BREATH ... everyone has to adopt a fetid odor from the mouth, or having your mouth love, especially in conjunction with mouth infection or pharyngitis or sinusitis. Sometimes the tonsils in their pockets are formed and exudates (or plaque hard, yellowish-white that are ejected with the saliva and are particularly fetid. So what? Other times, you have nothing of this, but escaping from the mouth or a smell of apples fecaloide ranette liver or a stench. Why? We read and we'll know ...

Bad breath is defined as the emission of breath from the mouth unpleasant, unpleasant and offensive, sometimes even when the patient does not notice or sometimes afraid of being rejected because of his breath (halitosis psychogenic). Bad breath, however, regardless of social meaning that we want to give is often a specific symptom in medicine. Indeed we have:
halitosis being diabetic keto acidosis, that smell of apples ranette;

uremic breath ammonia in the intoxication;

fetid breath of skatole, indole and breath fecaloide in patients with cirrhosis, the so-called "foetor hepaticus"

halitosis frankly fecaloide in constipation in subocclusione;

other causes dental caries (see toothache)

halitosis in sore throat with pus in the tonsils

in cigarette smoke

in gastroesophageal reflux

Vomica has purulent material from the mouth and bleeding from the mouth?

halitosis in patients with alcohol intoxication

even walking can make halitosis, though their sweat is absorbed and released with lung!
History.

Or ask whether the patient:

smoke?

are diabetic?

evacuating regularly?

has bad teeth? Has blood in the gums? Brush your teeth?

has a sore throat?

has reflux or acid regurgitation?

Brushing their teeth?

And 'livery? Kidney?

Cases etipatogenetiche

Intestinal obstruction and abnormalities of the hive. E 'sign halitosis in these patients of an altered intestinal transit, with stiipsi or diarrhea, for acts or putrefactive and fermentative subocclusione. In case of obstruction of left colon or sigmoid, may appear a fecaloide delayed vomiting.

Bronchiectasis. Means disgusting or putrid halitosis with productive cough, chronic, profuse, malodorous, exertional dyspnea, fatigue and malaise.

Common cold, by the breath with the smell of mice to bacterial infection of the nasopharynx and suppuration, with sore throat

Esophageal cancer with necrotic material into the esophagus and gemizio of bloody stinking slime.

Stomach cancer, as late sign of cancer, feeling of fullness, nausea, distaste for meat, anemia.

Gingivitis, that is characterized by infection of the gums that appear red and swollen, and form necrotic ulcers-acute causes a particular bad breath for the presence of greyish membrane.

Hepatic encephalopathy, is characterized by foetor hepaticus, an odor of breath mice, sweet freshly cut hay, accompanied by other signs such as asterixis and flapping tremor (patient stirs and shakes hands.)

Keto acidosis. And 'the smell of apples ranette of diabetic keto acidosis that is characterized by dehydration of the patient, Kussmaul breathing, weight loss, sore tongue, muscle hypertrophy, abdominal distension, nausea and vomiting.

Lung abscess. Also cause a putrid stench, with fever, chills, headache, anorexia, malaise, chest pain

Mucositis: Inflammation of the mouth that occurs in patients undergoing chemotherapy

Sinusitis: sinusitis appears in a stench accompanied with inflammation and infection of the skin and mucous membranes, with purulent mucus collected frontal or maxillary sinuses and nasal drip back, fever and severe headache, often frontal, sore throat and cough.
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