Breath odor is the scent of the air you breathe out of your mouth. Unpleasant, distinctive, or offensive breath odor is commonly called bad breath.
Bad breath; Halitosis
Some disorders will produce specific, characteristic odors to the breath.
Bad breath related to poor oral hygiene is most common and caused by release of sulphur compounds by bacteria in the mouth.
A fruity odor to the breath occurs as the body attempts to get rid of excess acetone through the breathing. This is a sign of
Breath that smells like feces can occur with prolonged
The breath may have an ammonia-like odor (also described as urine-like or "fishy") in people with
Bad breath can be caused by:
Abscessed tooth Alcoholism
- Eating certain foods, such as cabbage, garlic, or raw onions
- Drinking coffee and other beverages
- Object stuck in the nose (usually happens in kids); often a white, yellow, or bloody discharge from one nostril
- Gum disease (
gingivitis, gingivostomatitis) Impacted tooth
- Lung infection
dental hygiene Sinusitis
- Throat infection
- Tobacco smoking
- Vitamin supplements (especially in large doses)
- Use of certain medications, including insulin shots, triamterene, and paraldehyde
Diseases that may be associated with breath odor:
Acute necrotizing ulcerative gingivitis
- Acute necrotizing ulcerative mucositis
Acute renal failure
- Bowel obstruction (can cause breath to smell like feces)
- Chronic kidney failure (can cause breath to smell like
ammonia) Diabetes(fruity or sweet chemical smell with ketoacidosis) Esophageal cancer Gastric carcinoma
fistula(fruity-smelling breath) Hepatic encephalopathy Diabetic ketoacidosis Lung abscess Ozena, or atrophic rhinitis Periodontal disease Pharyngitis
Use proper dental hygiene (especially flossing), and remember that mouthwashes are not effective in treating the underlying problem.
Fresh parsley or a strong mint are often effective ways to fight temporary bad breath. Avoid smoking. Otherwise, follow prescribed therapy to treat the underlying cause.
Call your health care provider if
- Breath odor persists and there is not an obvious cause (such as smoking or eating odor-causing foods).
- You have breath odor and signs of a respiratory infection, such as fever, cough, or face pain with discharge from the nose
What to expect at your health care provider's office
Your doctor will take a medical history and perform a physical examination.
You may be asked the following medical history questions:
- Is there a specific odor?
- Is there a fishy smell?
- Does the breath smell like ammonia or urine?
- Does the breath smell like fruit or is there a sweet-chemical smell?
- Does the breath smell like feces?
- Does the breath smell like alcohol?
- Have you recently eaten a spicy meal, garlic, cabbage, or other "odorous" food?
- Do you take vitamin supplements?
- Do you smoke?
- Does good oral hygiene improve the odor?
- What home care measures have you tried? How effective are they?
- Is there a recent sore throat, sinus infection, tooth abscess, or other illness?
- What other symptoms do you have?
The physical examination will include a thorough examination of the mouth and the nose. A
In rare cases, diagnostic tests that may be performed include:
- Blood tests to screen for diabetes or kidney failure
- Endoscopy (
EGD) X-ray of the abdomen X-ray of the chest
Antibiotics may be prescribed for some conditions. For an object in the nose, the doctor will use an instrument to remove it.