What are the causes?

There are several medical conditions and medications associated with a loss of smell. The possible causes include:

  • a viral infection affecting the upper respiratory tract , such as a cold
  • persistent (chronic) sinusitis , with or without nasal polyps
  • a nose abnormality , such as a crooked nose or a nasal septum (wall dividing the nostrils) that isn't straight
  • hay fever (rhinitis) that causes severe inflammation of the nasal passages
  • certain medication , including antibiotics such as metronidazole
  • recreational drug use such as cocaine or amphetamines
  • diabetes
  • long-term alcohol misuse
  • an underactive thyroid
  • Cushing's syndrome (high levels of the hormone cortisol in the blood)
  • exposure to a chemical that burns the inside of the nose
  • a head injury
  • a brain tumour
  • radiotherapy to the head and neck
  • epilepsy
  • Parkinson's disease
  • Alzheimer's disease
  • stroke
  • liver or kidney disease
  • vitamin B12 deficiency
  • schizophrenia
  • granulomatosis with polyangiitis an uncommon disorder of the blood vessels
  • sarcoidosis a rare disease that causes body cells to form into clumps

In general, anosmia is usually caused by either a problem with odours getting to the top of the nose (because of swelling or a blockage in the nose) or a problem with nerve signals from the nose to the brain.

However, in around 20% of cases, the cause can't be found. This is known as idiopathic anosmia.

Congenital anosmia

An estimated 6,000 people in the UK are born without a sense of smell because of a genetic condition or faulty gene. This is known as congenital anosmia.

It can occur alone (isolated congenital anosmia) or it can be a symptom of another genetic condition, such as Kallmann syndrome or Klinefelter syndrome .

Content supplied by the NHS Website

Medically Reviewed by a doctor on 21 Dec 2018