Little kids

Why does acetone smell from baby’s mouth?


The main reasons are related to the problems of the metabolism of fats and carbohydrates - ketosis (ketogenesis) and catabolism of ketone bodies. When the body lacks glucose for energy due to lack of insulin, it starts burning stored fat (which are in the form of triglycerides in the cells of adipose tissue). This biochemical process takes place with the formation of by-products - ketone bodies (ketones). In addition, with insulin deficiency, the utilization of ketones in muscle cells decreases, which also increases their content in the body. An excess of ketone bodies is toxic to the body and leads to ketoacidosis with the smell of acetone during expiration, which can be:

  • in diabetes mellitus of the first type (insulin-dependent, having autoimmune etiology),
  • in congenital syndromes that are accompanied by insulin deficiency and carbohydrate metabolism disorders (including Lawrence-Moon-Barde-Beadle, Wolfram, Morgagni-Morel-Stewart, Prader-Willi, Kleinfelter, Lynch-Kaplan-Henna, Mac Quarry) syndromes,
  • in the case of functional renal insufficiency (in particular, with a decrease in glomerular filtration rate),
  • with a lack of certain liver enzymes,
  • with severe dysfunction of the pancreas and adrenal glands of the child,
  • with a high level of thyroid hormones caused by hyperthyroidism (including pituitary).

Risk factors

Such acetonic risk factors are noted, such as infectious diseases with significant fever, persistent infections, helminthic invasion, stressful states.

At a younger age, the risk of malnutrition in children with a lack of the required amount of carbohydrates is also a risk factor. Ketosis can be triggered by the consumption of large amounts of fat, as well as physical overload.

It should be borne in mind that the trigger for the development of autoimmune diabetes in children can be the frequent use of corticosteroids (negatively affecting the adrenal cortex) and antiviral agents containing recombinant interferon alpha-2b.

The presence of the smell of acetone from the mouth of a child or adolescent indicates acetonemia (hyperacetonemia) - excessive content of ketones in the blood. Oxidized, they reduce the pH of the blood, that is, increase its acidity and lead to acidosis.

The pathogenesis of hyperacetonemia and ketoacidosis in diabetes mellitus is due to insulin deficiency and hypoglycemia, which leads to enhanced lipolysis - splitting triglycerides into fatty acids and transporting them to the liver. In hepatocytes, they are oxidized to form acetyl-coenzyme A (acetyl-CoA), and ketones, acetoacetic acid and β-hydroxybutyrate, are formed from its excess. The liver cannot cope with this amount of ketones, and their level in the blood rises. Next, acetoacetic acid is decarboxylated to dimethyl ketone (acetone), which is eliminated from the body through the lungs, sweat glands and kidneys (with urine). With an increased amount of this substance in the exhaled air, there is a smell of acetone from the mouth.

Cellular and membrane enzymes are necessary for fatty acid oxidation (CoA transferase, acyl CoA dehydrogenase, β-thioketolase, carnitine, carnitine acyltransferase, etc.), and their genetically determined deficiency in congenital syndromes is the leading cause of metabolic ketones. In some cases, mutations of the X-chromosome gene of the hepatic enzyme phosphorylase, which lead to its deficiency or decrease in activity, are guilty. In children aged from one to five years, the presence of a mutant gene is manifested both by the smell of acetone from the mouth, and by stunted growth and hepatomegaly (enlarged liver). Over time, the size of the liver normalizes, the child in most cases begins to catch up with his peers in height, but fibrous septa may form in the liver and signs of inflammation may be present.

The development of ketoacidosis in cases of increased production of thyroid hormones in hyperthyroidism is due to impaired metabolism of fats and proteins, as thyroid hormones (thyroxin, triiodothyronine, etc.) not only accelerate the overall metabolism (including protein breakdown), but can also form resistance to insulin. Studies have revealed a strong genetic predisposition to autoimmune pathologies of the thyroid gland and type 1 diabetes.

And with an excess of fats in the food consumed by children, the transformation of fatty acids into cytozole triglycerides of adipose tissue cells is hampered, which causes their part in the mitochondria of liver cells, where they oxidize to form ketones.

Symptoms of the smell of acetone from the mouth of a child

With ketoacidosis and hypercetonemia in a child, this smell is far from the only symptom.

If there is a slight smell of acetone from the child’s mouth, then increased thirst and drying of the mucous membrane in the mouth can be observed. It is possible that a child has tonsillitis or ARVI with a temperature increase, or he has run too much or is over-excited. However, one should not forget that this smell and thirst are the first signs of the development of insulin-dependent diabetes and a mild form of diabetic ketoacidosis.

As endocrinologists note, metabolic disorders in childhood can lead to acetonemic syndrome, when a child has acetone smell and vomiting, as well as general weakness, loss of appetite, decreased diuresis, nausea, abdominal and headaches. Read more about the etiology and symptoms in a separate publication - Acetonemic syndrome

A sharp deterioration of this condition — with severe acetonemic vomiting, a significant increase in plasma ketone and urine levels, small hyperthermia, shallow breathing, and increased heart rate — is called an acetonemic crisis. Its main danger is dehydration of the child’s body, since bouts of vomiting are repeated throughout the day and can last more than one day.

Complications and consequences

Diabetes mellitus of the first type often occurs in childhood and may be complicated by episodes of diabetic ketoacidosis - a severe state of absolute or relative insulin deficiency, leading to hyperglycemia, hyperacetonemia and systemic inflammation. Possible consequences and complications of this condition in children include impaired acid-base homeostasis: the level of ketones increases in the urine (which is defined as ketonuria), and along with their elimination during urination, the level of electrolytes (K and Na ions) in plasma decreases.

Brain edema (about 1% of cases), acute ischemic or hemorrhagic stroke, pulmonary interstitial edema and coagulopathy (due to a violation of blood coagulation factors) are also possible.

In addition, as with any increase in blood acidity, the endothelium of blood vessels may suffer: a glut of blood with ketone bodies increases the negative effects of free radicals on cells and leads to oxidative stress. It is believed that ketones, or rather their elevated levels, are related to the occurrence of oncologopathologies.

With acetonemic syndrome, there is a possibility of an increase in the liver and its fatty infiltration, and in severe acetonemic crises, the risk of coma and death may not be excluded.

Diagnose the smell of acetone from the mouth of a child

In the presence of the smell of acetone from the child’s mouth, the diagnosis is intended to reveal its cause. This requires analyzes:

  • general clinical analyzes of blood, urine and feces,
  • blood and urine glucose testing.
  • blood test for pH, β-hydroxybutyrate, electrolytes, phosphates, creatinine,
  • urine analysis for dimethyl ketone levels.

The diagnosis is confirmed by the presence of high blood glucose levels along with abnormal ketones and acidosis of the blood. As a rule, depletion of potassium, bicarbonate and phosphate is detected.

A blood test is being conducted on the level of thyroid hormones (T3, T4 and TSH) and the presence of antibodies to them. Instrumental diagnostics for suspected hyperthyroidism is performed using x-ray or ultrasound (US) of the thyroid gland. It may be necessary to conduct an instrumental examination of the pancreas, liver and kidneys.

Treatment of the smell of acetone from the mouth of a child

Treatment of the smell of acetone from the mouth of a child consists in the treatment of diseases in which this smell appears. In case of diabetes mellitus, the child needs insulin intake, see - Treatment of diabetes

About methods of reducing the negative effects of excess thyroid hormones used in modern endocrinology, read the publication - Treatment of hyperthyroidism

When hyperketonemia and ketoacidosis should be excluded from the diet of the child foods containing fat: this will reduce the intake of fatty acids and greatly facilitate the work of the liver.

