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Published on: 11/18/2024

What Are the Symptoms of Smell Dysfunction (Dysosmia)?

Smell dysfunction, or dysosmia, encompasses a range of symptoms, including a reduced ability to smell (hyposmia), a distorted sense of smell (parosmia), phantom smells (phantosmia), and a complete loss of smell (anosmia).

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Explanation

Dysosmia isn't a single condition but rather a category of smell disorders that can significantly impact a person's quality of life. The specific symptoms can vary depending on the underlying cause and the type of dysosmia.

Types and Associated Symptoms:

  • Hyposmia: This is a reduced ability to detect odors. Individuals with hyposmia may struggle to smell certain scents or find that smells are weaker than they used to be. It's often a gradual onset and can be difficult to notice initially.
  • Parosmia: This involves a distorted or altered sense of smell. Familiar smells might be perceived as unpleasant or completely different from how they used to smell. For example, the pleasant aroma of coffee might smell like burning rubber.
  • Phantosmia: This refers to the perception of phantom smells, meaning smelling something that isn't actually there. These phantom smells can be pleasant or unpleasant and can occur intermittently or persistently.
  • Anosmia: This is the complete loss of the sense of smell. Individuals with anosmia cannot detect any odors, which can have significant implications for safety (e.g., not being able to smell smoke or spoiled food) and enjoyment of life (e.g., not being able to appreciate the aroma of food or flowers).

Impact and Importance of Evaluation:

Smell dysfunction can have a significant impact on a person's quality of life, affecting their ability to enjoy food, detect environmental hazards, and even engage in social interactions. If you experience any changes in your sense of smell, it's important to consult a medical professional for a proper evaluation. Identifying the underlying cause is crucial for determining the appropriate course of treatment and management.

(References)

  • Feldman JI, Wright HN, Leopold DA. The initial evaluation of dysosmia. Am J Otolaryngol. 1986 Nov-Dec;7(6):431-44. doi: 10.1016/s0196-0709(86)80019-9. PMID: 3541661.

  • Kühn M, Abolmaali N, Smitka M, Podlesek D, Hummel T. Riechstörungen : Aktuelles zur Diagnostik und Therapie [Dysosmia : current aspects of diagnostics and therapy]. HNO. 2013 Nov;61(11):975-84; quiz 985. German. doi: 10.1007/s00106-013-2759-3. PMID: 24221226.

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Dr. Kenji Taylor

Family Medicine, Primary Care Roots Community Health Center, Hippo Education, Kameda Medical Center

Kenji Taylor, MD

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