Tinnitus and Loss of Smell: When to See a Specialist?

Tinnitus and olfactory dysfunction?

Hello, Dr.
Yeh.
I recently had a cold that caused tinnitus in my left ear, significant hearing loss, and complete loss of smell.
It has been over a month, and I have been receiving treatment at Hsinchu Mackay Memorial Hospital, but there has been no improvement.
I have also received injections in my ear.
Should I consider seeing a neurologist or a neurosurgeon? Additionally, does your hospital have equipment for smell assessment?

Mr. Lin, 40~49 year old female. Ask Date: 2008/03/12

Dr. Ye Dawei reply Otolaryngology

1.
You can consult a neurologist or a neurosurgeon.
2.
There is no such equipment at Hsinchu Hospital, according to Dr.
Yeh Da-Wei, the Director of the Otolaryngology Department.

Reply Date: 2008/03/12

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding tinnitus and loss of smell. It sounds like you have been experiencing a challenging set of symptoms following your recent illness. Let's break down your situation and discuss the appropriate steps you can take.

Firstly, the combination of tinnitus (ringing in the ears) and anosmia (loss of smell) can indeed be concerning. These symptoms can arise from various underlying conditions, including viral infections, which are known to affect both the auditory and olfactory systems. In your case, it seems that a recent cold has led to these complications, and it is not uncommon for viral infections to cause inflammation or damage to the nerves responsible for hearing and smell.

Given that you have been experiencing these symptoms for over a month without improvement, it is advisable to consider further evaluation by a specialist. While you have already consulted with an ENT (ear, nose, and throat) doctor, it may be beneficial to also see a neurologist. This is particularly important if there is a suspicion that the olfactory nerve or other neurological pathways may be involved. Neurologists can conduct more specialized tests to assess nerve function and determine if there is any underlying neurological condition contributing to your symptoms.

Regarding your question about whether your hospital has olfactory testing equipment, many medical facilities do have the capability to assess smell function. This can include various tests that evaluate your ability to identify and differentiate between different odors. If your current facility does not offer this service, your healthcare provider can refer you to a center that specializes in olfactory disorders.

In the meantime, it is essential to monitor your symptoms closely. If you notice any new symptoms, such as changes in vision, balance issues, or severe headaches, you should seek immediate medical attention. These could indicate a more serious condition that requires urgent care.

Additionally, while you wait for your next appointment, consider the following tips to manage your symptoms:
1. Stay Hydrated: Drinking plenty of fluids can help keep your mucous membranes moist, which may assist in recovery.

2. Avoid Irritants: Stay away from strong odors, smoke, and other irritants that could exacerbate your symptoms.

3. Rest: Ensure you are getting adequate rest, as fatigue can worsen both tinnitus and other sensory issues.

4. Sound Therapy: For tinnitus, some patients find relief through sound therapy, which involves using background noise to mask the ringing in the ears.

5. Nutritional Support: A balanced diet rich in vitamins and minerals can support overall health and may aid in recovery.

In conclusion, it is crucial to follow up with a neurologist for a comprehensive evaluation of your symptoms. The interplay between tinnitus and loss of smell can be complex, and a thorough assessment will help guide appropriate treatment options. Please do not hesitate to reach out to your healthcare provider for further assistance and to discuss the next steps in your care.

Wishing you a speedy recovery and improved health.

Best regards,
Doctor Q&A Teams

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