As a rule, vitamin B12 (injections) and drugs such as Methionine (L-methionine, Methion, Thiomendon, Acimethion) are prescribed only in the absence of hepatitis, serious liver problems and hepatic encephalopathy: 0.25 g three times a day (up to meals, drinking milk) - for children under two years old, 0.4 g each - for children two to five years old, 0.5 g each - for children older than six (the duration of use is determined by the doctor). The drug may cause nausea and vomiting.

If a child has a smell of acetone from the mouth and vomiting, it is recommended to wash the stomach with a weak soda solution and drink more - often, but in small portions (one tablespoon each). A 5% glucose solution, a solution of baking soda (a teaspoon per 250 ml of water) and a 0.9% sodium chloride solution (18 g of salt per 200 ml of water) are used. Children up to two years can do enemas with glucose and saline (a single dose should not be more than 20-25 ml). Severe conditions, in particular, acetonemic crisis, require hospitalization and intravenous administration of saline and glucose.

For rehydration - compensation of fluid in case of vomiting - Regidron is used, as well as alkaline mineral water (without gas) at the rate of 100-120 ml of fluid for each kilogram of the child’s body weight. More information in the material - Vomiting in a child

It is not safe to carry out popular treatment of hyperacetonemia, especially since it does not eliminate the causes of the smell of acetone. But the advice to feed the child with cranberry juice, decoction of dried apricots or quince, as well as green tea with the addition of lemon — to fill up the liquid with vomiting — can be taken. A herbal treatment allows for the use of decoction of chamomile flowers, grass of the succession, chicory root or angelica medicine for nausea and vomiting - two or three tablespoons several times during the day.


Is it possible to prevent the smell of acetone from the mouth of a child? Only by treating diabetes, which increases the level of ketones in the blood. To do this, you need to use insulin therapy and regularly check the blood sugar level of the child, as well as consume enough fluids. If a child has diabetes, then you should follow certain rules of nutrition, and for this there is Diet for Type 1 Diabetes

Experts give an accurate forecast only in relation to the acetonomic syndrome in children: as a rule, a full recovery is observed with age. In very rare cases of an acetonemic crisis, due to respiratory paralysis and cardiac arrest, death can occur.

What is the reason for the appearance of acetone?

The main energy material for the body is glucose. When entering the bloodstream, it is spread to every cell in the body. Due to its lack or inability to penetrate into the cells, the body has to search for new energetic material, which is often fats or lipids.

Acetone bodies are formed by splitting lipids. and, once in the bloodstream, they begin to be excreted by the kidneys and lungs. The result of the analysis of urine for the presence of acetone bodies in such a situation will be positive, therefore, an unpleasant odor cannot be avoided.

The smell of acetone says about the wrong metabolism. Increased acetone levels are due to several reasons. To find out why the child smells of acetone from the mouth, it is necessary to observe the state of the child’s body and focus on the fact that it is not accompanied whether unpleasant "flavor" other symptoms.

And yet, what provoked his appearance?

  1. Diabetes. Due to the lack of insulin, glucose does not burn and is not converted into energy, but accumulates in undigested form in the blood. Brain cells that do not receive the required amount of glucose give a signal to the body to work in conditions of increased fatigue, as a result of which the content of acetone bodies in the blood rises. In such a situation, the child is thirsty, there is frequent urination, scratching of the skin. The baby becomes capricious, lethargic, while he eats well, but loses weight.
  2. Thyroid. Its main purpose is the production of iodine-containing hormones. When the thyroid gland malfunctions, a large amount of them is released, which contributes to a more rapid breakdown of lipids. Apart from the smell of acetone from the child’s mouth, abdominal pain and Gospell's disease (jaundice) indicate endocrine dysfunction.
  3. Acetonemia. With a single occurrence of acetone odor, we can talk about acetonemic crisis (neuro-arthritic diathesis), its systematic appearance already indicates the development of acetonemic syndrome (non-diabetic ketoacidosis). According to statistics, the disease occurs in 4-6% of children aged 1-13 years, and boys are more vulnerable.
  4. Violation of the kidneys and liver. Both organs function as a natural filter. If their work is impaired, no harmful substances are eliminated, but, on the contrary, they begin to accumulate in the body, including acetone.
  5. Infectious diseases. When pathogens and viruses enter the child’s body, severe dehydration is observed. The long course of the disease and poor appetite contribute to the appearance of acetone odor.

Why can smell acetone from babies?

In breastfed babies, the appearance of an acetone odor is due to one of the following reasons:

  • Mom's diet Sometimes the parents themselves are to blame for the fact that there is an unpleasant smell from the child’s mouth. Spicy and fatty food, which is often consumed by the mother, adversely affect the digestive system of the baby, why often there is an unpleasant "flavor". It is enough to change the diet, and the problem will disappear by itself.
  • Hygiene. Young mothers do not always pay due attention to oral hygiene. With the appearance of the first tooth of the baby, you need to start cleaning it from unnecessary plaque. When the child smells of acetone only in the morning, there is no reason to worry. You just need to brush your teeth, and it is desirable to do this in the morning and evening. At night, infants do not produce the necessary amount of saliva, and therefore create a favorable environment for the reproduction of bacteria.
  • Nutrition. With the introduction of complementary foods in the diet of the baby, parents start with cabbage, onions and meat puree. The use of these products can cause an unpleasant smell. If the metabolism in a small body occurs without any disturbance, the smell disappears after a bowel movement.
  • Fungus (thrush). If the appearance of an unpleasant odor is due to a certain disease, for example, a fungus, one cannot do without the help of a specialist. The accompanying symptom of the disease is a white plaque on the tongue.
  • ENT diseases. Acetone odor may appear from rhinitis. Because of the clogged sinuses, the child has to breathe with its mouth, and this causes dryness and smell from the mouth.
  • Stomach upset. With dysbacteriosis, the unpleasant smell disappears after a couple of days, but for this, the pediatrician must prescribe a comprehensive treatment.

The following symptoms are characteristic of the acetonemic syndrome:

  • Flaccidity, white skin, the appearance of dark circles under the eyes.
  • Frequent complaints of paroxysmal headaches.
  • Bad appetite, depressed state.

The onset of acetonemic syndrome can be said in the event of severe nausea and vomiting, due to which the body is quickly dehydrated and the salt balance is disturbed. With severe form, cramps, abdominal pain and diarrhea appear. Severe dehydration and untimely assistance can be fatal.

The first messengers of acetonemic syndrome appear at the age of 2-3 years, the most frequent exacerbations occur at the age of 6-8 years, approximately to 13 years old, all the symptoms disappear. The absence of symptoms is due to the formed liver and an adequate supply of glucose.

Acetone Diet

With an increased amount of acetone bodies in the body, foods with a lot of preservatives should be excluded from the child’s diet. First of all, it is worth refusing:

  • carbonated beverages
  • бобовых овощей,
  • жареной, жирной, острой и копченой пищи,
  • чипсов,
  • горчицы и сметаны,
  • цветной капусты.

Диету желательно соблюдать в течение 2-3 недель. The diet of the child these days should consist of vegetable soups, mashed potatoes (without adding butter and milk) and cereals. After 7 days from the start of compliance with the diet allowed the use of dietary varieties of meat and crackers. After 2 weeks greens and fresh vegetables are allowed.. The main thing is to introduce new products into the diet gradually to avoid overloading the body.

Councils of the highest category pediatrician Evgeny Komarovsky

Every parent should know that drinking is faster absorbed, the temperature of which is close to the body temperature of the child. In order to avoid repeated attacks, the baby needs to drink the vitamin drug "Nicotinamide", which is involved in the regulation of glucose metabolism.

Children undergoing acetonemic crisis are recommended to spend as much time as possible in the open air and play sports. It is better to refuse excessive loads. Parents should controlso that classes and walks in the fresh air begin after eating, and not on an empty stomach. With the release of energy will require new reserves of glucose, and if the body does not receive it in the right quantity, seizures can resume.

