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What Causes Loss Of Sensation Of Smell?

Posted on Thu, 2 Apr 2015

Question: i am not able to smell, Could you please tell me the cause.
i am using Flixonase nasal spray. My nose blocked. I suffering with cold allergy daily my nose will blocked. I will take air from mouth but able to smell today I am not able to smell.

I am using nerves related medicinel like pregamblin and for B.P amlodipine 5mg morning 2.5 mg night.Ponston forte anti- inflammatory tablets.

Please advice.

Answered by Dr. Abubakar Siddiqh (56 minutes later)

Brief Answer:
Seems to be allergic rhinitis with polyp.

Detailed Answer:

Hi,

I had gone through your question and understand your concerns that you are having loss of sensation of smell.

Based on your clinical details, it appears to be allergic rhinitis with allergic polyp.

Partial loss of olfactory sensation quite common with allergic rhinitis. complete loss suggests polyposis.

I suggest you to to consult ent surgeon. Detailed ENT examination, olfactory test ( checking smell sensitivity), CT scan of para nasal sinuses ( anatomical abnormalities- deviated septum, turbinate hypertrophy, pathological extent- sinusitis, polyp) may be needed. Depending on the examination reports further treatment is required accordingly.

Mean time, continue amlodipine, nasal spray and pregablin, reduce the usage of ponston forte ( NSAID group, can cause allergy).

Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.

Wishing you good health.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Abubakar Siddiqh (40 minutes later)

I am scared about my problem.

i went to consult doctor for numbness by using that mediciness
my b.p increased so he refereed to cardiologist then using B.P medicines
Now not able to smell my situation is not improving but increasing problems.

Please suggest any temporary medicines in 1 month i will co to XXXXXXX there I consult doctor. In Dubai now i went for so many tests that are expensive.

Can I use same nosalspray and Loratadine tablets. or it may have any side effects.
Please suggest.

Answered by Dr. Abubakar Siddiqh (8 hours later)

Brief Answer:
continue same spray.

Detailed Answer:

Hello again,

Thanks for considering my answer and for your follow up.

Nasal sprays are the main stay treatment for allergic rhinitis, it contains minute amounts of steroid and absorbed locally. No serious side effects. You can stop loratidine (not advisable for prolonged periods).

Kindly evaluate as soon as possible for complications like polyp or asthma. Related to hypertension, continue amlodipine as per your cardiologist.

Hope, I have answered your query.

Take care.

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Shanthi.E