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Understanding Smell & Taste Disorders

Jan 19, 2026
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Understanding Smell & Taste Disorders

Why Smell & Taste Matter

Smell and taste work together to help you enjoy food, detect hazards, and experience your environment. When these senses are disrupted, you may notice:

  • Reduced or lost smell

  • Altered or metallic taste

  • Distorted or phantom smells

Common Causes

  • Nasal congestion or sinus inflammation: From colds, allergies, infections, or nasal polyps

  • Post-viral changes: Including loss after viral illnesses

  • Aging: Natural decline over time

  • Head injuries: Affecting nerves involved in smell and taste

  • Medications: Certain antibiotics, blood pressure meds, and antidepressants

  • Smoking or irritant exposure: Reduces receptor sensitivity

  • Structural issues: Deviated septum or enlarged turbinates blocking airflow

When to Seek Help

See an ENT specialist if smell or taste loss:

  • Lasts more than 3–4 weeks

  • Disrupts appetite or daily life

  • Occurs with persistent congestion or sinus pressure

  • Causes distorted or unpleasant smells

  • Impacts safety (e.g., detecting smoke or gas)

How an ENT Can Help

Evaluation may include an exam, allergy testing, or imaging. Treatment can involve:

  • Reducing inflammation with medications or sprays

  • Addressing nasal blockages or polyps

  • Smell retraining therapy

  • Treating sinus disease that affects taste

 

Most patients experience improvement once the underlying cause is identified.