If you feel that the child smells from the mouth with acetone, be sure to consult with a specialist. It is impossible to independently establish the true causes of acetonemic syndrome.

What does the smell of acetone from the mouth of a child mean?

A greater percentage of energy to the human body is provided by glucose. With blood it spreads through the body, penetrates into the cells. With an insufficient level of glucose, or inability to penetrate the cells, the body needs an alternative source of energy, which becomes fat.

With the breakdown of lipids in the blood enters the acetone. It is formed in the blood, excreted by the lungs and kidneys. The result of the penetration of a substance into the blood is an acetone odor from the mouth.

The source of the smell is air from the lungs. Therefore, you can not get rid of it by brushing your teeth. Some causes of the stench from the mouth are absolutely safe and physiological. If a child has the smell of acetone from the mouth appears, as a sign of the disease, an organ function disorder, the condition requires medical help.

Why does a baby smell acetone from the mouth?

One of the causes of acetone in breathing is an insufficient amount of saliva. Dryness contributes to the rapid spread of the bacteria that cause this symptom. Give your child plenty of clean water during the day, look at the result.

The most common cause is a series of violations of internal organs. If the smell is putrid, bowel dysfunction can be the cause; if it is sour, stomach problems can cause it. Diagnosis, a thorough examination, is important for assessing the condition and correct therapy.


This is an endocrine disorder characterized by a lack of insulin. This hormone is secreted by the pancreas, the disruption of its work can cause insulin deficiency.

The disease is characterized by a steady increase in glycemia and acetone respiration. Other symptoms: sleep disturbance, constant thirst, itching, fatigue, weakness.

Attention! Diagnosis by symptoms is not possible. It is necessary to conduct a series of studies, a mandatory test - the determination of the glycemic level.


Sometimes the acetone smell is caused by problems with the thyroid gland. Violation of its function can occur in children of any age, incl. newborns. Changes in the hormonal balance violate metabolism, alter the intensity of lipid breakdown. The intermediate product of this process is acetone, which is manifested in the breathing of the child.


Acetonemic syndrome (acetonemia) occurs more often in girls. The disease is characterized by periodic vomiting with food residues, bile, the appearance of acetone odor. The condition arises suddenly, can be characterized by the following symptoms:

  • abdominal pains
  • weakness,
  • high temperature
  • loss of appetite,
  • headache.

The cause of the condition is a violation of carbohydrate metabolism, as a result of which the formation of ketone bodies increases (their component is acetone). Syndrome can cause fatigue, stress, unbalanced nutrition. Therefore, parents should provide the baby with good nutrition.

Kidney and liver failure

With the development of kidney failure, ammonia can be felt from breathing, often mistakenly perceived as acetone. The cause of its occurrence is the inability of the body to completely eliminate metabolic waste.

The liver is a very important organ involved in important body processes. The slightest disruption of its work leads to a "failure" of all systems, an increase in the concentration of acetone. This can be noticed by its smell from the mouth.

Infectious diseases

Most often, bad breath is recorded after poisoning and viral infections, accompanied by high fever. The reason - the limited energy reserves of the child's body.

Often the child’s body cannot properly cope with the infection due to a lack of glucose. The blood sugar level of children is at the lower limit of the norm, decreasing with infections. The body uses the fat splitting mechanism to generate additional energy. Effective substances enter the bloodstream, often causing signs of intoxication. This condition is not dangerous, after the recovery of the body passes.

This is a congenital disease - urinary or neuro-arthritic diathesis. The disease occurs due to failure of metabolic processes and disorders of the central nervous system, which is manifested by excessive irritation and some other disorders, in particular, allergies.

The frequency of the disease is associated with unfavorable inheritance and a number of external factors, especially malnutrition, of both the infant and the mother during pregnancy.

The reason for susceptibility to diseases in children with neuro-arthritic diathesis is the inhibition of the formation of cyclic nucleotides of uric acid. Reduced blood glucose, increased lipolysis during the period of starvation, infection, stress, excessive consumption of animal fats are factors for the development of ketogenesis and ketoacidosis, which is fraught with coma.

Appearing in infancy, usually, the disease goes up to 10 years of age.

Establishing an accurate diagnosis and treatment

To diagnose the cause of the fetid odor in a child, it is important to make anamnesis (family). Laboratory tests, ultrasound diagnostics are also carried out. The feasibility and the list of diagnostic procedures is determined by the doctor. Only after they are carried out and the cause is determined, is appropriate treatment prescribed.

In the presence of the smell of acetone from the mouth, the following diagnostic methods are carried out:

  • detailed biochemical blood test,
  • determination of glycemic level
  • determination of hormone levels
  • Analysis of urine,
  • coprogram.

The smell of acetone from the mouth in children is not a disease, but a symptom of the disease. Therefore, the cause should be treated - a pathology that caused an unpleasant symptom. In type 1 diabetes, blood glucose monitoring is prescribed, the use of insulin. In type 2 diabetes, it is recommended to take glycemic-reducing drugs.

If the symptom is caused by dysfunction of the thyroid gland, kidney, liver, therapy is directed to improving the condition of the affected organ.

A special condition is acetonemia in children. Vomiting, accompanying the disease, leads to disruption of water, electrolyte balance, a sharp drop in glycemia. Treatment is based on replenishing the required amount of glucose, restoring the balance of fluid and electrolytes. It is advisable to drink sweet tea, dried fruit compote. Doctors recommend special solutions for the restoration of water and electrolyte balance, for example, Regidron.

It is advisable to use alkaline mineral water (Borjomi, Luzhanska) without gas. Gas must be released from carbonated water in advance.

Nutrition tips for preventing acetone odor

To maintain an optimal level of acetone, prevent acetonemic syndrome in predisposed children, you should follow the rules of nutrition.

Not recommended products:

  • citrus,
  • fatty dishes
  • fat soups, broths,
  • canned food
  • pickles,
  • bananas
  • fried foods
  • tomatoes,
  • cream, sour cream,
  • sorrel,
  • fish, fatty meats,
  • mushrooms,
  • cocoa,
  • chocolate,
  • carbonated drinks,
  • fast food.

  • cereals,
  • vegetable broths,
  • fruits,
  • jam, honey,
  • biscuit,
  • compotes
  • tea,
  • baked apples,
  • dietary meat (in limited quantities).


Children's bodies are characterized by high restorative abilities, but due to the instability of the hormonal background and the immune system, unpredictable disturbances can occur. The younger the child, the more sensitive the body is to increase the level of acetone, which can lead to a critical state. Therefore, if you find a problem, consult your doctor.

The smell of acetone from the mouth of a child

The smell of acetone from the mouth of a child is a very alarming symptom, the causes of which need to be established and treated appropriately.

In an attempt to eliminate the unpleasant smell, many parents first try to increase the frequency of teeth cleaning procedures. But the symptom is persistent, so improving hygiene does not save the child from it.

The list of common concomitant manifestations are nausea and vomiting, dizziness, irritability of the child and weakness.

As soon as the parents detected the acetone smell from the mouth of their child, it is necessary to waste time consulting a doctor.

Causes of odor

The smell of acetone and solvent. certainly means the failure of the metabolic process and the performance of some organs.

The formation of acetone in the body is influenced by ketone bodies, an excessive amount of which appears against the background of the active breakdown of fats. Fats, in turn, produce acetone.

With active decay, the body is not able to quickly remove the substance, and it settles in the lungs, kidneys. The process of splitting fat is required to replenish energy in the body.

If a child has a normal metabolism, then the body for energy splits glucose, but its lack leads to dangerous consequences.

The most common reasons for the smell of acetone from the mouth of a child are endocrine disorders.

