Smelling things that aren't there (phantosmia) (2024)

Smelling things that aren't there is called phantosmia. It can be unpleasant and affect how things taste. But it isn't usually serious and may go away by itself in a few weeks or months. See your GP if the strange smell doesn't go away in a few weeks.

Causes of phantosmia

Phantosmia is usually caused by an infection such as:

  • acold
  • flu
  • sinusitis (sinus infection)

Less common causes include:

  • growths in your nose(nasal polyps)
  • migraines
  • epilepsy
  • mental health problems likedepression
  • ahead injury

Cleaning inside your nose can help

Rinsing the inside of your nose with a salt water solution may help in the meantime to stop the strange smell.

You can make a salt water solution at home.

How to clean your nose with a salt water solution

  • boil a pint of water then leave it to cool
  • mix a teaspoon of salt and a teaspoon of bicarbonate of soda into the water
  • wash your hands
  • stand over a sink, cup the palm of one hand and pour a small amount of the solution into it
  • sniff some of the solution up one nostril at a time and let it run out of your nose- it might help to hold your other nostril closed with your finger as you sniff
  • repeat these steps a few times to see if it helps

You don't need to use all of the solution. Make a fresh solution each day, don't re-use any left over from the day before.

Some pharmacies sell sachets you can use to make a salt water solution and devices to help you rinse your nose.

When to see your GP

You should see your GP if the strange smell doesn't go away in a few weeks.

Your GP may refer you to a hospital specialist for tests to find out the cause.

Treatment for phantosmia

Treatment for phantosmia will depend on the cause. Treating the cause of your phantosmia may help get rid of it.

Sometimes it might go away on its own, but it can be permanent.

More useful links

  • How to use your health services

The information on this page has been adapted from original content from the NHS website.

For further information seeterms and conditions.

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Smelling things that aren't there (phantosmia) (2024)

FAQs

Smelling things that aren't there (phantosmia)? ›

Phantosmia refers to detecting smells that aren't really there. It's a symptom of many common conditions, including allergies, colds and upper respiratory infections. It could also indicate a brain-related condition, including epilepsy, stroke or Alzheimer's disease.

What is it when you smell smells that aren't there? ›

An olfactory hallucination (phantosmia) makes you detect smells that aren't really there in your environment. The odors you notice in phantosmia are different from person to person and may be foul or pleasant. You may notice the smells in one or both nostrils.

How do you solve phantosmia? ›

If symptoms persist for more than a few days, doctors may first recommend simple treatments, such as using a saline solution to rinse out mucus from the nasal passages. Certain drugs may help people with long lasting phantosmia control their symptoms: anesthetic to numb the nerve cells. steroid creams or sprays.

What is the difference between phantosmia and Parosmia? ›

Unlike parosmia, in which your nose is still able to smell something, phantosmia is when your smell receptors “hallucinate” and detect odors that aren't there. The smells may range from good to unpleasant. Phantosmia isn't constant; it can come and go.

What is dysosmia phantosmia? ›

'Dysosmia' is an altered perception of smell and includes 'cacosmia' (the altered perception of a present stimulus) and 'phantosmia' (an odor perception without stimulus).

When should I be concerned about phantom smells? ›

It's a symptom of many common conditions, including allergies, colds and upper respiratory infections. It could also indicate a brain-related condition, including epilepsy, stroke or Alzheimer's disease. If you have phantom smells that last longer than a few weeks, schedule an appointment with your healthcare provider.

Can brain tumors cause phantom smells? ›

a brain tumour in the temporal lobe could lead to sensations of strange smells (as well as other symptoms, such as, difficulty with hearing, speaking and memory loss)

What do you smell before a stroke? ›

There is no evidence to suggest that smelling burnt toast may indicate a heart attack or a stroke, although people have anecdotally linked the conditions to the phantom odor. Phantosmia, which involves smelling phantom smells such as burnt toast, may indicate an underlying medical condition.

Is phantosmia caused by anxiety? ›

Researchers suggest that a “miswiring” of the brain causes phantom smells in people with anxiety.

How long does phantosmia usually last? ›

Smelling things that aren't there is called phantosmia. It can be unpleasant and affect how things taste. But it isn't usually serious and may go away by itself in a few weeks or months. See your GP if the strange smell doesn't go away in a few weeks.

Why am I smelling a chemical smell? ›

If you have phantosmia, the odors can vary from smells that almost make you sick to really pleasant scents. But most people with phantosmia tend to detect bad smells. The odors have been described as “burned," "foul," "rotten," "sewage," or "chemical." You may be smelling it from one or both of your nostrils.

What is meant by cacosmia? ›

Definition. A hallucination of an unpleasant odor. [ from NCI]

What neurological conditions cause parosmia? ›

Several studies evaluated the possible association of the parosmia with epilepsy, traumatic brain injury (TBI), and multiple sclerosis (MS).
  • Epilepsy. The temporal lobe plays an important role in the olfactory system. ...
  • Traumatic Brain Injury. ...
  • Multiple Sclerosis. ...
  • Parkinson's Disease.
Nov 9, 2020

What is hyperosmia? ›

Hyperosmia is an overwhelming sensitivity to smells. There are many reasons behind this change in smell. Some include genetics, hormone changes, and migraines. ‌If you have hyperosmia, your taste may also be affected.

Can vitamin deficiency cause phantom smell? ›

While vitamin or mineral deficiencies can cause an altered sense of smell, this would be unlikely unless you follow a restricted diet or have an intestinal problem that impairs the absorption of nutrients. Here are some other causes of altered smell: COVID-19 or a cold or sinus infection.

What is the cause of Troposmia? ›

Causes of parosmia (troposmia) and phantosmia

This disorder sometimes follows damage to the olfactory neuroepithelium due to URI or head trauma, or it may be associated with aging. It can also be secondary to temporal lobe tumors or seizures.

Can anxiety cause phantom smells? ›

Phantom Smells, such as odd, strong, acrid, metallic, blood-like, sour, ammonia-like, acidy, and repugnant smells, to name a few, are common anxiety disorder symptoms. Many anxious people report having phantom and odd smells as an anxiety symptom.

Why do I have a strange smell in my nose? ›

Several conditions may cause a bad smell in the nose, including sinusitis, tooth/ mouth infections, dry mouth, some medications, some foods/drinks, and olfactory damage. Typically, a bad smell in the nose is not life-threatening but can decrease the quality of life.

What does it mean when you smell someone's scent that isn't there spiritual? ›

if you suddenly smell a fragrance with no source, it's often considered a sign from a deceased loved one.

Can phantom smells be associated with heart disease? ›

However, phantosmia may occur in people with various cardiovascular health conditions. For example, one 2020 study found that adults in certain age groups who experienced congestive heart failure or angina were around three times more likely than the larger population to perceive phantom odors.

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