Nose
Dear Doctor,
I have had the flu for nearly a week now, and in between, I saw a doctor twice.
I finally discovered that I cannot smell anything at all.
I am very scared about this, and I am going to see a specialist like you today.
So, why can't I smell anything? Please reply to me as soon as possible.
Thank you very much!
Best Regards,
Pency
pency, 20~29 year old female. Ask Date: 2001/05/11
Dr. Ye Dawei reply Otolaryngology
Dear Pency: Your issue is anosmia, which means a loss of smell sensation.
It is most likely caused by a flu virus that has affected the nerves.
This condition is generally temporary, and your sense of smell may recover.
Reply Date: 2001/05/11
More Info
Dear Pency,
I understand your concern regarding the sudden loss of smell, known as anosmia, especially after experiencing flu-like symptoms. Anosmia can indeed be alarming, but it is a relatively common issue, particularly following viral infections such as the flu or COVID-19. The loss of smell occurs when the olfactory nerves, responsible for detecting odors, become damaged or inflamed due to the viral infection. This damage can lead to a temporary or, in some cases, a more prolonged loss of smell.
In your case, since you have been experiencing flu symptoms for nearly a week, it is likely that the flu virus has affected your olfactory system. The inflammation caused by the virus can obstruct the pathways that allow smell signals to reach the brain. Fortunately, in many cases, this loss of smell is temporary, and patients often regain their sense of smell as they recover from the viral infection. However, the timeline for recovery can vary significantly from person to person.
It is also important to note that the loss of smell can sometimes be accompanied by other sensory changes. For example, some individuals report experiencing strange tastes or odors, even when there is nothing present to cause them. This phenomenon can occur due to the same nerve damage affecting the olfactory system, leading to altered perceptions of taste and smell. If you notice any unusual tastes or persistent bad odors, it is essential to mention these symptoms to your specialist.
When you see the specialist, they may perform a thorough examination, which could include a nasal endoscopy or imaging studies like a CT scan, to assess the condition of your nasal passages and olfactory nerves. This evaluation can help rule out other potential causes of anosmia, such as nasal polyps, chronic sinusitis, or other structural abnormalities. If the anosmia persists beyond a few weeks or worsens, further investigation may be warranted to determine if there are underlying issues that need to be addressed.
In the meantime, there are a few things you can do to help manage your symptoms. Staying hydrated, using saline nasal sprays, and avoiding irritants such as smoke or strong odors can help reduce inflammation in your nasal passages. Additionally, practicing good hygiene, such as washing your hands frequently and avoiding close contact with others, can help prevent the spread of infections.
While it is understandable to feel anxious about your loss of smell, remember that many people experience similar symptoms during and after viral infections, and recovery is often possible. Your specialist will be able to provide you with more personalized advice and treatment options based on your specific situation.
I hope this information helps alleviate some of your concerns. Please take care of yourself, and I wish you a speedy recovery.
Best regards,
Doctor Q&A Teams
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