Diseases of the kidneys and liver

Acetone breath from a child’s mouth may appear due to serious impairment of renal or liver function.

All toxins and decomposition products are eliminated from the body with the help of a cleansing organ - the liver and an excretory organ - of the kidneys.

In the case of violations in the work of these organs, the elimination of toxins from the body occurs in insufficient quantities.

Among the non-excreted toxins, there is also acetone, which later manifests itself as odor from the mouth and in the urine of the child.

Hepatic impairment can also manifest as yellowing of the skin, eyeballs, pain in the right side, which gives to the lower back. On palpation, the organ is enlarged.

Liver disorders cause skin and urine to smell like acetone. This symptom indicates a strong neglect of the disease and the need for urgent treatment to the doctor.

Endocrine Diseases - Thyroid

The thyroid gland is responsible for the normal state of human hormonal background. Often there are cases when the body has ceased to produce the required amount of hormones, or vice versa, it produces too many of them.

If the child has the smell of acetone from the mouth, this can cause an over production of thyroid hormone. Hyperthyroidism is accompanied by the following list of symptoms:

  1. Frequent presence of elevated body temperature.
  2. Feeling hot.
  3. State of increased excitement.
  4. Or vice versa excessive inhibition.
  5. Sometimes pains in the area are possible.
  6. When testing for acetone, the result is positive.

Deeply neglected disease threatens coma or death. Timely referral to a specialist allows you to apply individual hormone therapy and correct hormonal levels.

Viruses and infections of upper respiratory tract

Sometimes parents notice that children seem to smell like solvent from their mouths. This symptom is a precursor of possible diseases of the nasopharynx or joining ARVI.

During the active phase of the disease, the child loses his appetite, and the metabolism increases.

With a deficiency of glucose, the body begins to process fats, causing a large increase in ketones and acetone, thereby forming the smell from the mouth.

In addition, there may be sore throat, runny nose, fever and weakness. The situation requires immediate treatment to a specialist.

The doctor will prescribe a course of drug therapy and droppers to relieve severe intoxication of the body.

Diseases of the gastrointestinal tract

Diseases of the digestive system are often accompanied by the presence of the smell of acetone from the mouth of a child. This is due to enhanced metabolism, namely the rate of decomposition of proteins and fats.

A related problem in children with gastrointestinal diseases is dehydration.

In addition to gastrointestinal lesions with infectious pathogens, there are the following reasons that can cause the smell of acetone in a child’s mouth:

  1. Diathesis.
  2. Dysbacteriosis.
  3. Foreign object or tumor process in the esophagus, intestines, stomach.
  4. Rotovirus infection.
  5. Parasitic infection.
  6. Anorexia of a nervous nature.

It is rather difficult to establish the cause on your own, therefore you should not waste time on self-treatment and you need to carry out certain diagnostic steps.

Tips of Dr. Komarovsky

The children's doctor Yevgeny Olegovich Komarovsky recommends that you adhere to the preventive measures that must be given to the child who has the smell of acetone from the mouth.

Daily diet and daily life should include the following rules:

  1. Minimize the consumption of animal fats (butter, eggs, dairy products).
  2. Have at home an available test strip to determine the amount of acetone.
  3. It is advisable to drink the water slightly warmed to improve the rate of absorption of the liquid.
  4. In case of regular attacks of acetonemia, purchase the drug Nicotinamide. This is a vitamin complex that is aimed at removing intoxication and removing harmful substances from the body.
  5. If the reasons that the mouth smells of acetone in diabetes, then some recommendations are few. A required course of hormone therapy, which the endocrinologist will prescribe, is required.

If a child has at least one smell of acetone, it is necessary to take him out more often, to control the moderation of physical activity.

Excessive mobility leads to energy consumption and requires a certain amount of glucose.

What it is?

When there is a smell of acetone from the mouth or in the urine of the baby laboratory aceton is detected (it is terrible to think!), We are talking about acetonemic syndrome. This diagnosis is made by approximately 6-8% of children aged from one year to 13 years. In the people, the difficult name of the problem has long been reduced to the phrase "acetone in children."

The emergence of the syndrome is due to the fact that the content of ketone bodies in the child’s blood significantly increases, which, in turn, are formed as a result of the breakdown of fat. During this complex process, acetone is released. It is excreted in the urine, if there is at least a small deficiency of fluid in the body, it enters the bloodstream, irritates the stomach and intestines, and acts aggressively on the brain. This is how acetonemic vomiting occurs - a dangerous condition that requires immediate assistance.

The formation of acetone begins when the child’s glycogen stores run out. This substance helps the body draw energy for life. If the load is large (stress, illness, active physical exertion), energy is consumed faster, glucose may not be enough. It is then that fats begin to split with the release of the “culprit” - acetone.

In adults, this condition occurs rarely, because they have much richer glycogen stores. Children with their still imperfect liver can only dream of such. From here and frequency of development of syndromes at children's age.

At risk - babies of thin build, suffering from neurosis and sleep disorders, fearful, excessively mobile. They, according to the observations of doctors, develop speech earlier, they have higher rates of mental and intellectual development compared with their peers.

One can suspect acetonemic syndrome in a child by some characteristic signs:

  • The child is sluggish and inhibited, the skin is pale, under the eyes are dark circles.
  • He has a bad appetite and no mood.
  • The child complains of headaches, which are in the nature of attacks.

It is possible to talk about the onset of acetonemic vomiting when a child has severe nausea and vomiting, which can quickly lead to loss of fluid, disruption of salt balance, severe form of seizures, abdominal pain, concomitant diarrhea, and in case of failure to provide timely assistance - Fatal from dehydration.

The first “swallows” of the syndrome can be seen when a child turns 2-3 years old, most often crises can recur at the age of 6-8 years, and by the age of 13, as a rule, all signs of the disease disappear completely, since the liver is already formed and the body to this age accumulates an adequate supply of glucose.

Причины обострений ацетонемического синдрома кроются в множестве факторов, среди которых неправильное питание, отягощенная наследственность. If the family had relatives with metabolic disorders (diabetes, gallstone disease, padagroy), then the risk of a baby’s condition increases.

Accurately establish the diagnosis can be a doctor, based on laboratory tests of urine and blood.

Komarovsky about acetone in children

Acetonemic syndrome is not a disease, according to Komarovsky, but only an individual feature of the metabolism of a child. Parents should be fully aware of exactly what processes occur in the children's body. In short, they were described above.

The causes of the syndrome - a rather controversial issue, the doctor said. He calls diabetes mellitus, starvation, liver diseases, pancreatic and adrenal gland disorders, severe infectious diseases, as well as, brain concussion and brain injuries among the main ones.

The release of the transfer of Dr. Komarovsky on "Acetone in children"

Heredity alone is not enough, the doctor is sure. Much depends on the child himself, on the ability of his kidneys to remove harmful substances, on the health of the liver, on the speed of metabolic processes, in particular, on how quickly fats can decompose.

The doctor stresses that there is no need to panic for parents who have detected the smell of acetone from the mouth of the child. However, it is impossible to leave him without attention, if necessary, mom and dad should be ready to provide first aid.

Treatment of the syndrome should appeal to kids, because it is quite very tasty. The main remedy for the elimination of glucose deficiency is sweet drink, sweets. A child with acetonemic syndrome should receive them in sufficient quantities. Therefore, even at the first suspicions, as soon as the parents smelled acetone from the child, you should start giving him glucose. This may be a drug in tablets or in solution. The main thing is to drink it often - a teaspoon every five minutes, if you are talking about a baby, a tablespoon or two tablespoons at the same intervals if the child is already quite large.

It is advisable to put the child a cleansing enema with soda (a teaspoon of soda and a glass of warm water), and prepare a supply of “Regidron” in case you need to restore the water-salt balance.

