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  1. Feb 3, 2023 · Bad breath can arise from a problem in your mouth or throat, or from metabolic processes. Depending on the cause, your breath may smell sweet, sour, rotten, musty, fishy, or like ammonia.

    • Fruity breath: People with diabetes mellitus can have breath that smells like acetone. Diabetes mellitus is a chronic disease in which the blood sugar rises (hyperglycemia), either because the pancreas can’t make the insulin hormone or because the body can’t use insulin properly.
    • Fetid, stinky breath: Syphilis — a sexually transmitted infection caused by Treponema pallidum bacteria — can make a patient’s breath smell really bad.
    • “Breath of a dead person”: Liver insufficiency or liver failure is a life-threatening situation in which the liver is unable to excrete bilirubin (waste material of liver) or filter blood or perform any of its functions.
    • Sour or acidic breath: After the mouth, tummy and intestine problems are the most common reasons for bad breath. Gastroesophageal reflux disease, or GERD, is a condition in which the sphincter muscle at the lower end of the food pipe (oesophagus) is unable to close.
    • Caroline Kee
    • Diabetes. People who are diabetic or pre-diabetic may experience a peculiar smelling breath: Think fruit or nail polish remover, Hoss explains. "The body, because of the lack of insulin, can't burn sugar, so it starts burning fat instead and produces these chemicals called ketones," says Hoss.
    • Acid reflux. Sometimes, bad breath can be caused by an issue bubbling up from the stomach. Acid reflux or gastroesophageal reflux, occurs when acid in the stomach flows back up the esophagus, says Hoss.
    • Kidney problems. “If your kidneys aren’t functioning correctly, they can’t filter out certain minerals out of your blood properly,” says Hoss. The kidneys work to remove toxins and other waste products from the blood, which are then excreted in your urine, per the Cleveland Clinic.
    • Liver disease. You may be able to smell liver issues or liver disease on your breath. “When your liver isn’t working properly, it can’t filter toxins from the blood or regulate your blood sugar,” says Hoss.
  2. Diet plays an important role in determining the quality of one's breath. The smells of some foods, once ingested, can linger, contributing to an unpleasant breath. Additionally, foods that foster bacterial growth in the mouth can also lead to halitosis as the bacteria produce foul-smelling byproducts 7. Common foods contributing to halitosis ...

  3. Jun 11, 2024 · Intraoral factors (originating in the mouth): This is the most common cause (80% or 90% of cases). These bad breath causes include poor oral hygiene, dental caries , periodontal (gum) disease, dry mouth, salivary gland problems, oral cancer, and dental appliances.

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  5. Jun 14, 2023 · Poor oral hygiene can also cause a buildup of bacteria in the mouth, resulting in bad breath. Gum disease can lead to the release of foul-smelling gases and pus, which can also cause putrid breath. Ammonia-like Odor: A urine-like smell on the breath may be a sign of kidney or liver problems. When these organs are not functioning optimally ...

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