Can you lose smell with sinus infection

A stuffy nose from a cold is a common cause for a partial, temporary loss of smell. A blockage in the nasal passages caused by a polyp or a nasal fracture also is a common cause. Normal aging can cause a loss of smell too, particularly after age 60.

What is smell?

Your nose and an area in the upper throat have special cells that contain odor receptors. When these receptors detect smells, they send a message to the brain. The brain then identifies the specific smell.

Any problem in this process — a stuffy nose, a blockage, inflammation, nerve damage or a brain function condition — can affect your ability to smell normally.

Problems with the inner lining of your nose

Conditions that cause temporary irritation or congestion inside your nose may include:

  1. Acute sinusitis (nasal and sinus infection)
  2. Chronic sinusitis
  3. Common cold
  4. Coronavirus disease 2019 (COVID-19)
  5. Hay fever (allergic rhinitis)
  6. Influenza (flu)
  7. Nonallergic rhinitis (chronic congestion or sneezing not related to allergies)
  8. Smoking

Obstructions of your nasal passages

Conditions or obstructions that block the flow of air through your nose can include:

  1. Deviated septum
  2. Nasal polyps
  3. Tumors

Damage to your brain or nerves

Nerves leading to the area of the brain that detects smell or the brain itself can be damaged or deteriorate due to:

  1. Aging
  2. Alzheimer's disease
  3. Brain aneurysm
  4. Brain surgery
  5. Brain tumor
  6. Diabetes
  7. Exposure to chemicals in certain insecticides or solvents
  8. Huntington's disease
  9. Kallmann's syndrome (a rare genetic condition)
  10. Klinefelter syndrome (a rare condition in which males have an extra X chromosome in most of their cells)
  11. Korsakoff's psychosis (a brain disorder caused by the lack of thiamin)
  12. Lewy body dementia
  13. Medications (for example, some high blood pressure medications, antibiotics and antihistamines)
  14. Multiple sclerosis
  15. Niemann-Pick (Pick's disease, a form of dementia)
  16. Paget's disease of bone (a disease that affects your bones, sometimes facial ones)
  17. Parkinson's disease
  18. Poor nutrition
  19. Radiation therapy
  20. Rhinoplasty
  21. Schizophrenia
  22. Sjogren's syndrome (an inflammatory disease that generally causes dry mouth and eyes)
  23. Traumatic brain injury
  24. Zinc-containing nasal sprays (taken off the market in 2009)
  25. Zinc deficiency

Causes shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis.

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July 31, 2021

  1. Ropper AH, et al. Disorders of smell and taste. In: Adams and Victor's Principles of Neurology. 11th ed. McGraw-Hill Education; 2019. https://accessmedicine.mhmedical.com. Accessed Oct. 17, 2019.
  2. Smell disorders. National Institute on Deafness and Other Communication Disorders. https://www.nidcd.nih.gov/health/smell-disorders. Accessed Oct. 16, 2019.
  3. Lalwani AK, ed. Olfactory dysfunction. In Current Diagnosis & Treatment: Otolaryngology—Head and Neck Surgery. 5th ed. McGraw-Hill Education; 2012. https://accessmedicine.mhmedical.com. Accessed Oct. 16, 2019.
  4. Lafreniere D, et al. Taste and olfactory disorders in adults: Anatomy and etiology. https://www.uptodate.com/contents/search. Accessed July 14, 2021.
  5. Anosmia. Merck Manual Professional Version. https://www.merckmanuals.com/professional/ear,-nose,-and-throat-disorders/approach-to-the-patient-with-nasal-and-pharyngeal-symptoms/anosmia. Accessed Oct. 16, 2019.
  6. Kuehn BM. Zicam update. JAMA. 2010; doi: 10.1001/jama.2010.457.
  7. Flint PW, et al., eds. Physiology of olfaction. In: Cummings Otolaryngology: Head and Neck Surgery. 6th ed. Saunders Elsevier; 2015. https://www.clinicalkey.com. Accessed Oct. 17, 2019.

See also

  1. COVID-19 and vitamin D
  2. Chronic sinusitis
  3. Coronavirus disease 2019 (COVID-19)
  4. COVID-19: How can I protect myself?
  5. Herd immunity and coronavirus
  6. COVID-19 and pets
  7. COVID-19 and your mental health
  8. COVID-19, cold, allergies and the flu
  9. COVID-19 drugs: Are there any that work?
  10. Long-term effects of COVID-19
  11. COVID-19 in babies and children
  12. Coronavirus infection by race
  13. COVID-19 travel advice
  14. COVID-19 vaccines for kids: What you need to know
  15. COVID-19 vaccines
  16. COVID-19 variant
  17. COVID-19 vs. flu: Similarities and differences
  18. COVID-19: Who's at higher risk of serious symptoms?
  19. Debunking coronavirus myths
  20. Different COVID-19 vaccines
  21. Fight coronavirus (COVID-19) transmission at home
  22. How do COVID-19 antibody tests differ from diagnostic tests?
  23. How well do face masks protect against COVID-19?
  24. Loss of taste and smell
  25. Mayo Clinic Minute: You're washing your hands all wrong
  26. Mayo Clinic Minute: How dirty are common surfaces?
  27. Nasal polyps
  28. Pregnancy and COVID-19
  29. Safe outdoor activities during the COVID-19 pandemic
  30. Safety tips for attending school during COVID-19
  31. Sex and COVID-19
  32. Treating COVID-19 at home
  33. Unusual symptoms of coronavirus

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How do I get my smell back from a sinus infection?

Your sense of smell may go back to normal in a few weeks or months. Treating the cause might help. For example, steroid nasal sprays or drops might help if you have sinusitis or nasal polyps. A treatment called "smell training" can also help some people.

How long does loss of smell from sinusitis last?

Even with a full recovery from the acute nasal stuffiness that accompanies a cold or sinus infection, for some, a change in taste can last months. For an unfortunate few it can last years or even for the rest of their lives. It's called anosmia.

Can sinus infection cause smell and taste loss?

Sinus infections lead to inflammation in the nose and therefore nasal stuffiness. Many sinus infections cause either full or partial loss of smell and taste. Sinus infections are typically treated with OTC pain medications and prescription antibiotics.

How do I know if I have Covid or a sinus infection?

In comparison to sinusitis, COVID-19 is more likely to cause lung-related symptoms, especially cough, difficulty breathing, and chest pain. It's also more likely to cause a fever. In addition, loss of taste or smell is more likely to go along with COVID-19.