Persistent Sneezing and Blood Taste in Nose: When to Seek ENT Help? - Otolaryngology

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There is a metallic smell in the nose?


In the past couple of months, I haven't had a cold, but I've been experiencing persistent sneezing, runny nose, and headaches.
There is a sensation of a metallic taste in my nasal passages, but I haven't had any nosebleeds.
Should I seek medical attention for this condition?

Fany, 20~29 year old female. Ask Date: 2017/05/22

Dr. Zheng Jueyi reply Otolaryngology


Hello, if there is no improvement, it is recommended to seek medical attention immediately for an examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2017/05/22

More Info


Persistent sneezing, nasal discharge, and a blood taste in the nose can be concerning symptoms that warrant medical attention. While these symptoms may seem mild at first, they can indicate underlying issues that require evaluation by an Ear, Nose, and Throat (ENT) specialist.

Firstly, let’s break down the symptoms you are experiencing. Persistent sneezing and runny nose are often associated with allergic rhinitis, which is an allergic reaction to airborne substances such as pollen, dust mites, or pet dander. This condition can lead to inflammation of the nasal passages, causing discomfort and excessive mucus production. If you have been exposed to allergens or irritants, this could explain your symptoms.

The presence of a blood taste in your nose, even without visible bleeding, is particularly noteworthy. This could be due to several factors:
1. Nasal Irritation: Chronic sneezing and nasal discharge can lead to irritation of the nasal mucosa. This irritation can cause small blood vessels in the nasal lining to rupture, leading to a sensation of blood in the nasal passages.

2. Sinusitis: Inflammation of the sinuses, known as sinusitis, can occur alongside allergic rhinitis. Sinusitis can cause headaches, facial pain, and nasal congestion. In some cases, it may also lead to a post-nasal drip, which can create a metallic or bloody taste in the mouth.

3. Nasal Polyps: These are non-cancerous growths that can develop in the nasal passages or sinuses due to chronic inflammation. They can cause nasal obstruction, leading to symptoms like sneezing and a runny nose. In some cases, they may also contribute to a bloody taste if they become irritated.

4. Infections: While you mentioned not having a cold, it’s possible to have a mild viral or bacterial infection that could lead to these symptoms. Infections can cause inflammation and irritation, leading to sneezing and a bloody taste.

Given the persistence of your symptoms over the past couple of months, it is advisable to seek medical attention. An ENT specialist can perform a thorough examination, which may include:
- Nasal Endoscopy: This procedure allows the doctor to visualize the inside of your nasal passages and sinuses using a thin, flexible tube with a camera.

- Allergy Testing: If allergies are suspected, testing can help identify specific triggers.

- Imaging Studies: In some cases, a CT scan may be necessary to evaluate the sinuses and rule out any structural issues.

In conclusion, while your symptoms may not seem severe, the combination of persistent sneezing, nasal discharge, and a blood taste in the nose suggests that an underlying condition may be present. Early evaluation and treatment can help prevent complications and improve your quality of life. It’s always better to err on the side of caution when it comes to health concerns, so I recommend scheduling an appointment with an ENT specialist as soon as possible.

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