Nasal mucosal swelling and decreased olfaction?
Hello Doctor, I would like to ask you: Recently, I had a cold and couldn't smell much.
After visiting the clinic, the doctor used a nasal endoscope and said that the mucosa in my nasal cavity was swollen, which was affecting my sense of smell.
I have been taking medication for almost two weeks now, and during my follow-up visit, the doctor mentioned that there is still not enough space.
My sense of smell varies daily; for example, today I can smell almost normally, but when I wake up the next day, my sense of smell becomes very faint again.
It feels like it's fluctuating between good and bad.
Could you please tell me how long the recovery period for nasal mucosa swelling typically takes? It has been two weeks so far, and my nose feels slightly swollen, similar to a stuffy nose.
Applying a warm compress helps relieve it, but my sense of smell remains faint, and I can only detect odors when they are very close.
Thank you, Doctor.
Wang, 30~39 year old female. Ask Date: 2017/10/12
Dr. Zheng Jueyi reply Otolaryngology
Hello, if your sense of smell does not improve, and there is no significant improvement with the medication treatment from the clinic, you may go to the hospital for further evaluation and related tests.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2017/10/12
More Info
Dear Patient,
Thank you for your inquiry regarding the recovery of your sense of smell in relation to nasal mucosa swelling. It is understandable to be concerned about changes in your olfactory function, especially after experiencing symptoms related to a cold or flu.
Nasal mucosa swelling, often resulting from infections like the common cold, allergies, or sinusitis, can significantly impact your ability to smell. The olfactory receptors, which are responsible for detecting odors, are located in the upper part of the nasal cavity. When the mucosa becomes inflamed or swollen, it can obstruct these receptors and hinder their function, leading to a condition known as anosmia (loss of smell) or hyposmia (reduced smell).
In your case, it sounds like you have been experiencing fluctuating levels of olfactory function, which is not uncommon. The recovery period for nasal mucosa swelling can vary widely among individuals and depends on several factors, including the underlying cause of the swelling, the effectiveness of the treatment you are receiving, and your overall health.
Typically, if the swelling is due to a viral infection, such as a cold, you might expect gradual improvement over a few weeks. In many cases, the nasal mucosa can take anywhere from a few days to several weeks to return to its normal state after the infection resolves. However, if the swelling persists beyond a few weeks or if you continue to experience significant changes in your sense of smell, it is advisable to follow up with an ear, nose, and throat (ENT) specialist for further evaluation.
In terms of treatment, you mentioned that you have been using medications for about two weeks. If your symptoms have not improved significantly, your doctor may consider adjusting your treatment plan. This could include nasal corticosteroids to reduce inflammation, saline nasal sprays to keep the mucosa moist, or other medications depending on your specific situation.
Additionally, it is important to note that while some individuals may experience a complete return of their sense of smell, others may find that their olfactory function improves gradually over time. Factors such as age, the severity of the initial infection, and any underlying conditions (like allergies or chronic sinusitis) can influence recovery.
You mentioned that heat application provides some relief. This is a good practice, as warm compresses can help soothe the nasal passages and promote drainage, potentially aiding in the reduction of swelling. Staying well-hydrated and using a humidifier can also be beneficial in maintaining moisture in the nasal passages.
In summary, while recovery from nasal mucosa swelling can vary, many individuals see improvement within a few weeks. If your symptoms persist or worsen, I encourage you to seek further evaluation from an ENT specialist. They can provide a more comprehensive assessment and tailor a treatment plan to your specific needs.
Wishing you a speedy recovery and improved sense of smell.
Best regards,
Doctor Q&A Teams
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