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Breath odor Assessment Questionnaire. Introduction
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Introduction Bad breath is a reasonably common symptom that may be the simple result of poor dental hygiene. However, different types of breath odor can also indicate certain types of serious medical conditions. For example, a "fruity breath odor" is one of the characteristic symptoms of diabetic ketoacidosis, which can be fatal within hours or days. Another example is a "fecal breath odor" which can indicate certain types of intestinal blockage. Have any breath odor symptoms examined promptly by a medical professional.
1. Who has noticed the breath odor? Why:may suggest Psychogenic halitosis (i.e. anxiety about breath odor often without having it) if you have noticed the breath odor and others have not. • 2. How long have you noticed the breath odor? Why:to determine if acute or chronic. • 3. What is your teeth and gum hygiene routine? Why:to establish possibility of breath odor being due to poor hygiene or anaerobic infections of the mouth.
4. When was the last time you went to a dentist for a check-up? Why:to establish the possibility of mouth or dental disease as cause of breath odor. • 5. Alcohol history? Why:to determine possibility of alcohol as cause of breath odor. • 6.Medications? Why:certain medications may cause breath odor.
7. Dietary history? Why:certain foods can precipitate breath odor e.g. garlic, fish, curry, onions, caffeine. • 8.Cigarette smoking? Why:cigarette smoking is a direct cause of breath odor and may increase the risk of cancer of the mouth, throat, larynx and trachea which also may cause breath odor. • 9. Dry mouth e.g. on waking? Why:may be cause of breath odor.
10. Disturbance of consciousness? Why:may suggest alcoholism, diabetic ketoacidosis, renal failure and hepatic coma. • 11.Symptoms of diabetic ketoacidosis? Why:e.g. rapid breathing, vomiting, unwell, dehydrated. • 12. Symptoms of liver failure? Why:e.g. jaundice, bruising, swollen abdomen, leg s
13.Symptoms of renal failure? Why:e.g. poor energy, poor appetite, frequency of urination, need to urinate at night, nausea, vomiting, itching. • 14. Symptoms of lung or sinus disease? Why:e.g. cough, sputum production, fever, shortness of breath, post-nasal drip. • 15. Symptoms of throat condition? Why:e.g. sore throat, difficulty swallowing, acid reflux.