If the parents manage to seize the initiative in time, then this will all end. If the slightest delay was allowed, the onset of a more severe manifestation of the syndrome, vomiting, is likely.

In case of acetonemia, it is usually so intense that it is no longer possible to feed the child with sweet tea or compote. All he drank is immediately outside. Here Komarovsky recommends to act quickly. It is necessary to call a doctor, better "First Aid". To stop such vomiting, in most cases it is required to introduce a large amount of a sweet liquid — pharmacy glucose — to the child through a dropper.

In addition, the baby does not interfere with the injection of the drug from vomiting (usually "Zeercal" is used). When the gag reflex under the influence of medications subsides, we must begin to actively water the child with sweet water, tea with sugar, glucose. The main thing is to drink really abundant. It should be remembered, says Komarovsky, that “Tsirukal” and drugs like it act for an average of 2-3 hours. The parents have only this time to completely restore the loss of fluid and the supply of glucose, otherwise vomiting will begin again, and the child’s condition will worsen.

It would be better if the baby suffered a severe attack of the syndrome not at home, but in the hospital. Self-treatment, emphasizes Evgeny Olegovich, can do great harm, therefore it would be better if the treatment is carried out under the supervision of specialists.

Where does bad breath in children come from?

Normally, the air from the mouth of children is neutral, does not attract attention. But from time to time a sharp, unpleasant aroma is felt, causing excitement of parents. The reasons for the appearance of the child are different, consider the most frequent:

  • Residual, appeared after the use of odorous products. Onions, garlic, cabbage, corn give a long aftertaste and specific aroma. It persists even after brushing your teeth.
  • Inadequate hygiene. Children brush their teeth without pleasure, do not clear food stuck between their teeth, ignore the tongue. Due to the accumulation of bacteria and microorganisms on the remnants of food there is an unpleasant odor. With regular violations of hygiene develop inflammatory processes.
  • Drying of the mucous membranes of the nasopharynx. Saliva is a natural antiseptic that inhibits the growth of pathogenic bacteria. Dryness provokes enhanced reproduction of bacterial flora, there is a strong odor. Often celebrated in the morning. Diseases of the nose cause dryness, with a symptom of the disease increases. Healthy children breathe through their nose, mouth breathing is a symptom of the disease. Strong fear and stress are accompanied by drying of the throat.
  • Fungal and bacterial infections of the mouth. Diseases of the teeth and gums are accompanied by a bad odor.
  • Medication. After antibiotics, a sour taste appears, drugs with nitrogen give birth to ammonia.
  • The presence of a hidden disease. Separate odors indicate the pathology of internal organs.

More often smells are temporary, not associated with pathology. They change during the day, appear and disappear. This is normal.

Smell at a certain age

When growing up, odors emanating from the child’s mouth change. Age features will tell the parent the reason. What is the difference between the aroma of respiration of infants and adolescents:

  1. In children up to one year old, the mouth smells like milk. The baby’s nutrition is primarily in the thoracic, fermented milk environment that prevents the growth of bacteria. Sharp, unpleasant notes in the breath of a small child should not be present.
  2. Children of the second year of life actively teething. A new tooth, cutting through, injures the gum. If inflammation begins in the wounded place, the smell of a one-year-old baby is possible.
  3. It is unpleasant to smell breathing in a baby for 2-3 years due to insufficient hygiene. The oral cavity is poorly cleaned from food debris, and the parent forgets to control.
  4. In children 4-7 years of age, unpleasant breathing occurs when excessive consumption of sweets or an abundance of protein foods in the diet. Sugar is an excellent food for bacteria. When digested, protein secretes odorous substances that are felt in the breath. Compliance with the diet is important in childhood.
  5. By school age, food and regime of children are finally established, an unpleasant smell worries in the morning after sleep, without causing fear. If the situation arises during the day for a long time - consultation of the doctor is necessary.
  6. A teenager against the backdrop of hormonal instability manifests a strange smell from the mouth. If it bothers the child and the parent, a pediatrician’s consultation will be helpful. In adolescence halitophobia occurs - the fear of unpleasant odors from the mouth (from the "halitosis" - stench). In fact, the child smells quite natural, but he thinks he exhales the fetid air. A teenager is embarrassed to talk and laugh, so that other people will not notice unpleasant breathing. This symptom requires special attention. It is important to provide the child with evidence that breathing is all right. Refer to the dentist, he will analyze the composition of exhaled air, will make an accurate diagnosis. It will be useful to consult a psychologist. Quite often girls encounter neurosis.

What smell says about the disease

Sometimes an unpleasant smell appears as a symptom of the disease. How to understand in which case it is enough to carry out a hygienic procedure, and when the help of a doctor is required? Halitosis is not a disease, but helps to determine the associated disease. Rate the fragrance and compare if it fits the description:

  • Suppurative or putrefactive, accompanies diseases of ENT organs: tonsillitis, sinusitis, etc. The smells of pus are felt in the presence of stomatitis and dental caries. Inspect the oral cavity, you may quickly find a focus of inflammation.
  • Sour talks about the pathologies of the gastrointestinal tract, dysbacteriosis or candidiasis of the oral mucosa.
  • The smell of rotten eggs speaks of the abundance of hydrogen sulfide gas in the stomach, a rotten smell of mouth indicates possible stomach diseases.
  • Sweetish aroma is an alarming sign, sugary sweet smell indicates liver disease.
  • If you feel the taste of acetone in the baby's breath, it may be a consequence of diabetes or diseases of the gastrointestinal tract, requires an urgent visit to a doctor.
  • Offensive smell of rot appears when a cold, ARVI, with a cold, means that an inflammatory process develops in the body.
  • If the bile gets into the esophagus, the baby happens to smell like vomit, although it did not nauseate.

Directly breath odors are not a symptom of the disease, they do not need to be treated, but together with other signs give an impetus to the correct diagnosis, if you see signs: fever, runny nose, unnatural color of urine, pain, the child quickly gets tired. If the smell does not go away for months - go to the reception to the pediatrician. The doctor will conduct a comprehensive examination.

How to get rid of nasty smell from the mouth?

If the "aroma" was the result of the disease, follow the doctor's prescription. Be sure to follow the prescribed procedures, go through a designated additional study. When the root cause is eliminated, the smell goes away. What if the baby is healthy and the smell is still there? Famous in Russia, Dr. Komarovsky makes recommendations:

  • The mucous membranes of the baby must be wet - this is the main principle in protection against viruses and microbes that affect the nasopharynx. If the air is dry at home, it will be necessary to air more often, install a humidifier. Let it work even at night, because during sleep the walls of the nasopharynx dry up. In the absence of a humidifier - put pots with water, hang wet towels - choose any way to achieve a humidity of at least 50%. Humidity index - dry crusts in the nose, if they are present - moisture is required.
  • Observe abundant drinking regime, the child's body is constantly in need of clean drinking water. This is especially important during illness. If a preschooler does not drink water well, it is necessary to invent games with drinking water, to start a beautiful cup or bowl, to teach him to pour water on his own. Liquid removes toxins and decomposition products, it is important to drink a lot.
  • Keep your mouth clean. Hygiene must begin from the first days of life. In infants, the gums and tongue are wiped with a cotton swab; with the appearance of the first tooth, use a soft brush. Clean the teeth and tongue twice a day using toothpaste, rinse - after each meal.
  • Baby food should remain diverse, including cereals, vegetables, fruits, dairy products (in the absence of individual contraindications), some meat, fish and other protein foods. Reduce the consumption of sugar, sugar-containing products. Replace with fruits, candied fruits, dried fruits, marshmallow. The first lure start with vegetables, do not rush to introduce meat into the diet. If after eating food from the mouth it smells bad, then it is better not to give such a meal. To exclude carbonated drinks, packaged juices.
  • It is permissible to give the child water, acidified with lemon, to stimulate salivation. If the baby did not like some water, in the future it is enough to show a lemon, saliva will be released automatically. Offer acidic fruits, they are useful for maintaining the microflora of the mouth and intestines.
  • Mandatory daily walks. If in good weather the child walks 2-4 hours daily, it will strengthen the immune system. The body will begin to successfully cope with microbes and bacteria.
  • To undergo regular check-ups of a pediatrician and a dentist, even if there are no reasons for a visit to the doctor. The doctor will evaluate the development of the child, check the health indicators, examine the mucous membranes, give advice.

