbing noses, etc. I know I am not paranoid as I consider myself a fairly intelligent person and realize when something is indeed wrong. (Engineering grad student...if relevant)
Presently, I suffer from malodor/halitosis through the air I exhale. I am actually starting to wonder whether I have TMAU (Trimethylaminuria). I will indeed be getting a test done in the coming weeks to get some peace of mind, and rule that out (I hope it's not TMAU....). I still suffer from PND, and have been to 2 different ENT doctors. All have said it is allergies, but all the allergy treatment I have received only lessens the PND, but does not get rid of the bad breath/malodor! I have tested positive (very highly allergic) to many grasses, trees, dust, pollen, etc... through a skin allergy test.
But after a course of 4 months of allergy shots, mixed with cortico steroids, and antihistamines, I still saw VERY little improvement. The odor was still there. I became so confused as to how someone from across the room (3-5 m) can smell it, so I started thinking about body odor.
I exercise fairly often, and when I am at the gym, I see MANY, MANY reactions. It is in overdrive mode when I run, and lift. It only perpetuates my notion that it is body odor mixed with the air I exhale.
Things I have tried to cure this (some of which I still incorporate into my routine):
Nasal rinses/netipots with alkalol
I don't know what to think anymore. Nothing is really working. I feel there is something (one major thing) that is absolutely wrong with me for me to excrete such a foul odor.
When my breath is really bad, judging from reactions, and confirming with my confidant, the back of my soft palate area/behind it feels really weird. Like I KNOW it smells bad because of how dry/different it feels.
If you look at this image:
The area behind the dotted line as it enters the nose is what I am speaking of.
I really appreciate any and all help. This issue has really set me back socially, and professionally. It's a nuisance which I just can't seem to get rid of. A very strong nuisance at that too...From an analytical stand point, everything has a root cause, and determining that root is the hardest part. A medical opinion would be appreciated, for I feel the ENTs I have visited had very limited knowledge on this. I wish there was a clinic I would be able to visit where I can get every possible diagnostic test (Money is not an issue) and get rid of this once and for all. I'm just hoping for the best. I have lived with this for too long.
Body odor can be due to hyperhidrosis which is uncontrolled sweat appearance. It can occur without any identified reason. Obese suffer from excessive sweating since their sweat glands tend to work doubly hard to excrete the unwanted minerals from the body. Certain foods like hot and spicy foods can make you sweat more. Medicated anti perspirants like the physician can prescribe drysol, and a non prescription antiperspirant is also available called maxim may help. Bad breath (halitosis) is caused by improper oral hygiene, gum and tooth disorders and certain medications. Follow good oral hygiene and consult a dentist to rule out other causes.
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