Loss of smell: Causes and All You Need To Know

 

Loss of smell


If you lose your sense of smell, you'll miss more than a variety of scents. Without a good sense of smell, you may find that food tastes bland and it's hard to tell different foods apart. Loss of smell can be partial (hyposmia) or complete (anosmia), and may be temporary or permanent, depending on the cause.

Even a partial loss of smell could cause you to lose interest in eating, which in extreme cases, might lead to weight loss, poor nutrition or even depression. Some people add more salt to bland foods, which can be a problem if you have high blood pressure or kidney disease. Your sense of smell is also crucial for warning you of potential dangers such as smoke or spoiled food.


What is anosmia?

Anosmia is the partial or full loss of smell. Anosmia can be a temporary or permanent condition. You can partially or completely lose your sense of smell when the mucus membranes in your nose are irritated or obstructed such as when you have a severe cold or a sinus infection, for example. But if the inability to smell isn’t related to a cold or sinus infection, or it doesn’t return after congestion clears, you should see a doctor. It could be a symptom of another issue.

The sense of smell is important to overall health and nutrition since diminished sensations can lead to poor appetite and malnutrition, especially in the elderly. An altered sense of smell may pose other health-related problems. People with anosmia may accidentally consume soured or rancid foods because they are unable to detect odors that signal spoilage. Those with anosmia may also be unaware when they are breathing toxic, polluted or smoke-filled air.

Although rare, some people are born without the sense of smell, which is a condition called congenital anosmia. This occurs when there is either an inherited genetic disorder or abnormal development of the olfactory system (the body’s sensory system for smell) occurring before birth. Unfortunately, there is no cure for congenital anosmia.

What are the causes of anosmia?


Most commonly, anosmia is caused by:
  • The common cold
  • Influenza (flu)
  • Sinus infections (acute sinusitis)
  • Hay fever
  • Non-allergic rhinitis (congestion and sneezing not caused by allergies)
  • COVID-19

There are other causes of anosmia, too. When the nasal passageways are obstructed in some way, the ability to smell can be affected. Examples include:
  • Tumors
  • Nasal polyps
  • Nasal deformity

In addition, the olfactory pathways, which send messages between the nasal passages and the brain, can become impaired from age and from certain medications. Also, certain medical conditions can dull or diminish the sense of smell. These include:
  • Alzheimer’s disease
  • Brain aneurysm
  • Brain surgery
  • Cancer
  • Chemical exposures to insecticides or solvents
  • Diabetes
  • Huntington’s disease
  • Kallmann’s syndrome
  • Klinefelter's syndrome
  • Korsakoff’s psychosis
  • Malnutrition
  • Multiple sclerosis
  • Multiple system atrophy (MSA)
  • Paget’s disease
  • Parkinson’s disease
  • Pick’s disease
  • Radiation therapy
  • Rhinoplasty
  • Schizophrenia
  • Sjorgren’s syndrome
  • Traumatic brain injury
  • Zinc deficiency
What is Treatment of anosmia?


Your physician will examine you to determine the cause of your smell disturbance. Because anosmia can result from any number of conditions, your doctor will first address the primary condition that seems to be causing the problem. For example, if you have allergic sinusitis, treating it can help restore the olfactory sense. If nasal tumors, nasal polyps or nasal deformities require surgery, that may be the first step. In other cases, anosmia can be an early symptom of a disease such as Alzheimer’s or Parkinson’s.

Summary

However, it’s important to know that sometimes the cause of smell disorder can’t be determined for certain. And sometimes anosmia cannot be treated.