Usually there are other reasons for the skin changes, but we do recommend evaluation, especially if these are new, persistent or worsening. Skin changes that cause worry include: 1  Skin puckering or dimpling. 2  Nipple inversion (when nipples indent, or seem to turn inward). 3  Thickened skin tissue, with enlarged pores (known as peau d'orange, French for orange peel, which it resembles). 4  Warmth, pain or redness of the skin.
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.
Brush for two minutes every time. If you don't have time to do that, make sure you bring breath strips or gum. Don't use a regular type of gum though. Use one that has no sugar, because sugar can actually feed the bacteria and make your breath smell worse. I've been using this gum called French Kiss by Dr. Katz.