[40M] Experiencing diminished taste and smell

Patient Description

A 40-year-old male reports a gradual decrease in taste over the past six months, describing it as extremely diminished. The patient also notes a reduced sense of smell. There are no other new symptoms, and no recent exposure to toxins or chemicals. The patient has a medical history of diabetes, diagnosed two years ago, and rheumatoid arthritis, diagnosed three months ago. Current medications include pantoprazole, fluticasone nasal spray, atenolol, metformin er, tradjenta, fexofenadine, valsartan/hctz, and sulfasalazine. There are no known drug allergies. The patient has not experienced any recent changes in weight, and there are no issues with speaking or swallowing.

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Arora's Assessment

What might be happening

Based on your symptoms and medical history, here are some possible explanations:

  • Ageusia: This is a condition that causes a loss of taste functions of the tongue, particularly the inability to detect sweetness, sourness, bitterness, saltiness, and umami (a taste for savory foods). It can be caused by a variety of factors, including certain medications, diabetes, and aging.

  • Side effects of medication: Some of the medications you're taking, such as metformin for diabetes, can cause changes in taste as a side effect.

  • COVID-19: Although you didn't mention having any other symptoms commonly associated with COVID-19, such as fever or cough, some people with the virus have reported a loss of taste and smell.

  • Sinus issues: Problems with the sinuses, such as a chronic sinus infection, can cause a loss of taste and smell.

  • Neurological conditions: Certain neurological conditions, such as Parkinson's disease or Alzheimer's disease, can cause a loss of taste and smell.

What you can do

Here are some steps you can take:

  1. Schedule an appointment with your doctor: They can help determine the cause of your loss of taste and recommend appropriate treatment.

  2. Keep a symptom diary: Note when your loss of taste occurs, what foods you're eating, and any other symptoms you experience. This can help your doctor in their evaluation.

  3. Maintain good oral hygiene: Regular brushing and flossing can help prevent conditions that might affect your sense of taste.

  4. Stay hydrated and eat a balanced diet: This can help ensure your body is getting the nutrients it needs and may help improve your sense of taste.

What you should look out for

Contact your doctor immediately if you experience any of the following:

  • A sudden loss of taste or smell
  • Difficulty swallowing or speaking
  • A persistent or high fever
  • A severe headache or neck stiffness
  • Any other severe or concerning symptoms

Remember, this advice is intended to be general in nature, and specific causes may not apply to your personal circumstances. Always consult with a healthcare provider for appropriate examination, testing, and care.

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1 yr ago

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People Also Ask


Can diabetes affect my sense of taste and smell?

Yes, diabetes can affect your sense of taste and smell. High blood sugar levels can lead to nerve damage, which may impact your sensory perception, including taste and smell.


Could my medications be causing a loss of taste?

Yes, some medications, including those for diabetes like metformin, can have side effects that include changes in taste. It's important to discuss any side effects with your doctor.


Is it possible to lose taste and smell without having COVID-19?

Yes, it is possible to lose taste and smell due to other factors such as sinus infections, certain medications, or neurological conditions, even if you don't have COVID-19.


What are some common causes of a reduced sense of taste and smell?

Common causes of a reduced sense of taste and smell include aging, certain medications, sinus infections, neurological conditions, and sometimes systemic diseases like diabetes.


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