Blister... olfactory dysfunction?
Hello, Doctor.
Recently, I've been experiencing small blisters in my mouth from time to time.
I previously consulted a doctor who mentioned that it was due to a decline in my immune system and advised me to get more rest.
However, I've been going to bed early and not staying up late, yet the blisters keep appearing.
Is there anything else I can do to prevent them from recurring?
Another issue I would like to ask about is my sense of smell.
I used to have a very keen sense of smell, but after a cold a few years ago, I lost it.
Now, I can only smell things if I'm very close or if the odor is particularly strong.
Additionally, I sometimes experience post-nasal drip and frequent nasal congestion when I'm not sick.
Is it still possible to treat this condition? Thank you.
Xiao Yun, 20~29 year old female. Ask Date: 2015/12/21
Dr. Zheng Jueyi reply Otolaryngology
Hello,
1.
The best ways to improve immunity are to maintain a regular schedule and engage in exercise.
Additionally, managing stress levels can also help enhance immune function.
If there is no improvement, it is advisable to consult the Rheumatology and Immunology Department at a hospital for further evaluation.
2.
For issues related to olfaction, it is recommended to seek medical examination.
Some conditions can be improved with medication or surgery, while others may involve degeneration of the olfactory nerves, which can be more challenging to treat.
Wishing you safety and health,
Dr.
Cheng Jue-Yi,
Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare
Reply Date: 2015/12/21
More Info
Your concerns regarding oral blisters and smell disorders are valid and can significantly affect your quality of life. Let's break down your issues and explore potential treatment options.
Oral Blisters
Oral blisters can be caused by a variety of factors, including viral infections (like herpes simplex), autoimmune conditions, allergic reactions, or even stress. Since your doctor mentioned that your immune system might be compromised, it’s essential to focus on strengthening your immune response and managing the underlying causes of the blisters.
1. Diet and Nutrition: Ensure you are consuming a balanced diet rich in vitamins and minerals, particularly vitamin C, vitamin B12, and zinc, which are crucial for immune function and skin health. Foods like citrus fruits, leafy greens, nuts, and seeds can be beneficial.
2. Hydration: Staying well-hydrated is essential for maintaining mucosal health. Drink plenty of water throughout the day.
3. Oral Hygiene: Maintain good oral hygiene by brushing your teeth at least twice a day and using a soft-bristled toothbrush to avoid irritating the blisters. Consider using an alcohol-free mouthwash to prevent further irritation.
4. Stress Management: Since stress can exacerbate immune issues, incorporating stress-reducing practices such as yoga, meditation, or deep-breathing exercises may help.
5. Topical Treatments: Over-the-counter topical treatments, such as benzocaine or lidocaine gels, can provide temporary relief from pain associated with blisters. However, consult your healthcare provider before using these products.
6. Medical Consultation: If the blisters persist or worsen, it may be necessary to revisit your healthcare provider. They might consider conducting further tests to rule out underlying conditions such as autoimmune diseases or infections.
Smell Disorders
Regarding your loss of smell (anosmia), it’s not uncommon for individuals to experience changes in their sense of smell following a viral infection, such as a cold or flu. This condition can be frustrating, especially if it affects your ability to enjoy food or detect hazards.
1. Olfactory Training: This is a therapeutic approach that involves regularly smelling a set of distinct scents (like rose, lemon, clove, and eucalyptus) to help retrain your olfactory system. This method has shown promise in some studies and may help improve your sense of smell over time.
2. Nasal Care: Since you mentioned experiencing post-nasal drip and nasal congestion, it’s crucial to manage these symptoms. Saline nasal sprays or rinses can help clear mucus and allergens from your nasal passages, potentially improving your sense of smell.
3. Consultation with an ENT Specialist: Given your history of nasal congestion and post-nasal drip, it would be beneficial to consult an Ear, Nose, and Throat (ENT) specialist. They can evaluate your nasal passages for any obstructions, polyps, or chronic sinusitis that may be contributing to your smell disorder.
4. Allergy Management: If allergies are a contributing factor, managing them with antihistamines or nasal corticosteroids may help alleviate symptoms and improve your sense of smell.
5. Time and Patience: Recovery from smell disorders can take time. Some individuals may regain their sense of smell within weeks, while others may take months. It’s essential to be patient and continue with any recommended therapies.
Conclusion
In summary, addressing oral blisters and smell disorders involves a multi-faceted approach that includes dietary changes, maintaining good oral hygiene, stress management, and possibly medical interventions. It’s crucial to work closely with your healthcare providers to monitor your symptoms and adjust your treatment plan as necessary. If you notice any new symptoms or if your current symptoms worsen, don’t hesitate to seek further medical advice. Your health and well-being are paramount, and with the right approach, there is hope for improvement.
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