Dr. Oliyath Ali
Otolaryngology (E.N.T)
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Patient's Query
Hello doctor,
I am an otherwise healthy 23-year-old male. But eight months ago, I lost my sense of taste and smell with no other symptoms at the time besides those two. About a month ago, however, I got my eyes tested and found out I had dry eyes. I have already had Covid-19 about two years ago and I did lose my sense of taste and smell then but only for four to five days. It has been eight months now and it is persistent ever since. About three months ago, I developed newer symptoms such as nasal congestion and sneezing, occasionally. I do not believe the cause of my ailment was damage from a virus or infection. There are times when my senses are fully restored very temporarily such as running up the stairs, blowing my nose, or when I wake up in the morning. I also had an ENT consultation a few weeks ago but he thinks it is due to virus damage, I was prescribed Corticosteroid nasal spray to take daily as well as tablet Rupatadine which I have been taking but it only alleviates my occasional nasal congestion and sneezing, not my senses. I have also been doing smell therapy for two weeks but no improvements. Please help me, I want to live a normal life again.
Hi,
Welcome to icliniq.com.
I understand your concern. Impaired sense of smell is of two types, conductive and sensorineural. Conductive is when the source of smell that is the particles are not able to reach the olfactory area in the roof of the nose due to some blockage in the nose. Sensorineural is when there is a defect in the olfactory receptors or in the nerve of the sense of smell. The conductive type can be treated by removing the blockage in the smell pathway. While the sensorineural kind is very difficult to treat. From your history, you seem to be having the conductive type. We need to get a CT (computerized tomography) scan of the nose and nasal endoscopy to ascertain the site of blockage then we can plan an effective treatment strategy.
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Otolaryngology (E.N.T)
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