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Halitosis, oral malodor, breath odor, mouth odor, foul breath, fetor oris, fetor ex ore, or most commonly bad breath could be an indication of a more serious health condition. There are a few systemic (non-oral) medical conditions which may cause foul breath odor, but these are extremely infrequent in the general population. Such conditions are: # Fetor hepaticus: an example of a rare type of bad breath caused by chronic liver failure. # Lower respiratory tract infections (Bronchial and lung infections). # Renal infections and renal failure. (Kidney failure) # Carcinoma. # Trimethylaminuria ("fish odor syndrome"). # Diabetes mellitus. # Metabolic dysfunction. Individuals afflicted by the above conditions often show additional, more diagnostically conclusive symptoms than bad breath. People troubled by bad breath should not conclude that they suffer from these conditions or disease.

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