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Coffee itself may not be the cause of bad breath, notes registered nurse Justyna Trzesniowksi on 891 ABC Adelaide. Instead, the real cause may be that the coffee was consumed on an empty stomach. Because coffee is a diuretic, it can cause your mouth to dry out if you drink it without any other food or water. This dry mouth encourages the growth of bacteria, Trzesniowski says.
Some serious illnesses can cause your breath to have a strange chemical odor. The smell is different from halitosis, or bad breath caused by poor oral hygiene. The breath of someone with uncontrolled diabetes, for example, may have a sweet or fruity odor. It's a sign of a life-threatening condition called ketoacidosis. Liver disease may cause breath with a musty, ammonia-like smell. An intestinal blockage may cause the breath to smell like feces. Breath that has a fishy or urine smell could mean kidney failure. Other possible causes of unusual breath odors include sinusitis, lung abscess, and esophageal cancer.