OpenHealth Q&A

Get answered by medical professionals

Seeking Solutions for Persistent Mouth and Stomach Issues

7/21/2025, 2:40:26 AMMale25-34

Greetings everyone, For several years now, I’ve been struggling with a troubling issue, and despite numerous consultations with physicians, I have yet to find a resolution. The situation has become extremely exasperating. I encounter two primary concerns: firstly, a white, slimy substance accumulates in my mouth, which becomes sore, and secondly, I face ongoing halitosis. This slime generally appears each morning upon waking; at times it makes my lips feel glued together and hampers my ability to speak clearly. When I attempt to scrape my tongue, the accumulation seems never-ending, and I cease because of discomfort, not because the slime has subsided. One doctor previously identified the presence of Candida during testing, yet other evaluations returned negative results, indicating inconsistency. Despite this, I believe something is amiss, as such excessive slime cannot be typical. Interestingly, we used to employ a cleaning lady who experienced similar troubles prior to my own onset. Could this connection be significant? I live with several individuals, and one person among them also has these issues, although the others do not. This individual began showing symptoms after the cleaning lady's work started. Is it mere chance? Furthermore, in the early stages of my ordeal, I was diagnosed with periodontitis. My dentist performed a deep cleaning as treatment, and I’m now in the maintenance phase, receiving cleanings every six months. At my latest visit, my dentist remarked that my gums appear to be in good condition. Concerning the Candida, I was given Ampho-Moronal suspension multiple times throughout the years, but it didn’t yield any improvements. During a gastroscopy, doctors detected Helicobacter pylori along with a stomach ulcer. I adhered strictly to the antibiotic regimen prescribed, and subsequent breath tests returned negative for H. pylori. Interestingly, while taking the antibiotics, my bad breath improved significantly or completely vanished, but it returned swiftly after completing the course. Another doctor then recommended a fourteen-day course of fluconazole, yet the white slime persisted. I’ve been diligently managing my halitosis with an extremely rigorous oral hygiene regimen. The only product that consistently provides relief is a cosmetic mouthwash; if I forgo it, my bad breath resurfaces shortly after brushing, accompanied by soreness in my mouth. However, I’m not convinced that this approach offers a true solution; it feels more like a temporary masking of the problem. I’ve also observed that right after chewing gum—when my breath is fresh—the unpleasant smell resurfaces quickly once I discard the gum, and my mouth becomes tender until I brush my teeth again. I suspect the slime issue may have emerged after using Chlorhexamed mouthwash for my periodontitis, but I cannot be certain due to the passage of time. The last specialist I consulted was a well-respected ENT, who indicated that the issue likely originates from the stomach region. Regardless of the various treatments I’ve embarked upon, these issues remain persistent, severely detracting from my quality of life. I am at a loss about what steps to take next. I have seen countless doctors repeatedly, waiting up to two months for appointments with the hope that they might provide a remedy, only to find that either they don’t take my concerns seriously or confess their inability to help. Any insights or suggestions from anyone who might offer guidance would be greatly appreciated. Thank you for your support!

Stomach PainIndigestionInternal Medicine

Answers (1)

Cony

7/21/2025, 2:40:43 AM

OpenHealth AI

I'm sorry to hear about the ongoing challenges you're facing with your mouth and stomach issues. It's understandable to feel frustrated given the persistence of your symptoms and the difficulty in finding effective solutions. Let's break down your situation and explore some practical steps you can take.

Main Points:

  1. Symptoms Overview: You are experiencing a white, slimy substance in your mouth, soreness, and halitosis, which have been persistent despite previous treatments.
  2. Possible Contributing Factors: You've noted a connection between your symptoms and previous exposure in your living environment while also mentioning a history of periodontitis and diagnosed Helicobacter pylori.
  3. Current Concerns: Ongoing discomfort and concerns about the effectiveness of treatments.

Explanation:

The accumulation of a slimy substance in the mouth can be related to several issues, including oral thrush (overgrowth of Candida), dry mouth, or even gastroesophageal reflux disease (GERD), which can also cause bad breath. The temporary relief you experienced while on antibiotics likely indicates a relationship between your stomach issues and oral health. Additionally, your observation regarding the Chlorhexamed mouthwash and its potential effects is worth noting, as some antibacterial products can alter the oral microbiome, sometimes leading to an overgrowth of yeast.

Next Steps:

Here are prioritized steps you can take to address your symptoms:

  1. Hydration and Saliva Stimulation:

    • Stay Hydrated: Drink plenty of water throughout the day to help combat dryness in your mouth.
    • Sugar-Free Gum or Mints: Chewing sugar-free gum can stimulate saliva production, which is essential for oral health.
  2. Mouth Care Routine:

    • Gentle Cleaning: Continue brushing your teeth and tongue gently. Use a soft-bristled toothbrush. If the slime is persistent, consider using a tongue scraper made of soft material.
    • Rinse with Saltwater: Prepare a saltwater solution (1 teaspoon of salt in a glass of warm water) to rinse your mouth several times a day to help reduce inflammation and clear some oral debris.
  3. Dietary Adjustments:

    • Eliminate Certain Foods: Consider reducing sugar and refined carbohydrates temporarily since these can contribute to candida overgrowth.
    • Probiotics or Yogurt: Add probiotics to your diet, as they can help balance the oral microbiome. Fermented foods like yogurt may support gut health, potentially impacting oral health as well.
  4. Follow Up on Gastrointestinal Issues:

    • Monitor Symptoms: Keep a symptom diary noting when your halitosis worsens or improves in relation to your diet, activities, and any potential triggers.
    • Discuss Gastroesophageal Reflux (GERD): Since your ENT mentioned stomach origins for your symptoms, discuss the possibility of GERD with your physician. This condition could contribute to both oral symptoms and halitosis.
  5. Consider a Comprehensive Approach:

    • Revisit Specialists: If symptoms persist, you may want to pursue further evaluations from specialists, like a gastroenterologist for the stomach issues and potentially an oral medicine specialist for the oral symptoms.
    • Referral to a Mycologist: If candida continues to be a concern, consider asking your healthcare provider for a referral to an infectious disease specialist or mycologist for a more targeted assessment and treatment plan.

Closing Thoughts:

I understand this journey has been exhausting, but by taking these actionable steps, you may find some relief and better understanding of your symptoms. Keep communicating openly with any doctors you see about your experiences, as this can lead to more personalized care. Remember, you're not alone in this – many people struggle with similar issues, and there are paths to improvement. If there’s anything more specific you’d like to ask or explore, feel free to share!

Related Questions

Health Concerns in a 21-Year-Old Male: Anxiety and Gastrointestinal Symptoms

At the age of 21, I find myself grappling with health anxieties. My medical history reveals a diagnosis of a mixed anxious-depressive disorder, with a notable tendency towards hypochondria. Recently, I underwent a blood test for the presence of blood in my stool which returned negative results about a month ago. Just a few weeks back, I also had my calprotectin levels measured alongside a complete hemogram, which showed elevated levels at 224. Occasionally, I experience mild discomfort in my lower left abdomen, particularly intensified after using the restroom. Additionally, the quality of my stool has become irregular; it floats and often contains mucus—sometimes in small amounts, at other times more conspicuously. After a period of weight loss, I recently gained a few kilos, which I irrationally attributed to potential cancer. My primary care physician has referred me to a gastroenterologist to further investigate my elevated calprotectin levels, reassuring me that it likely isn’t anything serious. Nevertheless, I cannot shake the fear that I may be harboring a tumor in my colon, leading to worst-case scenarios of late-stage cancer. These gastrointestinal symptoms have persisted for the last four years, and I worry that I may have overlooked them for far too long. In summary, my health has become a source of significant worry, compounded by my emotional state, and I fear the ramifications of these ongoing issues.

