A stuffy nose from a cold is a common cause for a partial, brief loss of smell. A polyp or swelling inside the nose can lead to a loss of smell. Aging can cause a loss of smell, especially after age 60.
What is smell?
The nose and an area in the upper throat have special cells, called receptors, that discern odors. These receptors send a message to the brain about each smell. The brain then figures out what the smell is.
Any problem along the way can affect the sense of smell. Problems can include a stuffy nose; something that blocks the nose; swelling, called inflammation; nerve damage; or an issue with how the brain works.
Problems with the inner lining of the nose
Conditions that cause congestion or other issues inside the nose may include:
- Acute sinusitis
- Chronic sinusitis
- Common cold
- Coronavirus disease 2019 (COVID-19)
- Hay fever (allergic rhinitis)
- Influenza (flu)
- Nonallergic rhinitis
- Smoking
Blockages in the inside of the nose, called the nasal passages
Conditions that block the flow of air through the nose can include:
Damage to your brain or nerves
The following can cause damage to the nerves to the area of the brain that picks up smells or to the brain itself to:
- Aging
- Alzheimer's disease
- Being around toxic chemicals, such as those used in solvents
- Brain aneurysm
- Brain surgery
- Brain tumor
- Diabetes
- Huntington's disease
- Hypothyroidism (underactive thyroid)
- Kallmann's syndrome (a rare genetic condition)
- Korsakoff's psychosis, a brain condition caused by the lack of vitamin B-1, also called thiamin
- Lewy body dementia
- Medicines, such as some for high blood pressure, some antibiotics and antihistamines, and some nasal sprays
- Multiple sclerosis
- Parkinson's disease
- Poor nutrition, such as too little zinc or vitamin B-12 in the diet
- Pseudotumor cerebri (idiopathic intracranial hypertension)
- Radiation therapy
- Rhinoplasty
- Traumatic brain injury