How to disguise bad breath, if you can not eliminate completely

One of the causes of bad breath is medication. The aroma will accompany the child until the medication is stopped, becoming sharper with each dose received. Or, more frequent case when the baby eats something odorous (fresh onions), and you need to take the child to school or to visit. How to disguise or kill unpleasant aroma:

  1. Brush your teeth, gums and tongue with mint or pine needles, rinse your mouth with alcohol-free rinse.
  2. Hold in your mouth, chew another product with a strong but pleasant smell. For example, mint or lemon balm (possibly dried), zest of citrus fruits.
  3. Rinse your mouth with a decoction of herbs. Well removed odors: oak bark, mint, chamomile, lemon balm, rosehip.
  4. Give a teenager a coffee bean or a slice of ginger. Coffee absorbs odors.
  5. Use a refreshing alcohol-free spray or sugar-free chewing gum.

Do not mask the smell, if you do not know the reason. Perhaps this is the only sign of a hidden disease.

The flavor of your baby is light and tender. With proper care, it will remain pleasant for many years. Compliance with the rules of hygiene, daily routine and nutrition, and timely access to a pediatrician is the key to good children's health. Take care of him.

Acetone in a child is a condition caused by a significant increase in ketone bodies in the blood. In this case, there are characteristic symptoms, manifested by a sharp smell of urine, unexpected nausea and vomiting. With timely and proper treatment, acetone returns to normal. In the article we will talk about what constitutes elevated acetone in a child, how to treat this condition.

Komarovsky on increased acetone

On average, acetone in the blood is observed in 20% of children at a younger age. It is usually detected after receiving a urine test, with a characteristic odor coming from the mouth or while urinating. Doctors do not recommend to ignore this condition, but to urgently take action, since greatly overestimated indicators may threaten the life of the child.

Acetone in a child: causes, symptoms, treatment

Elevated acetone in children does not always mean a serious illness. Doctors speak of it as a symptom characterizing the violation of carbohydrate digestibility and metabolic processes in the children's body. Also, this symptom may indicate severe fatigue and appear simultaneously with other symptoms. It should be noted that elevated acetone may be a consequence of a recently transferred intestinal infection.

If there is a problem - acetone in children, how to treat? Komarovsky Evgeny O. has his own opinion on this issue. Acetone is a decomposition product during the oxidation of fats. The fact is that our body needs energy for normal functioning, and it takes it in the required amount from glucose, the source of which is carbohydrates.

A significant amount of these substances does not mean that energy will increase: excess glucose will invariably be deposited in the body in the form of glycogen. For an adult, there will be enough reserves for a long time, but for children this amount is not enough. The child needs energy almost 2 times more.

So, during stress, overwork, and strenuous physical exertion, the body needs to draw energy from its own fat and protein reserves. Oxidized, these substances form not only glucose, but also acetone.

It should be noted that in the normal course of a child's urine tests, the level of acetone must be zero or be so insignificant that it would not be harmful to the baby’s health. A small amount of acetone is independently excreted through the respiratory organs, lungs and is processed with the help of nerve cells.

Signs of elevated acetone

Komarovsky speaks about acetone in children as a non-dangerous symptom (of course, this applies to cases of timely and proper treatment).

So, the first sign that indicates that the child does not have enough glucose, is the smell of acetone from the child’s mouth. If an overestimated figure was found in the blood, then they say about the presence of acetonemic syndrome. If the pungent smell comes from urine, then in this case complain about acetonuria.

What else can increased acetone mean in children? How to treat? Komarovsky Evgeny Olegovich warns that an overestimated level may appear after a high temperature, strong intestinal infections, as well as in the population of the body with helminths.

Secondary syndrome may occur due to the presence of endocrine, infectious, surgical and somatic diseases.

Rarely, but diabetic syndrome occurs with a lack of insulin. Indicators can rise even because of unbalanced nutrition, that is, with long breaks between meals, as well as when eating large quantities of fat and in the minimum - carbohydrates.

With regard to the main symptoms, in this case, there may be an excitement, sharply turning into lethargy, and vice versa. Abdominal pain, vomiting, temperature up to 38.5 can also be at elevated levels of acetone.

How to determine the level of acetone at home?

Currently, determining the amount of acetone in a child in the urine is possible at home. To do this, in any pharmacy special strips are sold. Самые запущенные случаи отмечаются при появлении на тестере 3-х плюсов. В данном случае ребёнку требуется срочная госпитализация.

Диета по дням

So, if the doctor recommended your child a diet, then on the first day, try not to feed him anything, just drink small sips every 5 minutes. If he wants to eat - give compote of dried fruit or decoction of raisins. If the child wants to eat - offer him home-made crackers.

On the second day, you can give rice broth and baked apple. Be sure to drink the maximum, offer glucose in ampoules. On the third day, it is useful to offer the child porridge on the water. Among the cereals it is best to cook rice, oatmeal or buckwheat.

Next, make a soup for the kid with vegetables and add the dish to galetnye cookies or bread. Do not overfeed the child and do not force to eat.

What is not recommended to feed?

If such a condition has befallen the child, then how to treat acetone, Dr. Komarovsky knows for sure. By the method of the famous pediatrician doctor, many have already got rid of this symptom, for which many thanks to him. So, it is not recommended to include in the diet of the child:

  • mushrooms, mushroom broths,
  • meat, fish broths,
  • smoked food
  • sauces, spices, mayonnaise,
  • fat dairy and sour-milk products,
  • fresh pastries,
  • sweets, chocolate.

It is necessary to exclude spicy, pickled dishes, as well as chips, crackers, sweet soda and store juices.

What should be included in the menu with increased acetone?

High acetone and lowering it at home is possible if you follow the diet correctly. The menu should include:

  • chicken and quail eggs,
  • non-acidic ripe berries,
  • rabbit meat, turkey, chicken, veal,
  • cottage cheese, yogurt, kefir (low-fat),
  • milk and vegetable soups.

The processing of food is also important in this situation. All food should be steamed or baked.

When vomiting should give the child an adsorbent drug - "Enterosgel", "Atoksil", "White coal".

We hope that the question of what acetone in children is, how to treat, Komarovsky Yevgeny Olegovich answered in an accessible and capacious way. Health to your children!

The smell of urine, stool and other secretions often indicates different pathological conditions. Various metabolic and infectious processes can cause an unpleasant smell.

A serious problem can be the smell of acetone from the mouth in children. As a rule, such a sign indicates a violation of glucose metabolism.

The main causes of the smell of acetone

The smell of acetone from the mouth in children

The smell of acetone from the mouth in children is an ambiguous diagnostic finding. This may be due immediately to several diseases that have different pathophysiological mechanisms.

This symptom can be associated with inflammatory diseases of the oral cavity, diseases of the digestive system and diabetic ketoacidosis.

In patients with diabetes, acetone respiration is usually associated with an excessive synthesis of the so-called acetone bodies. These bodies are intermediate products of fat metabolism. The process of excessive formation of acetone itself is caused by a lack of insulin.

Normally, a sufficient amount of this hormone ensures the use of fatty acids as an alternative source of energy. Also, do not forget that the formation of acetone bodies may not be associated with diabetes. Such a pathological phenomenon may be the result of a long fast or low-carb fat diet.

