“Phantosmia, a fascinating yet perplexing condition, involves perceiving odors that aren’t present in the surrounding environment”.
This phenomenon, often described as smelling phantom scents, can range from pleasant aromas to foul or noxious odors, and it can significantly impact an individual’s quality of life. However, the majority of phantosmia patients have a strong sense of smell. People have characterized the smells as “chemical,” “burned,” “foul,” “rotten,” or “sewage.” It could be coming from one or both of your noses. It isn’t constant, though. Usually, the scents come and go
Phantosmia can be caused by a variety of factors, including sinus and upper respiratory infections, nasal polyps or other growths, head injuries, hormonal changes, exposure to certain chemicals like insecticides and solvents, radiation therapy for head and neck cancers, and neurological conditions such as Parkinson’s disease, Alzheimer’s disease, and brain tumors. Additionally, certain medications, COVID-19, and neurodegenerative diseases can also trigger phantosmia. These conditions can affect the olfactory system, leading to the perception of smells that are not actually present in the environment, resulting in this unusual and often distressing symptom.
Treatment for phantosmia depends on the underlying cause, but may include nasal decongestants, antihistamines, and steroid nasal sprays to reduce inflammation and alleviate symptoms. In cases where a neurological condition is the cause, medications such as antidepressants or anti-seizure drugs may be prescribed to manage the condition. In some instances, surgery may be necessary to remove nasal polyps or other obstructions. Additionally, techniques like smell therapy, which involves exposure to strong, familiar smells, and cognitive behavioral therapy (CBT) may also be helpful in managing phantosmia. In some cases, the condition may resolve on its own, but if symptoms persist or worsen, it is important to consult a healthcare professional for proper evaluation and treatment.
