Loss of Smell Treatment in Singapore

Loss of smell, medically known as anosmia, can impact daily life—from affecting the ability to enjoy food to potentially missing important warning signs like smoke or gas leaks. Whether smell loss occurred suddenly or developed gradually, understanding the underlying cause is essential for determining an appropriate treatment approach. Regaining the sense of smell may help improve the quality of life. Our ENT Specialist provides evaluation and treatment options for various smell disorders.

*Individual results and timelines may vary.*

doctor img
Dr Gan Eng Cern

MBBS

MRCS (Edin)

mmed (orl)

FAMS

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What is Loss of Smell?

Loss of smell, or anosmia, refers to the partial or complete inability to perceive odours. This condition affects the olfactory system—the sensory system responsible for detecting and processing smells. Some people experience hyposmia (reduced smell sensitivity), whilst others may have complete anosmia, where no odours can be detected. The condition can be temporary or permanent, depending on its underlying cause and the timing of treatment.

Types of Loss of Smell

Complete Anosmia

Complete anosmia involves the total inability to detect any odours. Patients with this condition cannot smell anything, regardless of the strength or type of odour presented. This type may result from damage to the olfactory nerves or nasal obstruction.

Partial Anosmia (Hyposmia)

Hyposmia is a reduced ability to smell, in which patients can detect some odours but with diminished sensitivity. Strong scents may be barely perceptible, and subtle fragrances often go unnoticed entirely. This is a form of smell dysfunction.

Specific Anosmia

Some individuals cannot detect certain specific odours while maintaining normal sensitivity to others. This selective smell loss may be genetic and may go unnoticed unless the person is tested for that particular scent.

Parosmia

Parosmia involves distorted smell perception where familiar odours smell different or unpleasant. Coffee might smell like burnt rubber, or favourite foods may have an offensive odour. This condition may occur during recovery from viral infections or head injuries.

Phantosmia

Phantosmia causes people to smell odours that aren’t actually present. These phantom smells can range from pleasant to foul and may be constant or intermittent.

Causes & Risk Factors

Causes

  • Upper respiratory infections (common cause)
  • Chronic sinusitis and nasal polyps blocking smell receptors
  • COVID-19 infection
  • Head trauma damaging olfactory nerves
  • Age-related degeneration of smell receptors
  • Exposure to toxic chemicals or pollutants
  • Certain medications (antibiotics, blood pressure drugs, chemotherapy)
  • Nasal structural abnormalities or deviated septum

Risk Factors

  • Advanced age
  • History of chronic sinus problems
  • Smoking or exposure to secondhand smoke
  • Working in industries with chemical exposure
  • Previous head injuries or facial trauma
  • Diabetes and other metabolic disorders
  • Neurodegenerative conditions (Parkinson’s, Alzheimer’s)
  • Previous nasal surgeries or radiation therapy

Signs & Symptoms

Mild Symptoms

  • Difficulty distinguishing between similar scents
  • Need for stronger seasonings in food
  • Reduced enjoyment of meals
  • Occasional inability to smell subtle fragrances
  • Delayed detection of odours others notice

Moderate Symptoms

  • Reduction in smell sensitivity
  • Inability to detect common household odours
  • Loss of taste for many foods (since smell affects taste)
  • Difficulty detecting spoiled food
  • Concerns about body odour or home cleanliness
  • Changes in appetite or food preferences

Severe Symptoms

  • Complete inability to smell any odours
  • Total loss of food enjoyment
  • Depression or anxiety related to smell loss
  • Weight loss due to reduced appetite
  • Inability to detect dangerous odours (gas, smoke, chemicals)
  • Social isolation and reduced quality of life

Smell loss onset varies by cause. Viral infections may cause a sudden onset, whilst age-related decline occurs gradually over the years. Post-traumatic anosmia typically appears after injury.

Experiencing these symptoms?

Consult with an ENT specialist for assessment and treatment options.

Human head sinus structure

When To See an ENT Specialist

Seek immediate medical attention if you experience sudden smell loss with other neurological symptoms, such as confusion, vision changes, or severe headaches, as these may indicate a serious condition. Schedule a consultation if your smell loss persists for more than two weeks after a cold, gradually worsens, or significantly impacts your daily life and eating habits. Early evaluation is particularly important if you’ve recently had head trauma or notice smell distortions rather than simple loss.

During your first consultation, an ENT specialist may conduct a detailed medical history review, physical examination of your nose and sinuses, and may perform specific smell tests. Early intervention may help improve treatment outcomes, particularly for smell loss caused by inflammation or infection.

