Bad breath can have various causes, ranging in severity from 'very minor' to 'life-threatening'. Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.
Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms. In order to diagnose bad breath, we could:
moderate meal-induced pain
poorly-removed amalgams
vision disturbances
recent light tobacco smoking
history of herbicide exposure
moving white lines across nails
much reduced sense of smell
having trouble concentrating
gums that bleed easily
metallic taste in mouth
occasional rashes
nasal congestion| Cause | Probability | Status |
|---|---|---|
| Cigarette Smoke Damage | 93% | Confirm |
| Mercury Toxicity | 57% | Possible |
| Tonsil Stones | 25% | Unlikely |
| Stomach Ulcers | 0% | Ruled out |
| Low Carbohydrate Diet Consequences | 0% | Ruled out |
| General Toxicity | 0% | Ruled out |
|
Do you have bad breath?
Possible responses:
→ No / don't know→ Occasionally, minor → Often minor or occasionally moderate → Often moderate or occasionally very bad → Often very bad |
The acetone resulting from a state of ketosis escapes through the lungs – giving Atkins Diet followers, for example, what one weight-loss expert calls "rotten-apple breath." [Health 19 (1996): p.102] The other ketones have to be excreted by the kidneys. In a study funded by Dr. Atkins himself, most of the people that could stick with the diet reported headaches and halitosis (bad breath).
A medical study conducted in 2007 found a strong association between tonsilloliths and bad breath. Among those with bad breath, 75% of the subjects had tonsilloliths while only 6% of subjects with normal breath had tonsilloliths.