Stomach PainIndigestionGastroenterology
Male25-34
1 hour ago

Chronic Diarrhea Unexplained for 12 Weeks

I am a 19-year-old female, standing at 5'8" and weighing 84 kg. Over the past three months, I have been experiencing chronic diarrhea that appeared suddenly. Throughout these 12 weeks, my stool has not reached a solid consistency; it's either very watery or extremely soft. The color usually ranges from orange to yellow, although I have also encountered very dark brown or near-black stools. Additionally, I experience abdominal pain that feels as though it is pressing against my spine, with minimal gas production. Sleep is elusive for me, and I often feel fatigued. Unfortunately, I have also had several incidents where I lost control and soiled myself. Certain foods do not seem to alleviate or exacerbate my condition; rather, it varies from day to day, swinging between extremely watery and somewhat manageable. My dietary habits have not been the best; I believe I might have Avoidant/Restrictive Food Intake Disorder (ARFID), as I have been following a one-meal-a-day (OMAD) pattern for nearly three years. My intake is severely limited, typically involving only five different foods in a month, with daily caloric intake usually below 1000 calories. Notably, there were no significant dietary changes coinciding with the onset of my diarrhea. Interestingly, prior to the development of my symptoms, I noticed a significant weight increase—a swing from 82 kg to 88 kg, fluctuating between 85 kg and back again. Once the diarrhea began, my weight fluctuations persisted but appeared less severe. However, just yesterday, the diarrhea worsened considerably, making it feel as if my body was on fire; this morning I weighed 85.4 kg, which has now dropped to 84.5 kg today, accompanied by heightened abdominal pain. I have also felt an unusual pulsing sensation in my abdomen today, which generally only happens after physical exertion. I’m seeking thoughts on what might be causing these issues and which specific tests I should request from my doctor. I have submitted a stool sample but have yet to have any blood tests done.

DiarrheaStomach PainConstipation
Male25-34
6 hours ago

Concerns Over Recurring UTI and Unsettling Symptoms – Seeking Advice

Hello everyone, I'm a 26-year-old male, and I'm feeling quite anxious at the moment. I'm reaching out to see if anyone has encountered a situation similar to mine. ### 🩺 **Background:** - About a month ago, I was diagnosed with a urinary tract infection (UTI) that tested positive for *E. coli* and was treated with antibiotics. - After approximately six weeks, I noticed a return of mild symptoms and sought the assistance of a urologist. - The urologist recommended a **CT scan**, which revealed mild inflammation of the bladder. No stones were found, but it also noted a missing portion of the pancreas. A subsequent urine culture was conducted. - The treatment plan included: - **Hexamentin-625** (antibiotic for five days) - **Fosfomycin (Fosfikill)** – administered weekly for two weeks - **Cranfit** (a cranberry extract) - **OptD5 and Vitamin D (D-rise)** - The follow-up culture returned with the same bacteria, and the doctor indicated mild inflammation of the bladder wall. ### 🔄 **Current Situation:** - I completed my course of antibiotics approximately three days ago. - Lately, I've experienced mild pain in my penis, particularly at night and when lying on my side. - This morning, I noticed a significant reddish-brown mucus or clot in my urine, measuring about an inch in length. - Thankfully, I do not have a high fever and can urinate without issues, but the presence of this clot has been alarming. ### ❓ **Concerns and Questions:** - Is it typical to experience these symptoms during the recovery phase? Does this indicate that the infection persists or that the bladder is not healing properly? - Could this symptom signify a more serious underlying condition, such as cancer? - Has anyone experienced something akin to this? - Should I consider going to the emergency room immediately, or would it be okay to wait for my appointment with the urologist tomorrow? - I'm feeling quite distressed after witnessing this clot. I'm very careful about hygiene and have never been sexually active. Given that I tested positive for *E. coli*, I'm anxious to understand if these episodes are a normal part of healing or if there could be a more serious issue at play. Any insights or shared experiences would be greatly appreciated. 🙏