Diagnosis & Testing Methods

Clinical History and Physical Examination

Your ENT specialist may review your medical history, including the timing of onset, associated symptoms, medications, and prior illnesses. A thorough examination of your nasal passages using an otoscope helps identify visible obstructions or inflammation.

Nasal endoscopy

This procedure uses a thin, flexible tube with a camera to examine deep nasal structures and sinuses. The endoscope may reveal polyps, inflammation, structural abnormalities, or tumours that might affect smell. The procedure is typically brief and requires no special preparation.

Smell Identification Tests

Standardised smell tests present various odours at different concentrations to assess your smell threshold and identification ability. These tests can help quantify the severity of smell loss and monitor treatment progress.

Imaging Studies

CT scans provide detailed images of sinuses and nasal structures, potentially revealing blockages, polyps, or bone abnormalities. MRI scans may be ordered to evaluate the olfactory bulbs and other brain structures if neurological causes are suspected.

Blood Tests

Laboratory tests can identify systemic conditions affecting smell, including thyroid disorders, vitamin deficiencies, or diabetes. These tests require simple blood draws.

Treatment Options Overview

Nasal Corticosteroid Sprays

Nasal corticosteroid sprays can help reduce inflammation in the nasal passages and sinuses, particularly in cases of smell loss due to chronic sinusitis or allergic rhinitis. These medications may help decrease swelling that blocks odour molecules from reaching smell receptors. Regular use as prescribed is essential for potential effectiveness.

Oral Corticosteroid

Short courses of oral steroids may be prescribed for severe nasal inflammation or when nasal sprays are insufficient. These systemic medications provide anti-inflammatory effects throughout the nasal and sinus tissues. Oral steroids may help improve smell function when inflammation is the primary cause.

Antibiotics

Bacterial sinus infections contributing to smell loss may require appropriate antibiotic therapy. The specific antibiotic chosen depends on culture results and suspected pathogens. Improvement in smell may occur as the infection clears and inflammation subsides.

Smell Training Therapy

Olfactory training involves repeated exposure to specific scents to help regenerate smell pathways and improve detection abilities. Patients smell different essential oils twice daily over an extended period. This approach shows promise for post-viral smell loss. The therapy requires patience and consistency and has minimal side effects.

Endoscopic Sinus Surgery

When nasal polyps, chronic sinusitis, or structural abnormalities cause smell loss, endoscopic surgery may help restore olfactory function. The procedure aims to remove obstructions and improve sinus drainage whilst preserving smell-related structures. Surgery is performed under general anaesthesia, with recovery time varying by individual. Smell improvement may be noticed following recovery.

Polyp Removal

Nasal polyps directly blocking smell receptors may require removal for potential smell restoration. Modern endoscopic techniques allow polyp removal while preserving surrounding tissues. The procedure may be combined with sinus surgery for comprehensive treatment. Post-operative medical therapy can help prevent polyp recurrence and maintain smell function.

Every patient’s condition is unique.

Our ENT Specialist can assess your specific situation and recommend the most suitable treatment.

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Complications if Left Untreated

Untreated smell loss can impact physical and mental health beyond the sensory deficit. Nutritional deficiencies may develop as patients lose interest in eating or are unable to detect spoiled food, which may lead to foodborne illness. The inability to smell smoke, gas leaks, or chemical dangers poses safety risks.

Psychological effects can include depression, anxiety, and social isolation, as smell plays a role in memory, emotion, and social interactions. Patients may report decreased quality of life and strained relationships due to their inability to share sensory experiences. Professional evaluation can identify treatable causes and may help prevent these complications while potentially supporting smell function before permanent damage occurs.

Prevention

While not all causes of smell loss are preventable, several strategies may help reduce your risk. Protect your nose from trauma by wearing appropriate safety equipment during sports and work activities. Manage chronic sinus conditions promptly with medical treatment to help prevent long-term damage to smell receptors.

Avoid smoking and minimise exposure to toxic chemicals, pollutants, and irritants that can damage olfactory nerves. Practise good hygiene to reduce the risk of upper respiratory infections, including regular handwashing and avoiding close contact with sick individuals. Maintain overall health through proper nutrition, regular exercise, and the management of conditions such as diabetes that can affect smell. If you work with chemicals, allow adequate ventilation and consistently use protective equipment.

For Singaporeans & Singapore Permanent Residents

Medisave & Insurance Shield Plan approved

Your ENT procedure may be eligible for Medisave claims, with the claimable amount varying based on the procedure’s complexity. For additional options, including the use of your insurance or Integrated Shield Plan, reach out to our friendly clinic staff today for assistance.

Frequently Asked Questions (FAQ)

Can COVID-19-related smell loss be permanent?

