The odor of a patient's breath may indicate underlying disorders, especially following toxic ingestions. The absence of an odor on the breath does not exclude an ingestion.
Odor |
Underlying Disease |
acetaldehyde |
chronic alcoholism, paraldehyde |
acetone |
ketosis (diabetes, starvation), salicylates |
ammonia |
uremia |
foul |
poor oral hygiene, bronchiectasis, lung abscess, upper GI obstruction, tonsillar infection, nasal or sinus infections |
musty |
severe liver disease |
yeast |
local Candida infection |
Odor |
Ingestion |
alcohol |
alcohol |
aromatic and pungent |
paraldehyde, ethchlorvynol |
bananas |
chloral hydrate |
bitter almonds |
cyanide |
chloroform |
chloroform or methylchloroform |
garlic |
garlic, methyl mercaptan, arsenic, parathion, organophosphate, tellurium, sellenium |
kerosene |
parathion or organophosphate |
pears |
chloral hydrate |
solvent or volatile hydrocarbons |
solvent |
xylene |
parathion or organophosphate |
Specialty: Otolaryngology
ICD-10: ,