Loss of smell (anosmia)
Medically reviewed on Jan 11, 2018
Your sense of smell serves more than one purpose. It not only allows you to enjoy a variety of aromas, but also warns you of potential dangers such as smoke or leaking gas.
Loss of smell can be partial (hyposmia) or complete (anosmia), and may be temporary or permanent, depending on the cause. Although loss of smell is rarely a symptom of a serious condition, even a partial loss of smell could cause you to lose interest in eating, which could possibly lead to weight loss, malnutrition or even depression.
The common cold with nasal congestion is the most common cause for a partial, temporary loss of smell. Obstruction in the nasal passages, particularly from polyps or nasal fractures, also is common. Normal aging also may cause a loss of smell, which may be progressive, becoming complete and permanent.
What is smell?
Smell results when individual molecules, suspended in the air, are inhaled and attach to receptors in the mucous membranes of the nose, stimulating nerves that connect directly to the brain. Any problem within this olfactory system — congestion or obstruction in the nose, inflammation of its lining, nerve damage, or altered brain function — affects your ability to smell normally.
While total loss of smell is fairly rare, and the more common causes improve with time, symptoms are sometimes severe enough to result in significant problems or distress. An intact sense of smell is necessary to accurately taste and enjoy food; losing this sense could cause you to lose interest in eating, potentially leading to weight loss, malnutrition or even depression.
Problems with the inner lining of your nose
Conditions that cause temporary irritation or congestion of the mucous membranes lining the inside of your nose are the most common cause of loss of smell. These may include:
- Acute sinusitis (sinus infection)
- Common cold
- Hay fever (allergic rhinitis)
- Influenza (flu)
- Nonallergic rhinitis (chronic congestion or sneezing not related to allergies)
Obstructions of your nasal passages
Conditions or obstructions that block the flow of air through your nose can include:
- Bony deformity inside your nose
- Nasal polyps
Damage to your brain or nerves
Less commonly, the nerves leading to the olfactory center of the brain or to the brain itself can be damaged or deteriorate due to:
- Alzheimer's disease
- Brain aneurysm (a bulge in an artery in your brain)
- Brain surgery
- Brain tumor
- Chemical exposures to certain insecticides or solvents
- Huntington's disease
- Kallmann's syndrome (a rare genetic condition)
- Klinefelter syndrome (a rare condition in which males have an extra X chromosome in most of their cells)
- Korsakoff's psychosis (a brain disorder caused by the lack of thiamin)
- Medications (for example, some high blood pressure medications)
- Multiple sclerosis
- Multiple system atrophy (MSA) (a progressive disorder of the nervous system)
- Niemann-Pick (Pick's disease, a form of dementia)
- Paget's disease of bone (a disease that affects your bones, sometimes facial ones)
- Parkinson's disease
- Radiation therapy
- Sjogren's syndrome (an inflammatory disease that generally causes dry mouth and eyes)
- Traumatic brain injury
- Zinc deficiency
- Zinc-containing nasal sprays (taken off the market in 2009)
When to see a doctor
Loss of smell caused by colds, allergies or sinus infections usually clears up on its own after a few days. If this doesn't happen, consult your doctor so that he or she can rule out more-serious conditions.
Loss of smell can sometimes be treated, depending on the cause. Your doctor can give you an antibiotic to treat a bacterial infection, or remove obstructions that are blocking your nasal passage.
In other cases, loss of smell can be permanent. After age 60, in particular, you're at greater risk of losing your sense of smell.