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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Reason For Lack Of Smell Even After Taking Steroids, Allergy Shots?

I have been to an ENT because I couldn t smell anything and he gave me steroids which allowed me to smell. After a course of those he sent me to an allergist who tested me for allergies and discovered some. I underwent allergy shots for about 8 months but I had no improvement with my lack of smell. I take allergy pills but still can t smell. Is there anything or anyone that can help me get my sense of smell.
Mon, 27 Jan 2014
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ENT Specialist,  's  Response
Hello

Welcome in H.C.M.

I have gone through your query regarding loss of smell sensation even after use of steroid ad anti allergy treatment.

I would like to tell you that olfactory mucosa is situated at the roof of our nasal cavity and from where smelling fibers crosses the cribriform plate to olfactory bulb (part of brain).For perception of smell there should be-

1- Adequate air should reach up to olfactory mucosa- so any nasal pathology
leads to obstruction to air flow will disturb smelling mechanism.

2- Olfactory mucosa should have enough water for dissolution of air to stimulate
the olfactory mucosa. Therefore diseases which causes dryness in nose like
Atrophic Rhinitis always develops loss of smell.

3- Diseases causes atrophy of nasal mucosa as in Atrophic Rhinitis will damage
the smell sensitive mucosa of nose result in loss of smell.

4- Accidental damage to olfactory system.

In your case there is no response to steroids and anti allergic indicates it is not an allergic phenomenon but is something else which may be diagnosed by thorough examination and necessary investigations, than after it can be treated.

Regards.
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What Is The Reason For Lack Of Smell Even After Taking Steroids, Allergy Shots?

Hello Welcome in H.C.M. I have gone through your query regarding loss of smell sensation even after use of steroid ad anti allergy treatment. I would like to tell you that olfactory mucosa is situated at the roof of our nasal cavity and from where smelling fibers crosses the cribriform plate to olfactory bulb (part of brain).For perception of smell there should be- 1- Adequate air should reach up to olfactory mucosa- so any nasal pathology leads to obstruction to air flow will disturb smelling mechanism. 2- Olfactory mucosa should have enough water for dissolution of air to stimulate the olfactory mucosa. Therefore diseases which causes dryness in nose like Atrophic Rhinitis always develops loss of smell. 3- Diseases causes atrophy of nasal mucosa as in Atrophic Rhinitis will damage the smell sensitive mucosa of nose result in loss of smell. 4- Accidental damage to olfactory system. In your case there is no response to steroids and anti allergic indicates it is not an allergic phenomenon but is something else which may be diagnosed by thorough examination and necessary investigations, than after it can be treated. Regards.