COVID-19 patients may recover their sense of smell, though recovery timelines vary. Smell training and nasal steroids may support recovery in some cases. An ENT specialist can assess your specific case and recommend appropriate treatment options. While some patients experience prolonged smell dysfunction, complete permanent loss is less common. Regular monitoring and treatment may help support recovery.

How long does it take for smell to return after sinus surgery?

Smell recovery after sinus surgery varies among patients. Some may notice improvement within weeks, while others require several months. Initial post-operative swelling may temporarily affect smell, but this typically resolves as healing progresses. Improvement often occurs as tissues heal and inflammation subsides. Compliance with post-operative care, including nasal rinses and medications, may influence recovery.

Is smell training effective for anosmia?

Clinical evidence supports smell training as a treatment option, particularly for post-viral and post-traumatic smell loss. The therapy aims to promote neuroplasticity and potentially support olfactory neuron function. Success depends on starting early, maintaining consistency, and having realistic expectations about gradual improvement rather than sudden recovery.

Can medications cause permanent smell loss?

Certain medications can affect smell function, and medication-induced smell loss may be reversible upon discontinuation in some cases. Common medications that may affect smell include certain antibiotics, blood pressure medications, and chemotherapy drugs. The duration and reversibility depend on the specific medication, dosage, and length of use. An ENT specialist can review your medications and work with your prescribing physician to explore alternatives if medication-related smell loss is suspected.

Will my taste return when my smell improves?

Since smell contributes to flavour perception, smell recovery may improve taste enjoyment. True taste (sweet, salty, sour, bitter, umami) usually remains intact during smell loss, but food may seem bland without aroma input. As smell function returns, patients may report improvement in food enjoyment and appetite. The recovery timeline for taste perception generally follows the pattern of smell improvement.

What’s the difference between age-related smell loss and other causes?

Age-related smell decline occurs gradually over years, commonly affecting older adults, affecting smell sensitivity rather than causing complete loss. Other causes, like infections, trauma, or polyps, may cause more sudden or severe changes. Age-related changes result from the natural degeneration of olfactory neurons and cannot be reversed, though progression may be managed. Distinguishing between age-related and treatable causes requires professional evaluation to determine appropriate intervention options.

Conclusion

Loss of smell can impact quality of life, affecting food enjoyment and personal safety. Understanding the various causes and available treatment options may help you seek appropriate care rather than accepting smell loss as permanent. Modern diagnostic techniques allow identification of underlying causes, while evidence-based treatments may offer hope for recovery in some cases. Whether your smell loss resulted from infection, injury, or structural problems, professional evaluation provides the foundation for treatment planning.

Take the First Step Towards Better Health

Living with smell loss can be challenging, but you don’t have to face it alone. Our ENT Specialist has experience diagnosing and treating anosmia using evidence-based approaches.

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ENT Specialist in Singapore | Dr Gan Eng Cern

Dr Gan Eng Cern

MBBS

MRCS (Edin)

mmed (orl)

FAMS

With over 15 years of experience, Dr Gan specialises in the comprehensive management of a broad range of conditions related to the ear, nose and throat (ENT), and head and neck.

Dr. Gan has contributed to the academic field as a Senior Clinical Lecturer at the Yong Loo Lin School of Medicine, National University of Singapore. He is recognised for his extensive research work, with numerous contributions to reputable international ENT journals. Dr Gan is also highly sought after as a speaker and has shared his surgical knowledge as a surgical dissection teacher at various prominent ENT conferences and courses.

  • 2020 – Reader’s Choice Gold Award for Best ENT Specialist (Expat Living Singapore)
  • 2016 – Best Educator Award (Eastern Health Alliance)
  • 2016 – “Wow” Award (Patient Compliment)
  • 2014 – Eastern Health Alliance Caring Award – Silver
  • 2014 – 19th Yahya Cohen Memorial Lectureship (awarded by the College of Surgeons, Academy of Medicine Singapore for best scientific surgical paper)
  • 2012 – Human Manpower Development Award (Ministry of Health, Singapore)
  • 2007 – Singhealth Best Doctor Award

Qualifications

  • MBBS – Bachelor of Science, Bachelor of Medicine, Bachelor of Surgery (University of New South Wales, Sydney, Australia)
  • MRCS (Edin) – Member of the Royal College of Surgeons Edinburgh, United Kingdom
  • MMed (ORL) – Master of Medicine in ENT (National University of Singapore)
  • FAMS – Fellow of the Academy of Medicine Singapore
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    A Specialist Clinic for Sinus, Snoring & ENT

    38 Irrawaddy Road #08-45
    Mount Elizabeth Novena Hospital
    Singapore 329563

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