Conversation: The conversation between human and AI assistant.
[|Human|] hi sorry to bother you my child is 4 years of age and few occasions over the month she has vomitted in the morining but felt fine. When i come in from work yesterday i could smell sweet fruity smell coming of her breath so i tested her urine an dthe keytones were +++ very high later on last night i checked her urine again and there was none what do you think this is I hope you can help me and give me advice
[|AI|]  Hi. Welcome to Chat Doctor. As per your complaint fruity smelling breath occurs when there is excess ketone production in body due to breakdown of fat. It gives the breath a typical fruity/acetone smell and can be seen in cases of illness like viral and other infections. Another most common cause for acetone breath can be Diabetic Ketoacidosis. In case if your child is smelling ketone like breath even in the absence of any illness then it can be an alarming sign of Juvenile Diabetes and you need to consult a Pediatrician and get him evaluated and a thorough clinical examination and investigations like blood test can help in diagnosis and will be treated as per diagnosis. Hope this helps.