Sudden Loss of Taste: Possible Causes and Solutions - Internal Medicine

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Loss of taste sensation on the tongue?


Hello doctor, starting two days ago, I suddenly lost the ability to taste any food (especially sweet, salty, and sour flavors).
However, my sense of smell seems to be mostly normal.
Two days ago, I had diarrhea, but since the day before yesterday, my bowel movements have returned to normal.
I can still somewhat taste spicy and bitter flavors.
What could be wrong with my body?

chuck, 20~29 year old female. Ask Date: 2021/04/02

Dr. Hong Yuanbin reply Internal Medicine


Hello, loss of smell and taste, as well as diarrhea, should be taken seriously as they may indicate a COVID-19 infection.
It is recommended to visit the emergency department or the infectious disease clinic of a major hospital.
Please inform them of your symptoms and undergo testing.
Thank you for your inquiry.

Reply Date: 2021/04/02

More Info


Sudden loss of taste, known medically as ageusia, can be a concerning symptom that may arise from various underlying causes. In your case, the abrupt onset of this condition, particularly after experiencing gastrointestinal symptoms like diarrhea, suggests a few potential explanations.

Firstly, the loss of taste can often be linked to viral infections, particularly upper respiratory infections or flu-like illnesses. These infections can lead to inflammation in the nasal passages and throat, which may indirectly affect taste perception. Although you mentioned that your sense of smell is largely intact, it’s important to note that taste and smell are closely related. The olfactory system plays a significant role in flavor perception, and even minor disruptions can lead to altered taste sensations.

Another possibility is that gastrointestinal issues, such as the diarrhea you experienced, can affect your taste. The gut-brain connection is well established, and gastrointestinal distress can lead to changes in the way your body processes flavors. Additionally, certain medications or changes in diet during illness can also impact taste perception.

Stress and anxiety can also play a role in taste abnormalities. If you are feeling anxious about your health or the sudden change in your sensory perception, this could exacerbate the situation. Psychological factors, including depression, have been known to alter taste perception as well.

In terms of solutions, here are some recommendations:
1. Stay Hydrated: Ensure you are drinking plenty of fluids, especially if you experienced diarrhea. Dehydration can affect your overall health and may contribute to taste changes.

2. Balanced Diet: Focus on a balanced diet rich in vitamins and minerals. Foods high in zinc, such as meat, shellfish, legumes, seeds, nuts, dairy, and whole grains, can help support taste function. Zinc deficiency is known to cause taste disturbances.

3. Avoid Irritants: Stay away from strong flavors, spicy foods, and irritants like alcohol and tobacco, which can further exacerbate taste issues.

4. Consult a Specialist: If your taste does not return to normal within a few days, or if you experience other concerning symptoms, it is advisable to consult an ear, nose, and throat (ENT) specialist. They can conduct a thorough examination and may recommend tests to determine the underlying cause of your symptoms.

5. Monitor Your Symptoms: Keep track of any other symptoms you may experience, such as changes in smell, appetite, or gastrointestinal issues, and report these to your healthcare provider.

6. Consider Psychological Factors: If you suspect that stress or anxiety may be contributing to your symptoms, consider speaking with a mental health professional. They can provide strategies to manage anxiety and stress, which may help improve your overall well-being and potentially your taste perception.

In summary, sudden loss of taste can stem from various causes, including viral infections, gastrointestinal issues, and psychological factors. By taking care of your overall health, staying hydrated, and consulting with a healthcare professional if symptoms persist, you can work towards regaining your sense of taste. Remember, it’s essential to listen to your body and seek help when needed.

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