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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bad Mouth Odor Despite Having Elevated Liver Enzymes?

For the last four months my husband has been having an abnormal fruity breath smell. He has been treated for a sinus infection and been seen by a dentist and the smell has not gone away. He is a fairly heavy drinker of alcohol and recent labs showed increased liver enzymes. Our doctor wants to do a Hepatitis panel next week. Do you have any ideas?
Mon, 23 May 2016
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Dentist,  's  Response
Hi..
Welcome to HEALTHCARE MAGIC..

I have gone through your query and can understand your concerns..

As per your complain it seems that fruity odor from the mouth is most commonly seen in condition known as Diabetic Ketoacidosis in which there is excessive production of ketones in the body that has fruity smell..
This occurs when the insulin is not sufficiently produced in the body and there is fat breakdown to produce energy instead of glucose and there is production of ketones..
I would suggest you to consult a Diabetologist or an Endocrinologist and get evaluated and a thorough clinical evaluation and also investigations like blood glucose levels,HbA1c levels,Insulin levels, blood acidity can help in diagnosis and treatment can be done accordingly..
It should be taken care of as it can turn fatal..
In case if diabetic ketoacidosis is ruled out you can be treated with Insulin therapy along with fluid and electrolyte replacement for relief..
As the ketone level will reduce the smell will also resolve..

Hope this information helps..

Thanks and regards.
Dr.Honey Nandwani Arora.
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What Causes Bad Mouth Odor Despite Having Elevated Liver Enzymes?

Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain it seems that fruity odor from the mouth is most commonly seen in condition known as Diabetic Ketoacidosis in which there is excessive production of ketones in the body that has fruity smell.. This occurs when the insulin is not sufficiently produced in the body and there is fat breakdown to produce energy instead of glucose and there is production of ketones.. I would suggest you to consult a Diabetologist or an Endocrinologist and get evaluated and a thorough clinical evaluation and also investigations like blood glucose levels,HbA1c levels,Insulin levels, blood acidity can help in diagnosis and treatment can be done accordingly.. It should be taken care of as it can turn fatal.. In case if diabetic ketoacidosis is ruled out you can be treated with Insulin therapy along with fluid and electrolyte replacement for relief.. As the ketone level will reduce the smell will also resolve.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora.