Smell from the mouth
Encyclopedia Symptoms / / May 22, 2016
Alternative names: halitosis
Some diseases can cause a characteristic odor of breath.The most common is bad breath associated with poor oral hygiene, as well as with the release of sulfur species of bacteria in the mouth.
Fruity breath occurs when the body tries to get rid of excess acetone through the breathing.This is a sign of ketoacidosis, which may occur in diabetes.This is a potentially life-threatening human condition.
Breath that smells like feces may occur during prolonged vomiting, especially when there is a bowel obstruction.
Breathing may have ammonia smell (and smell like urine output, for example, or fish) - it happens in people with chronic renal failure.
If once a normal breath turns into halitosis, causes could include:
- tooth abscess;
- reception paraldehyde;
- receiving triamterene (inhalation anesthetic);
- injections of insulin;
- food or drinks from foods such as cabbage, garlic, raw onions, or coffee;
- a foreign body in the nose (usually in children);
- inflammation of the gums (gingivitis, gingivostomatitis);
- aching tooth;
- pulmonary infections;
- poor oral hygiene;
- throat infections;
- vitamin supplements (especially in large doses).
Diseases that can be associated with a bad smell (some of them very rare or improbable):
- acute necrotizing ulcerative gingivitis;
- acute necrotizing ulcerative mucositis;
- acute renal failure;
- intestinal obstruction (can cause breath smelling faeces);
- chronic renal failure (can cause breath smelling ammonia);
- diabetes (fruity or sweet chemical smell with ketoacidosis);
- cancer of the esophagus;
- stomach cancer;
- fistula (fruity-smelling breath);
- hepatic encephalopathy;
- diabetic ketoacidosis;
- lung abscess;
- ozena or atrophic rhinitis (chronic inflammation of the nasal mucosa, characterized by atrophy of the mucous membrane and being in her nerve endings; the hardest kind of a cold first signs - runny nose with green blood and secretions.);
- periodontal disease;
- Zenker's diverticulum.
Use proper dental hygiene (especially flossing), and remember that mouthwashes are not effective in treating the underlying problem.Fresh parsley or mint - often an effective way to deal with a temporary bad breath.You should avoid smoking.Otherwise, follow prescribed therapy to treat the underlying cause.
You should contact your doctor if:
- bad smell persists, and is not an obvious cause (eg, smoking, before eating or unpleasant smell of food);
- the patient has bad breath odor and signs of respiratory infection - such as pain, fever, cough and runny nose.
physician must examine the medical history and conduct a physical examination.
The patient may be asked to answer the following questions:
- constantly whether he has a peculiar odor;
- whether there is a fishy odor;
- if his breath smells like ammonia or urine;
- if his breath smells like fruit or sweet chemical smell;
- if his breath smells like feces;
- if his breath smells of alcohol;
- Do not eat sick recently spicy foods, garlic, cabbage or other bad-smelling food;
- whether the patient takes vitamins;
- whether the patient smokes;
- whether the patient carries out a good, thorough oral hygiene to improve the smell of it;
- which measures home sick and tried as they have proved effective;
- whether the patient is currently tonsillitis, sinusitis, tooth abscess or other disease that may affect the occurrence of halitosis;
- which still have symptoms of the patient.
diagnostic evaluation will include a thorough examination of the mouth and nose.It can be checked and throat, if the patient has a sore throat, or mouth sores.In rare cases the diagnostic tests include:
- a blood test to detect diabetes or renal failure;
- endoscopy (EGD);
- X-rays of the abdominal cavity;
- chest X-ray.
Antibiotics may be prescribed under certain conditions.If the nose there is a foreign object, the doctor will use a tool to remove it.There are also special sprays to help maintain a good smell to the mouth and nose.