BloatingGastroenterologyInternal Medicine
Male25-34
7 hours ago

Concerns About Stomach Ulcers and Cancer Risk

Two weeks ago, I experienced a slight ache in my abdomen, and shortly after, I noticed blood in my stool. This discovery sent me into a panic as I feared it could be indicative of bowel cancer. However, after discussing my concerns with my parents, we concluded that it was likely just hemorrhoids. To be cautious, I decided to schedule an appointment with a physician. The day prior to my appointment, I had a heated argument with my dad, during which I began to experience significant pain in my upper abdomen. He provided support, and as the discomfort subsided a few minutes later, we both suspected that it might have stemmed from the stress caused by our argument. He mentioned that he experiences similar symptoms when under pressure. At my doctor's visit the next day, I explained my symptoms, including the blood and the pain following the fight with my dad. The doctor agreed with our earlier assessment, attributing the blood to hemorrhoids and the abdominal pain to stress. However, later that day, when I tried to eat, the upper abdominal pain returned. While it wasn't as severe as it had been during the argument, it was still quite noticeable. Now, I've been researching my symptoms online, which has only heightened my anxiety regarding the possibility of having a stomach ulcer and the looming threat of stomach cancer, especially after discovering the poor survival rates associated with it. I also deal with an anxiety disorder, and this situation has intensified my worries. While there's no family history of stomach cancer, I've found out that certain viruses can trigger it irrespective of one’s genetic background. I am seeking advice on whether I should make another appointment with my doctor urgently or if I should consider visiting urgent care. If I experience any more abdominal pain, I will provide an update on my situation.

Stomach PainIndigestionAcid Reflux
Male25-34
10 hours ago

Seeking Guidance Amid Ongoing Symptoms

Greetings to all, I’m a 27-year-old woman, standing at 5’2” and weighing 115 pounds, I find myself facing ongoing issues with pelvic and urinary discomfort that have surfaced over the past few months, leaving me feeling quite frustrated. I’m reaching out in hopes that someone here might have experienced something similar or can offer some advice. In April, I went through a distressing incident of sexual assault, and shortly afterwards, I began to experience symptoms such as burning sensations, internal irritation, and a frequent urge to urinate. When I visited the emergency room, I was diagnosed with bacterial vaginosis (BV). At that moment, they didn’t perform tests for HSV but conducted a comprehensive STD panel, which returned negative results, apart from the BV. I was given antibiotics to address the issue. A few weeks later, my symptoms persisted, prompting me to consult my OB-GYN for further evaluation. She diagnosed me with a yeast infection and ordered another round of tests. Yet again, all STD tests returned negative. Some time later, after noticing a small red spot, I underwent a vaginal PCR swab, which came back negative for both HSV-1 and HSV-2. Other tests revealed I was also negative for ureaplasma and mycoplasma. To date, I’ve undergone multiple comprehensive STD panels that have included tests for HIV, gonorrhea, chlamydia, trichomoniasis, hepatitis, and syphilis, with all results being negative. Despite these findings, I continue to battle internal vaginal irritation—distinct from external symptoms—along with intermittent urgency and urinary pressure. The discomfort sometimes intensifies during my menstrual cycle or after sexual activity, only to subside later. There are no sores, abnormal discharges, or symptoms that resemble flu illness, yet I’m left with a persistent burning sensation and an urgent need to urinate that just won’t seem to resolve. During one of these flare-ups, I had a urinalysis conducted, which revealed several irregularities in the dipstick test: - Protein: 30 - Nitrite: Positive - Leukocytes: Large - Urobilinogen: 4 - Glucose: 100 - Bilirubin: Small - Ketones: Trace - Urine color: Orange - pH: 5.0 However, I did take Azo (phenazopyridine) prior to this test, which can potentially lead to false positives. My physician mentioned that since my urine culture indicated “normal urogenital flora isolated,” she doesn’t think a urinary tract infection (UTI) is present or that there’s cause for alarm. Nonetheless, I still feel unwell. My doctor suspects it could be linked to hormonal changes due to my premature ovarian insufficiency and ongoing hormone replacement therapy (HRT) or possibly residual trauma and stress from the assault. Yet, my urinary symptoms seem distinct from these factors. Has anyone experienced a mismatch of a normal culture with an abnormal dipstick test and yet still felt unwell? Would it be advisable to pursue more precise testing, request another urine culture, or seek a referral to a urologist? I’m making a concerted effort to stay grounded, but the prolonged duration of these issues without clear answers is wearing on me. Any thoughts or suggestions would be greatly appreciated. Thank you for taking the time to read my post.

Stomach PainNutritionInternal Medicine
Male25-34
12 hours ago