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North Richland Hills, TX
Grand Prairie, TX

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Loss of Smell

The loss of smell is called anosmia. For most people, the sense of smell begins to deteriorate after the age of 60, and the majority of elderly people lose their sense of smell almost completely. ENT specialists report that the ability to smell is at its peak between the ages of 30 and 60. In addition, women have a better sense of smell than men do.

Causes and Concerns

Loss of smell can be caused by several different factors. Some babies are born without the ability to smell. This is due to an underdeveloped chemical sensing system. The chemical sensing system does not release the molecules that send the signals to the specific part of the brain where odors are identified. The sense of smell is a complicated system of nerves located in a patch of tissue in the uppermost part of the nose. This nerve system is connected directly into the brain. If the patch of nerves is underdeveloped or injured, then a person can lose their sense of smell.

Ways people develop anosmia include:

  • Head injuries
  • Severe injuries to the upper part of the nose
  • Severe upper respiratory infections
  • Polyps in the sinus cavities or nasal passages
  • Tobacco smoke
  • Inhaling certain chemicals such as pesticides or ammonia for long periods of time (years)
  • Hormonal imbalances
  • Certain dental problems
  • Some prescription medications
  • Some illegal drugs
  • Radiation therapy (performed on the neck or head)
  • Colds and allergies
  • Certain diseases of the central nervous system (Alzheimer)

Symptoms and Signs

The senses of smell and taste are linked. Many individuals that lose their sense of smell, or those who are born without a sense of smell, also lose their ability to taste. Scientists believe this is due to the fact that people “taste” food by the smell, texture, and the temperature. In addition, many people are able to recognize their foods or beverages by smell. Coffee is a beverage that is not only enjoyed by taste, but also by smell.

If you have symptoms and signs that accompany your anosmia, you should consider an evaluation from an ENT specialist. Symptoms to be concerned about include:

  • Inability to smell
  • Inability to taste
  • Stuffy nose and congestion
  • Persistent sneezing, nasal drainage, and itchy watery eyes
  • Weight loss
  • Headaches
  • Nose Bleeds

Solutions and Options

With certain conditions, such as the common cold, severe upper respiratory infections and allergies, you should regain your sense of smell after the illness clears. If allergies are causing the problem, the doctor may use medications or allergy shots to treat you. Some nasal sprays and allergy medications have been used to treat anosmia successfully. If the cause of the anosmia is polyps, surgical removal is an option to restore your sense of smell. On occasion, a person who has lost their sense of smell may regain it without any explanation as to why.


For some people, the body is able to regenerate new cells in the central nervous system that lead to renewal of smell and taste. This would explain why people who have lost their sense of smell sometimes regain it with no explanation. However, some people lose sense of smell permanently. If you or someone you love cannot smell, and you are concerned about associated signs and symptoms, call for an appointment today. Let one of our ENT specialists help you find a solution to your symptoms.

Call us at 817-595-3700 to schedule an appointment.

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