But fruity sweet odor could be from excess body ketones being excreted through lungs. This could occur with high sugar levels like in diabetes, of course, but your testing suggests this is not diabetes. So, I would go back to your regular child's doctor and ask for ketone testing to be done.
Breath that has a fruity or acetone-like scent may be a sign of ketosis from your diet, DKA, HHS, excessive alcohol use, or liver disease. If you're intentionally fasting or following a ketogenic diet, you should expect fruity breath.
∙ Fruity smelling breath: Having breath that smells fruity, even when it's been a while since your child ate, often means there's excess sugar in their blood. ∙ Increased hunger or unexplained weight loss: Extreme hunger can mean your child's muscles and organs aren't getting enough energy.
Signs that your child has MSUD include: A sweet, syrupy smell in their pee, sweat or earwax. Lethargy (they may move slowly or appear tired or weak). Irritability or fussiness.
Sweet-smelling urine can be a sign of an underlying medical condition or infection. Diabetes, urinary tract infections (UTIs), liver disease, and metabolic disorders can make urine smell sweet. Dehydration, very low-carb diets, vitamin supplements, and some medications can also give urine a sweet scent.
Children with intermediate MSUD also display the characteristic odor of maple syrup in their sweat, urine, and earwax. Children with Intermittent MSUD typically have normal growth and intellectual development, and most can eat normal levels of protein in their diet.
The most common causes of halitosis in kids are poor oral hygiene, cavities and gingivitis. Bad breath can also be due to smelly foods, mouth breathing, loose dental restorations, dry mouth, infections in the mouth, ears, nose or throat, and certain health conditions and medications.
Fetor hepaticus is a likely explanation for your bad breath if: It fits the description (musty and sweet, or like rotten eggs and garlic). It's chronic (it's lasted a while and doesn't go away or keeps coming back). You already know (or suspect) that you have liver disease.
What Is the Prognosis for an Individual with Maple Syrup Urine Disease Type Ib? If untreated, MSUD can be fatal. With early, careful, and lifelong treatment and a low-protein diet, individuals with MSUD type Ib can live healthy lives into adulthood and show normal growth and mental development.
When your body can't get energy from glucose, it burns fat in its place. The fat-burning process creates a buildup of acids in your blood called ketones, which leads to DKA if untreated. Fruity-smelling breath is a sign of high levels of ketones in someone who already has diabetes.
Type 1 diabetes is thought to be caused by an autoimmune reaction (the body attacks itself by mistake). This reaction destroys the cells in the pancreas that make insulin, called beta cells. This process can go on for months or years before any symptoms appear.
When high blood sugar levels go untreated, it can develop into hyperglycemia and lead to the development of DKA. One of the symptoms of DKA is a sort of sweet, fruity-smell on the breath which can also cause a sweet taste in the mouth.
Breath that smells fruity or like rotten apples, for example, can be a sign of diabetes that's not under control. Rarely, people can have bad breath because of organ failure. A person with kidney failure may have breath that smells like ammonia or urine.
Typically, bad breath that relates to diabetes may smell fruity due to DKA. The smell can be similar to that of rotten apples or pear drops. Others may describe this scent as similar to acetone, or nail polish remover. Some people with diabetes have a higher risk of gum disease, also called periodontal disease.
Acetone is a type of ketone, and it is the same fruity-smelling substance found in some nail polish removers. If the breath of a person with diabetes smells of acetone, this suggests that there are high levels of ketones in their blood. As the ketones build up, they increase the acidity of the blood. This can be toxic.
Kidney disease causes chemicals in urine to become concentrated and to cause a smell resembling ammonia. Kidney dysfunction can also cause high urine bacteria and protein levels, contributing to an ammonia smell.
A not unlikely cause of toddler bad breath is illness. This can be at the root of the issue even if your child no longer appears to have symptoms. Recurring sinus infections for example, can lead to post-nasal drip.
Some describe halitosis as having a rotten egg or sulfurous aroma, which may be linked to digestive issues or sulfuric proteins in the mouth2. A sweet or fruity-scented bad breath could be indicative of conditions like diabetes2, which requires medical attention.
It's best to talk to your child's pediatrician to make sure there isn't something underlying going on. Some diseases and illnesses can cause a distinct smell, such as diabetes, kidney or liver disease, or hyperhidrosis, which is an issue that causes excessive sweating.
Maple syrup urine disease (MSUD) is typically diagnosed in newborns through newborn screening programs as symptoms can develop rapidly within the first few days of life. However, there have been reported cases of individuals developing MSUD later in life.
Phantosmia is a condition that causes you to detect smells that aren't actually in your environment. It can happen in one nostril or both — and the odors may be foul or pleasant. Common causes include colds, allergies, nasal polyps and dental issues. Treatment depends on the underlying cause.
Kids start to have body odor around the time puberty starts and hormones change. Usually, this happens when females are 8–13 years old, and males are 9–14. But it can also be normal to start puberty earlier or later. Bathing every day, especially after a lot of sweating or in hot weather, can help with body odor.