Olfactory Issues: What Happens When You Pinch Your Nose? - Otolaryngology

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Olfactory issues


Doctor, a few days ago, when I pinched my nose (just below the bridge), I heard a popping sound on the left side.
I previously heard that the nasal turbinates alternate congestion to maintain the sense of smell, but after the popping sound, my breathing on both sides became the same.
However, when it was time for the right side to become congested, it felt normal, but the left side did not.
Today, while mopping the floor, my family said that there was too much fragrance from the cleaning agent and it was overwhelming, but I found the smell to be very faint.
Could it be that the nasal turbinate has ruptured?

Niming, 10~19 year old female. Ask Date: 2020/03/17

Dr. Zheng Jueyi reply Otolaryngology


Hello: The structure of the nasal turbinates will not break from pinching the nose.
There are individual differences in olfaction, so it is advisable to observe first.
If you are concerned, you may visit an otolaryngologist for an examination.
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: 2020/03/17

More Info


When you pinch your nose and hear a popping sound, it can be indicative of several physiological changes occurring in your nasal passages. The nasal cavity is lined with structures called turbinates (or nasal conchae), which help regulate airflow and humidity, as well as filter and warm the air we breathe. These turbinates can swell or shrink in response to various stimuli, including allergens, irritants, and even changes in air pressure.

The popping sound you experienced could be related to a few different phenomena. One possibility is that you equalized the pressure in your nasal passages, similar to what happens when you yawn or swallow. This can lead to a temporary change in airflow and may cause one side of your nose to feel more open than the other. If you noticed that your breathing became more symmetrical afterward, it suggests that the turbinates on both sides of your nose were able to adjust to the change in pressure.

However, if you are experiencing a significant difference in your ability to smell or if one side of your nose feels blocked while the other does not, it could indicate a few potential issues. For instance, if the left side of your nose feels persistently blocked or if you notice a decrease in your sense of smell (hyposmia), it could be due to inflammation or swelling of the nasal mucosa. This could be caused by allergies, a viral infection, or even structural issues such as a deviated septum.

Regarding your observation about the cleaning agent's scent, it is possible that your sense of smell has been affected. If you are unable to detect strong odors, this could be a sign of nasal congestion or inflammation affecting your olfactory function. The turbinates play a crucial role in the sense of smell, and if they are swollen or obstructed, it can lead to a diminished ability to perceive odors.

It is also worth noting that the nasal mucosa can become desensitized to certain smells, especially if you are frequently exposed to strong fragrances or irritants. This phenomenon, known as olfactory fatigue, occurs when the olfactory receptors become less responsive to persistent stimuli. If you find that you are consistently unable to smell certain odors, it may be worthwhile to consult with a healthcare professional, such as an ENT specialist, who can evaluate your nasal passages and overall olfactory function.

In summary, the popping sound you heard when pinching your nose may have been a normal physiological response related to pressure changes in your nasal cavity. However, if you are experiencing persistent nasal blockage, changes in your sense of smell, or any discomfort, it is advisable to seek medical attention. An ENT specialist can provide a thorough examination and determine if there are any underlying issues that need to be addressed, such as allergies, infections, or structural abnormalities in your nasal passages. Taking care of your nasal health is essential for maintaining a good quality of life, as it affects not only your sense of smell but also your overall respiratory function.

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