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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Semi Sweet Smell Inside My Nose?

Hi, For the last couple weeks I have noticed a semi-sweet smell inside my nose. It s not always their but when I sneeze I detect it for a second or two. Sometimes I can smell it in the air and know one else can. I have had sinus problems, allergies and throat irritation from gas. My ENT prescribed Ranitidine and Sudafed which I am currently taking. why do I detect this sweet odor in my nose sometimes?
Thu, 16 Jul 2015
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Dentist 's  Response
Hi Dear,

Understanding your concern.

There can be many reasons for sweet smell in nose like sinusitis , tumor , olfactory nerve dysfunction , or high blood sugar level . But the high blood sugar level is most common reason for sweet smell. This usually occur in person having diabetes type 1 . In this case body is unable to breakdown the blood sugar that is why body start breaking the fat , which further produces ketone bodies .

This accumulation of ketone bodies in blood is known as ketoacidosis ,which produces swell smell . I would suggest you to consult general physician and also otolaryngologist for proper diagnosis . Doctor may order blood profile test to detect ketone bodies in blood and treat it accordingly.

Otolaryngologist may order CT scan and MRI for proper diagnosis . He/she may prescribe antibiotics(penicillin or amoxicillin )course for at least 10 days along with decongestants .

The sweet smell do not probably occur due to acid reflux so i think ranitidine will not going to help in this case . But try to eat light and less spicy .

Get Well Soon.
Best Wishes,
Dr. Harry Maheshwari
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What Causes Semi Sweet Smell Inside My Nose?

Hi Dear, Understanding your concern. There can be many reasons for sweet smell in nose like sinusitis , tumor , olfactory nerve dysfunction , or high blood sugar level . But the high blood sugar level is most common reason for sweet smell. This usually occur in person having diabetes type 1 . In this case body is unable to breakdown the blood sugar that is why body start breaking the fat , which further produces ketone bodies . This accumulation of ketone bodies in blood is known as ketoacidosis ,which produces swell smell . I would suggest you to consult general physician and also otolaryngologist for proper diagnosis . Doctor may order blood profile test to detect ketone bodies in blood and treat it accordingly. Otolaryngologist may order CT scan and MRI for proper diagnosis . He/she may prescribe antibiotics(penicillin or amoxicillin )course for at least 10 days along with decongestants . The sweet smell do not probably occur due to acid reflux so i think ranitidine will not going to help in this case . But try to eat light and less spicy . Get Well Soon. Best Wishes, Dr. Harry Maheshwari