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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...

    • 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. Aug 30, 2024 · Bad breath, or halitosis, usually originates in the oral cavity, but in rare instances, it can be caused by a systemic problem. One such cause is a genetic disease named trimethylaminuria, which causes a distinctly fishy smelling breath. Here's what you need to know about the disorder and how it affects your oral health.

  3. Dec 21, 2023 · Most bad breath starts in your mouth. There are many possible causes, including: Food. The breakdown of food particles in and around your teeth can lead to more bacteria and cause a foul odor. Eating certain foods, such as onions, garlic and spices, also can cause bad breath.

  4. Trimethylaminuria (trī-meth'il-am-i-nyūr'ē-ă) is a metabolic disorder that makes your sweat, breath, saliva and pee smell like rotten fish. Metabolic disorders affect how your body processes nutrients and enzymes. Healthcare providers may refer to this condition as TMAU or fish odor syndrome.

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  6. Jun 27, 2023 · People who live with it may find themselves feeling self-conscious because their breath and urine have a strong fish odor. This article will offer background information about trimethylaminuria,...