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Nasal & Respiratory (Upper)

Loss of Smell: Understanding and Treating Anosmia

Losing your sense of smell affects taste, safety, and quality of life. Our specialists identify the cause and work to restore your smell.

If you've lost your sense of smell, you know how profoundly it affects daily life—and there's hope for recovery.

Understanding Your Condition

What is Chronic Sneezing?

Loss of smell (anosmia) is the complete inability to detect odors, while partial loss is called hyposmia. This condition affects not only the ability to enjoy food and fragrances but also safety (detecting smoke, gas leaks) and quality of life. The sense of smell depends on olfactory neurons in the upper nasal cavity detecting odor molecules and sending signals to the brain. Smell can be lost due to nasal obstruction (blocking odors from reaching the receptors), damage to the olfactory epithelium, or neurological damage to the smell pathways. In Dubai, chronic sinusitis and nasal polyps are common causes, along with post-viral anosmia following respiratory infections.

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Common Misconception

Loss of smell just means I have a cold or allergies.

Biological Reality

Chronic smell loss has specific causes: chronic sinusitis with polyps (30%), post-viral anosmia (20%), nasal obstruction (20%), head trauma (10%), and neurodegenerative conditions (5%). In Dubai, chronic sinusitis is extremely common due to allergies and air quality, making smell loss a frequent complaint. COVID-19 also emerged as a major cause of post-viral smell loss. Early treatment offers the best chance of recovery.

Loss of smell lasting more than 2-4 weeks requires evaluation—the sooner, the better the chances of recovery.

Symptoms That Often Occur Together

Loss of taste (ageusia)
Nasal congestion or blockage
Facial pressure
Runny nose
Headache

Loss of smell, especially with congestion, requires evaluation. Book consultation now.

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Root Cause Analysis

Why Does Sneezing Happen?

Multiple conditions can cause loss of smell.

How It Works

Smell loss occurs through different biological mechanisms: (1) Conductive loss—blockage prevents odor molecules from reaching the olfactory epithelium (nasal congestion, polyps, deviated septum, turbinate hypertrophy); (2) Sensory loss—damage to the olfactory receptor neurons themselves (viral infection including COVID-19, toxins, aging, smoking); (3) Neural loss—damage to the olfactory nerve or brain pathways (head trauma shearing olfactory nerve fibers at cribriform plate, neurodegenerative disease affecting olfactory bulb); (4) Central loss—damage to olfactory processing areas in the brain (tumors, neurological conditions); (5) Medication effects—some drugs damage smell receptors or nerve function; (6) Aging—presbyosmia is age-related smell loss from reduced receptor cell regeneration.

Common Underlying Causes

1

Chronic Sinusitis with Polyps

30%

Nasal polyps physically block odor molecules from reaching receptors

2

Post-Viral Anosmia

20%

Respiratory viruses damage olfactory neurons

3

Nasal Obstruction

20%

Congestion, deviated septum, or swelling blocks nasal passage

4

Head Trauma

10%

Olfactory nerve damage from head injury

5

Neurodegenerative Disease

5%

Progressive loss of olfactory function

Common Triggers

Environmental

Respiratory infections (including COVID-19, flu)Chronic sinusitisAllergic rhinitisAir pollution (especially relevant in Dubai)Dust and sand exposure (common in UAE)

Lifestyle

Smoking (cigarettes, vaping damages olfactory neurons)Nose picking (trauma to olfactory area)Chronic nasal congestion
Advanced Diagnostics

How We Identify the Cause

Comprehensive evaluation helps identify the specific cause of smell loss.

Our Diagnostic Philosophy

At Healers Clinic, we understand how profoundly smell loss affects quality of life—from enjoying food to detecting dangers. Our comprehensive evaluation determines WHY you've lost your smell, which dictates treatment. For obstruction (polyps, sinusitis), we can often restore smell with treatment. For post-viral or neurological causes, we offer smell training therapy and hope for natural recovery over time. Early intervention is key—the longer smell neurons are damaged, the less likely full recovery.

ENT Examination

Assess nasal cavity and sinuses

Polyps, inflammation, structural issues

Olfactory Testing

Quantify degree of smell loss

Threshold, discrimination, identification scores

Nasal Endoscopy

Visualize internal nasal structures

Olfactory cleft, polyps, inflammation

Sinus CT Scan

Assess sinus anatomy

Sinus obstruction, polyps, anatomical issues

Blood Tests

Identify nutritional deficiencies, autoimmune markers

Zinc, B12, Vitamin D, inflammatory markers

Allergy Testing

Identify allergic triggers

Allergen sensitivities affecting nasal passages

Treatment Options

Pathways to Relief

1

Olfactory Training

Stimulate olfactory nerve regeneration

  • Sniff strong odors twice daily
  • May improve recovery
  • Evidence-based therapy
2

Sinus Treatment

Address chronic sinusitis and inflammation

  • Reduces obstruction
  • Restores airflow
  • Treats underlying cause
3

Nutritional Support

Address deficiencies affecting smell

  • Zinc supplementation
  • Vitamin support
  • Optimizes nerve function
4

Nasal Irrigation

Clear nasal passages and reduce inflammation

  • Saline rinses
  • Reduces congestion
  • Improves airflow

Our Approach vs. Conventional Care

Conventional Approach

  • Often tells patients there's nothing that can be done
  • Doesn't identify treatable causes
  • No smell training offered

Our Integrative Approach

  • Identifies surgical candidates
  • Provides smell training
  • Maximizes recovery chances

Expected Healing Timeline

Phase 1: Assessment

Week 1

History, endoscopy, and testing to identify cause

Phase 2: Treatment

Weeks 1-8

Medication, surgery if needed, and smell training to begin recovery

Phase 3: Recovery

Months 2-12

Continue smell training and monitor progress for maximum recovery

At-Home Recovery Tips

1

Sniff strong odors (lemon, rose, clove, eucalyptus) twice daily to stimulate olfactory neuron regeneration

2

Regular nasal irrigation to keep passages clear and improve nasal airflow

3

No smoking and limit exposure to strong chemicals to prevent further damage

Frequently Asked Questions

Common Questions Answered

Restore Your Sense of Smell

Don't let anosmia diminish your quality of life. Our ENT specialists can identify the cause and maximize your chances of recovery.

Book Your Evaluation