Persistent Solvent Smell After Cold: ENT Exam Shows No Issues - Otolaryngology

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Intermittently smelling the odor of paint thinner, but ENT examination shows no issues?


Hi Dr.
Cheng: I had a cold at the beginning of June, and during that time, there was construction nearby that used a large amount of solvent, which filled the area with that smell.
Even after recovering from the cold, I still occasionally smell the solvent (and I can still smell it to this day).
I have seen an ENT specialist, and the doctor said there were no issues with my nasal cavity.
What are your thoughts on this? Thank you.

Shen Xiaojie, 30~39 year old female. Ask Date: 2015/09/06

Dr. Zheng Jueyi reply Otolaryngology


Dear Ms.
Shen,
Hello.
You can visit the ENT department at the hospital for an X-ray or endoscopic examination to check for any issues related to sinusitis.
If there is no infection or inflammation and you still perceive unusual odors, it may be related to a neurological function issue, and you may consider consulting a neurologist for further evaluation.
Wishing you peace and health.
Sincerely,
Dr.
Cheng Jue-Yi
Director, ENT Department
Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2015/09/06

More Info


It sounds like you are experiencing a persistent olfactory phenomenon after being exposed to a strong solvent smell during your cold. This situation can be quite perplexing and concerning, especially since you have already consulted an ENT specialist who found no issues with your nasal passages.

First, it's important to understand that the sense of smell, or olfaction, can be influenced by various factors, including infections, environmental exposures, and even psychological conditions. After a cold, it is not uncommon for individuals to experience changes in their sense of smell. This can manifest as a temporary loss of smell (anosmia), a distorted sense of smell (parosmia), or even a heightened sense of smell (hyperosmia).

In your case, the persistent perception of the solvent smell could be classified as a form of parosmia. Parosmia is a condition where the brain misinterprets smells, often following a viral infection or exposure to strong odors. The olfactory receptors in your nose may have been affected by the cold or the exposure to the solvent, leading to this altered perception.
The fact that you are still smelling the solvent odor even after your cold has resolved suggests that your olfactory system may still be in a state of recovery or re-calibration. This phenomenon can sometimes take weeks or even months to resolve. It is also worth noting that strong chemical odors can have lingering effects on the olfactory system, and it may take time for your brain to adjust back to normal functioning.

While your ENT examination showed no physical issues, it might be beneficial to consider a few additional points:
1. Neurological Factors: Sometimes, olfactory disturbances can be linked to neurological factors. If the problem persists, it may be worth consulting a neurologist to rule out any underlying neurological conditions that could be affecting your sense of smell.

2. Environmental Factors: Consider whether you are still being exposed to any solvents or strong odors in your environment. If you are, reducing your exposure may help alleviate the symptoms.

3. Psychological Factors: Anxiety and stress can also affect how we perceive smells. If you are feeling anxious about this persistent smell, it may exacerbate the situation. Techniques such as mindfulness or cognitive behavioral therapy could be beneficial.

4. Follow-Up: If the smell continues to persist or worsens, it would be advisable to follow up with your healthcare provider. They may recommend further testing or refer you to a specialist in olfactory disorders.

In summary, while it can be frustrating to deal with a persistent smell after a cold, it is not uncommon, and there are various factors that could be contributing to your experience. Keep track of your symptoms, avoid further exposure to strong odors, and consider seeking additional medical advice if the situation does not improve. Your sense of smell is an important aspect of your sensory experience, and addressing any concerns with a healthcare professional is the best course of action.

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