Digestive and infectious diseases are less likely to cause a smell similar to acetone. It is usually associated with the metabolic activity of bacteria.

Types of ketoacidosis

Ketoacidosis is often accompanied by fever.

Ketoacidosis is a dangerous metabolic pathology that develops with a lack of carbohydrates and insulin. At some point, the body needs more energy amid lack of glucose.

For rapid energy production cells use fatty acids. Lack of glucose does not allow to complete the oxidative process, resulting in the formation of ketone bodies.

Diabetic ketoacidosis can be a complication of type 1 diabetes. Without insulin, glucose cannot penetrate into the cells of the body and provide energy needs.

Thus, the blood sugar concentration rises on the background of starvation of the cells. For emergency needs of the body, the liver synthesizes a large amount of ketones from fatty acids.

The smell of acetone from the mouth in children is often associated with non-diabetic ketoacidosis. Such a pathological phenomenon may develop due to glucose deficiency, infectious and endocrine diseases. Children with ketoacidosis often experience profuse vomiting.

Dietary recommendations

Betacentrin - with acetone

Proper dietary management for diabetes will avoid the development of ketoacidosis. The following key recommendations should be followed:

  1. Eating healthy carbs. It is recommended to add to the diet more complex carbohydrates. These can be fruits, vegetables, whole grains, legumes, and low-fat dairy products.
  2. Adding to the diet of foods rich in dietary fiber. Fiber is not subjected to complete digestion in the intestine, but improves the processes of assimilation of nutrients. Green vegetables, fruits, whole wheat and bran should be added to the diet.
  3. Fish products in the diet. Fish can be an excellent substitute for fatty meat that is not recommended for diabetes. You need to add cod, tuna and mackerel to your diet. Such fish contains beneficial unsaturated fats that improve metabolic processes. Fish must be steamed.
  4. More vegetable oils. Avocados, almonds, walnuts, olives, peanut and olive oil can be added to the diet. Such products practically do not contain unhealthy fats.
  5. We should not exclude carbohydrates from the diet in diabetes. It is necessary to understand that the main harm for the patient is brought by confectionery and other products containing simple sugars. Vegetables and fruits contain large amounts of fructose, not increasing the concentration of sugar in the blood. The refusal of carbohydrates in diabetes can cause the development of ketoacidosis.
  6. Need to provide regular meals. Eating and administering insulin should be interrelated. Regular administration of insulin against malnutrition can cause ketoacidosis.

The following substances should be excluded from the diet:

  • Saturated fats. In the diet should not be fatty dairy products and fatty meats. Meat products are especially harmful.
  • Harmful cholesterol. The substance is found in egg yolk, liver and other by-products.

It is important to remember that a strict diet is an integral part of a healthy lifestyle in diabetes. Even a single gross violation of the diet can cause unpleasant complications.

What is acetonemic syndrome, the doctor will tell:

The smell of acetone from the mouth of the child should alert the parents, indicating a health problem. Depending on the pathology, the smell may resemble the chemical aroma of vinegar, gasoline, kerosene. This phenomenon can not be killed with toothpaste or chewing gum. When a symptom appears, it is necessary to show the child to the pediatrician to establish the cause and prescription of treatment.

Depending on the age of the child, the acetone smell can be observed in children for various reasons. In babies up to one year old, the smell of pickled apples may be present due to improper functioning of the liver or pancreas. The baby has a specific odor due to improper feeding of the mother.

The child is able to manifest acetonemic syndrome after an infection, severe stress or banal overeating. Symptoms of this condition are:

  • A strong smell of acetone
  • Heat,
  • Nausea and gagging,
  • Pain in the intestine,
  • Weight loss.

Often a specific flavor is a sign of a pathology or pathological process in a child’s body. Symptoms that trigger the symptom:

  • SARS, ENT diseases. Sometimes at the onset of the disease an acetone odor is present. In addition to the stench, there are signs characteristic of a sore throat.
  • Pathologies of the gastrointestinal tract, developing due to improper diet, eating fatty and spicy foods. The pancreas, which produces an insufficient amount of enzymes, causes acetonemic syndrome.
  • Diseases of the liver and kidneys. Impaired functioning of organs often leads to the appearance of acetone stench. A symptom of the disease - pain in the right hypochondrium of the child.
  • Disease of the endocrine system. In adults and in the baby, the aroma of acetone may indicate a disease of the thyroid gland.

In adolescents, the smell of acetone from the mouth indicates acetonemia - an increased content of ketone bodies in the blood. In an adult, acetone stench appears after drinking alcohol.

A slight acetone scent may indicate the development of oral pathology. Small production of salivary secretions provokes the phenomenon. Diseases of the teeth and gums additionally cause an unpleasant symptom.


If the baby has become unpleasant to smell from the mouth, and diagnostic measures have shown that the health of the patient is in order, then the reason for the bad odor is in the wrong diet. Frequent use of products with a high content of preservatives, dyes will certainly affect the condition of the child.

Kids menu should be different from adults.


One of the causes of the unpleasant smell of acetone in a child and an adult becomes poisoning. The use of low-quality, unprocessed products, the saturation of the lungs with poisonous vapors cause stench from the oral cavity. When poisoning symptoms are observed:

  • The smell of acetone
  • Diarrhea,
  • Persistent vomiting
  • Fever, fever.

Pathology of the liver and kidneys

Acetone aroma becomes a sign of a disease of a number of internal organs. The liver and kidneys cleanse the body, removing harmful substances. With the disease process slows down, the body accumulates toxic substances, including acetone. The smell of acetone is characteristic of cirrhosis, hepatitis and a number of other pathologies.

Self test

It is possible to determine the presence and content of acetone in the urine at home. To carry out the procedure, it is necessary to purchase special test strips at the pharmacy. Urine is collected in the container, the strip is lowered into the material according to the instructions. After a specified time, the color of the strip is compared with the indicator on the package. The saturated color of the strip means that an excess of ketone bodies has accumulated in the body.

For an objective result, the test must be done in strict accordance with the instructions.

When the causes of the symptom are established, it is necessary to start treatment. Therapy is not aimed at eliminating the actual symptom, but at eliminating the cause — treating the disease that caused the smell. It is important to provide glucose to the baby’s body and to remove the ketones.

Glucose can be replenished by the use of sweet teas, compotes, honey. Periodically need to give the child non-carbonated mineral water.

In the hospital, the child is put droppers with glucose. For pain and spasms, antispasmodic injections are given. When vomiting prescribed antiemetic drugs.

At home, you must give the child Atoxil. The drug eliminates toxins.

Regidron - replenishes the water-salt balance. Smecta is a drug that gently envelops the stomach walls and prevents toxins from entering the patient’s blood.

When the condition stabilizes, give the drug Stimol. It normalizes metabolic processes in the body.

Normalizes the functioning of the liver - Betargin.

For coma caused by diabetes, urgent hospitalization is necessary. Events are aimed at a rapid decrease in the content of ketone bodies and blood sugar.

Folk methods

Therapy with home remedies is aimed at getting rid of the symptom - the stench of the mouth. The disease that provoked the symptom must be treated by a doctor. Homemade recipes:

  • Chamomile tea will help to remove the slight smell of acetone from the baby’s mouth. It is necessary to use the tool for a teaspoon several times a day.
  • A strong aroma of chemistry will help eliminate the infusion of mint. The leaves of the plant are infused and infused. During the day, infusion need to rinse the mouth.
  • A parent can make a tasty and healthy drink from cranberries or cranberries. Morse will improve the metabolic process in the body, eliminate odor.
  • Broth sorrel masks the smell of solvent. It is necessary to boil the raw material for 20 minutes.

