What causes white tongue, bitter breath and bad breath?

White tongue with bitter breath and bad breath may be caused by poor oral hygiene, bile reflux gastritis, gastric ulcers and other reasons.
1. Poor oral hygiene: when patients do not brush their teeth for a long time, it is easy to cause food residues to stay inside the mouth. After the food is decomposed by bacteria, it will produce many kinds of substances with bad odor, and it is very likely to have the symptom of white tongue and bitter halitosis.
2. Bile Reflux Gastritis: When bile and other contents reflux abnormally into the stomach, it will irritate the gastric mucosa and cause bile reflux gastritis. After the patient’s digestive ability is affected, symptoms such as white tongue, bitter breath and bad breath will easily appear, which may also be accompanied by epigastric pain and acid reflux and other manifestations.
3. Gastric ulcers: Gastric ulcers can be caused when patients take NSAIDs or are infected by Helicobacter pylori. After being stimulated by gastric acid, patients will experience symptoms such as bloating, belching and acid reflux, which may also lead to white tongue, bitter breath and bad breath.
White tongue, bitter breath and bad breath can also be caused by other reasons, patients should go to the hospital in time to clarify the specific conditions.