Why do I have a bad taste in my mouth?
Written by Adèle & Dvir · 10 sources cited · Updated October 19, 2026
Quick answer
A bad taste in your mouth is most often caused by something in the mouth itself: plaque and a coated tongue, gum disease, a tooth infection, oral thrush or a dry mouth. Tonsil stones, postnasal drip, reflux, medicines and smoking are the next most common causes. Most cases clear with better cleaning and treating the cause, but a bad taste with fever, facial swelling, white patches or a sore lasting more than 3 weeks needs a professional.
On this page
What "bad taste" usually means
People use "bad taste" for a foul, stale, rotten or rancid taste that lingers no matter what they eat. The NIDCD uses almost the same words to describe dysgeusia: a foul, salty, rancid or metallic taste that persists. A bad taste and bad breath often travel together, because the same bacteria and debris cause both. If one particular taste stands out, our pages on metallic, bitter, sour and salty tastes go into more detail.
Causes, most to least common
- Plaque and a coated tongue. Bacteria, food debris and dead cells collect on teeth and on the back of the tongue.
- Gum disease. The NHS says it can lead to bad breath and a bad taste, along with bleeding, swollen gums.
- Dry mouth. The NHS lists dehydration, medicines, mouth breathing at night, anxiety and cancer treatment as common causes.
- Tooth infection or abscess. The NHS lists a bad taste with intense toothache, redness, swelling and sometimes a high temperature.
- Oral thrush. The NHS lists an unpleasant taste, not tasting things properly, white patches and soreness.
- Tonsil stones and postnasal drip. Cleveland Clinic lists a bad taste among tonsil stone symptoms and bad breath among postnasal drip symptoms.
- Reflux. Stomach acid leaves a sour, unpleasant taste.
- Medicines, smoking and colds, which change taste directly or by drying the mouth.
Finding your cause
| Clue | Likely cause | Who to see |
|---|---|---|
| Thick white or yellow film on the back of the tongue | Tongue coating | Self-care first |
| Bleeding or swollen gums | Gum disease | Dentist |
| Throbbing tooth, swollen face or gum, fever | Abscess | Dentist urgently |
| White patches that wipe off to leave red, sore areas | Thrush | Pharmacist or doctor |
| Small white lumps at the back of the throat | Tonsil stones | Self-care or doctor |
| Heartburn, worse lying down | Reflux | Pharmacist or doctor |
A one-week routine to get rid of a bad taste
- Brush twice a day for two minutes, including the gum line.
- Clean between teeth once a day with floss or interdental brushes.
- Clean your tongue once a day, working from back to front. The NHS includes this in its self-help advice for bad breath. See how to use a tongue scraper.
- Drink water through the day and chew sugar-free gum after meals.
- Cut back on smoking and alcohol, both of which dry the mouth.
A note on evidence: a 2019 Cochrane review of bad-breath treatments found only two small trials (46 people) of tongue cleaning versus none and rated that evidence very low certainty; mouthwashes and other treatments fared little better, mostly because trials were small. That does not mean they do not work, only that the size of the benefit is uncertain. If a week of thorough cleaning does not help, the cause is probably not plaque or coating.
What a dentist or doctor can do
A dentist can remove tartar, treat gum disease and cavities, and drain or treat an abscess. A pharmacist or doctor can treat oral thrush with antifungal medicine and advise on reflux. If the mouth looks healthy, a doctor will look at medicines, sinuses and general health, and may refer you to an ear, nose and throat specialist for taste and smell testing.
When to see a dentist or doctor
- A bad taste with toothache, facial or jaw swelling, or a high temperature - see a dentist urgently
- Swelling that makes it hard to breathe, swallow, speak or open your mouth - call 911
- White or red patches, an ulcer or a lump in the mouth lasting more than 3 weeks - see a dentist or doctor
- Painful, bleeding or swollen gums - see a dentist
- A bad taste that persists after a week or two of thorough cleaning - see a dentist
This guide is general information, not a diagnosis. If you are worried about a symptom, see a dentist or doctor.
Frequently asked questions
Related guides
Sources
- Taste Disorders (NIDCD (National Institutes of Health))
- Gum disease (NHS)
- Dental abscess (NHS)
- Oral thrush (mouth thrush) (NHS)
- Dry mouth (NHS)
- Tonsil Stones (Tonsilloliths) (Cleveland Clinic)
- Postnasal Drip (Cleveland Clinic)
- Bad breath (NHS)
- Interventions for managing halitosis (Cochrane Database of Systematic Reviews, 2019) (PubMed Central, National Library of Medicine)
- Symptoms of mouth cancer (NHS)