Folk remedies are attractive natural, but ineffective in the treatment of severe pathologies. It is not necessary to focus attention solely on home treatment methods - you can miss valuable time and the patient's condition will worsen.

Diet is an important component of treatment. It is contraindicated to force the baby to eat against his desire. On the first day it is advisable not to feed the child, only to otpaivat liquid at room temperature. When the growth of ketone bodies will stop, offer your baby food. You need to eat often, in small portions. Particular attention should be paid to fluid intake. Drink relies often in small sips. Of the products allowed:

  • Eggs
  • Dairy products,
  • Kashi,
  • Vegetables in fresh and processed form,
  • Crackers.

Exclude from the children's menu:

  • Sausages, sausages,
  • Citrus,
  • High fat dairy products
  • Grilled spicy dishes,
  • Sparkling water.

The diet should be followed at least two weeks. Products are introduced gradually, with care.

Almost always, the acetone odor speaks of the pathology of organs or the pathological process in the body of a baby. A symptom may appear completely unexpectedly. It is important not to miss the time and seek emergency medical attention. Only the doctor will be able to identify the pathology in the child’s body and prescribe the correct treatment.

Acetone in the body

There is only one way to get acetone into the baby’s blood. It is considered an element of the partial breakdown of fat and protein elements. For this reason, toxic substances called ketones accumulate in the cells. Acetone refers precisely to their varieties.

Initially, the oxidation of ketones is carried out almost to the level of harmless substances, after which they leave the body with urine and through the lungs. If, in comparison with the displayed amount, the growth of toxic components is much higher, they do not in the best way affect the body systems, including the full operation of the brain.

The reasons that the child smells of acetone from the mouth

Medicine considers this unpleasant phenomenon with the Latin word halitosis. If a child (including infants and adolescents) smells of acetone from the mouth, this is a characteristic signal of acetonemic syndrome.

Often, the problem is accompanied by a similar urine odor, nausea and vomiting with an increase in body temperature.

Acetonemia is perceived by many doctors as a rather serious disease, the child's appetite decreases, as the work of metabolism increases.

This contributes to an increase in the number of ketone cells, which makes one feel well on the following signals:

  • the child smells acetone from the mouth and muscle weakness and lethargy appear,
  • pale coloring of the skin surface, and the occurrence of bluish circles in the eye area,
  • a sharp rise in body temperature, and it can rise above 38 degrees,
  • paroxysmal pain in the intestinal tract,
  • the occurrence of gagging immediately after eating a meal,
  • breath with the smell of acetone.

Glucose is recognized as a key primary source of energy for the cells of the body. Further, by education, are adipose tissue. With a lack of glucose, the cells switch to fats. For this reason, the body gradually accumulates not only acetone, but also other toxic substances. In more detail, the reasons for which the child smells of acetone from the mouth are indicated in the table below:

A child's body needs an increased glucose uptake.

The brain is deficient in glucose, so it translates the body into an enhanced mode of operation, thereby forming many ketone bodies. The child is constantly experiencing a feeling of thirst, and frequent urination. Even when the patient has an excellent appetite, he still loses weight.

Treatment of acetone odor and its causes

It is good if parents turn to a specialist as soon as the child begins to smell acetone from the mouth. In this case, the therapeutic course of treatment is aimed at two key areas:

  • supply of blood cells with glucose,
  • ketone removal rate.

If the child is tormented by vomiting, doctors recommend otpaivat the child with tea with the addition of a small amount of honey. This is necessary so that the amount of glucose has time to be replenished.

Liquid is given one teaspoon every 5 minutes to avoid the manifestation of a secondary gag reflex. The drink is necessarily given at night. It is advisable to alternate tea with non-carbonated mineral water or rice water. In severe cases of the disease, glucose is injected intravenously into the blood through an IV.

You can not force a child to eat food against his wishes. If he asks for food, you can start with loaves, cookies, baked apples, light soup or mashed potatoes made from various vegetables. To avoid dehydration, adults are obliged to give the child the necessary amount of water.

При обнаружении увеличенного процента ацетона, в терапии применяются следующие медикаменты:

  • «Атоксил» − всасывают яды и убирают их из крови,
  • «Регидрон» − возобновляет кислотно-щелочной уровень,
  • «Смекта» - as well as "Atoxil", complicates the absorption of toxic substances through the scann of the intestine.

Immediately after rendering first aid and stopping the acute period of the disease, the baby is given the drug Stimol. It provides the body with energy and improves the overall condition. Not bad restores the liver "Betargin". In case of pancreatic dysfunction, “Creon” is prescribed by doctors. Its components improve digestion and give the child vivacity.

Preventive measures

It is not desirable to muffle the smell of acetone with fresheners and toothpastes.otherwise, in the future will have to deal with serious diseases. It is good if the family visits the dentist 1 time in half a year, since it becomes a habit from an early age.

The first preventive measures will start in early childhood in the form of high-quality brushing. Adults should teach their child to brush their teeth for a long time, and at least twice a day in the morning and evening, and after each meal, rinse the mouth well with plain water.

Habit formation should be carried out immediately after the appearance of the first teeth. Until the age of 7, the mother should be close by and ensure that the child cleans the teeth and the space between them with high quality and for a long time.

Many fruits, berries and vegetables cope with the mechanical cleansing of the oral cavity from all sorts of bacteria. As for the mint chewing gum and sweet, they dry the inner region of the mouth, which is an ideal atmosphere for the growth of pathogens. In order to avoid dryness, the child should drink liquid in the process of sports training and in the event of stressful circumstances.

If the child is still too small, cleaning the teeth takes place with the help of special brushes that adults put on their finger and clean themselves.

With an increased level of acetone in children, the child must observe a certain diet, because it helps to avoid the manifestation of relapses. First of all, doctors prohibit the use of canned food, and recommend to completely eliminate from the menu the following products:

  • legumes,
  • sparkling water
  • fatty, fried, smoked and spicy foods,
  • meat semi-finished products,
  • sour cream, mustard and various sauces,
  • chips,
  • cauliflower.

Dietary nutrition must be followed for 2-3 weeks. It is advisable to feed the baby mashed potatoes based on the first dishes based on vegetables and rice cereals. After 7 days, croutons and lean meat are gradually introduced into the menu. Dishes are boiled or baked.

After about 14 days, raw vegetables, parsley, dill and other greens are added to the diet. New food in the menu is introduced gradually to eliminate overloading the body.

Why can smell acetone from a baby’s mouth?

The occurrence of odor in an infant can indicate the presence of problems with the functioning of the pancreas, since this disease is closely associated with acetonemic crisis. It is advisable to consult a specialist as soon as possible. First you need to visit a pediatrician and an endocrinologist. These specialists will advise you on the percentage of sugar in the blood and the presence of other nuances.

A pediatrician will certainly send the baby to the delivery of urine and blood for a thorough examination in the laboratory. If necessary, take feces and ultrasound is appointed.

Sometimes such troubles occur due to the presence of a parasitic infection, as well as diseases of the kidneys and liver.

What if it smells after vomiting?

Ailment indicates an imbalance in metabolism and an acetonomic crisis. This condition occurs even before vomiting occurs. Initially, the child's appetite disappears, and he is marked by fatigue.

After there are painful sensations in the navel and other troubles. Adults need to call the doctor at home, and before the arrival of a specialist, gradually otpaivat child with liquid.

What does Komarovsky say about the smell of acetone from the mouth in children?

Dr. Komarovsky does not think that the smell of acetone is too dangerous for the child. He encourages parents to regard the syndrome as a characteristic feature of the work of the child’s body. The main thing is that adults are well aware of what processes are moving in the children's body at the time of exacerbation of the syndrome.

As for the causes, here the question is quite controversial. As the main, Komarovsky allocates diabetes mellitus, problems with the kidneys, liver and pancreas, infectious processes and traumatic brain injury.