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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
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
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)
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.