"Treating post-infectious smell loss in COVID-19 patients". Koyama S, et al. The smell of trigger foods was otherworldly: somewhere between the smell of death and sewage. You can learn more about how we ensure our content is accurate and current by reading our. Parosmia is a type of smell disorder in which odors become distorted. Theres also an increased risk of not noticing hazards at home, like not being able to smell burning food, smoke, or gas. It has been linked to viral infections and usually begins after the patient appears to have recovered from the infection. DOI: 10.1093/chemse/bjaa081. Studies have found that these drugs may ease symptoms: If the drugs dont work, you might have surgery to remove the damaged sensory receptors (olfactory mucosa) in your nasal cavity. Successful treatment of PTSD varies from cognitive behavior [], Dr. Asim Khan People who experience anosmia through COVID have their sense of smell knocked out for a temporary amount of time, but the sensory neurons are still intact. Find out which conditions may cause this symptom and how to talk to your doctor. (2021). (2021). Delayed parosmia following SARS-CoV-2 infection: A rare late complication of COVID-19. Retrieved on April 18, 2023 from https://www.news-medical.net/news/20210118/Treating-post-infectious-smell-loss-in-COVID-19-patients.aspx. Recent smell loss is the best predictor of COVID-19 among individuals with recent respiratory symptoms. More than just smell - COVID-19 is associated with severe impairment of smell, taste, and chemesthesis. (2020). WebA woman from Ohio lost her senses of taste and smell after catching COVID in January 2021. Ma la nostra attivit principale rimane sempre la consulenza. Eight months on and she has a long list of safe foods that she tries to stick to, such as cheese. Our website services, content, and products are for informational purposes only. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); Queen Creek document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. These include: Some common scents used for smell training are essential oils of: You can also choose your own scents from around the house. Nasal obstructions, such as polyps or tumors, may need to be removed. Nicole Leigh Aaronson, MD, MBA, CPE, FACS, FAAP, four different types of odors up to 15 seconds, jamanetwork.com/journals/jamaotolaryngology/fullarticle/648666, onlinelibrary.wiley.com/doi/10.1002/lary.26606, sciencedirect.com/science/article/pii/B9781416036180100074?via%3Dihub, ncbi.nlm.nih.gov/pmc/articles/PMC7998087/, onlinelibrary.wiley.com/doi/10.1002/lary.29277, pmj.bmj.com/content/early/2021/03/31/postgradmedj-2021-139855, frontiersin.org/articles/10.3389/fneur.2014.00005/full, health.harvard.edu/diseases-and-conditions/smell-training-can-help-fix-distortions-caused-by-viruses, This Is What Its Like to Live Without Your Sense of Smell. It has been linked to viral infections and usually begins after the patient appears to have recovered from the infection. Its possible that infection with the coronavirus damages the receptors and nerves involved with our sense of smell. on this website is designed to support, not to replace the relationship
We believe smell training stimulates the turnover of ORNs with evidence on previous studies of enlargement of the smell pathways by measurement of the olfactory bulbs. Please use one of the following formats to cite this article in your essay, paper or report: Henderson, Emily. And while people with smell disorders like parosmia often regain their sense of smell on their own, there are a few steps you can take to speed up your recovery process. A numbing procedure usually used to treat pain and post-traumatic stress disorder is being tested as a way to restore smell and taste in people with long Covid. WebI believe that articles this girl read about COVID-related parosmia are outdated at best, and that the research has yet to catch up to a lot of peoples realities. The virus that causes COVID-19 seems to have a predilection for infecting the cells that live near the smell nerves and subsequently causing secondary injury or even the death of smell nerves, said Dr. Ahmad Sedaghat, an otolaryngologist at the University of Cincinnati College of Medicine. She received treatment in December 2022 and finally started to regain her ability to taste and smell. Theres no standard test for the condition. Learn about hyperosmia, a heightened sense of smell, and its causes. Generally speaking, parosmia can go away with time. Insurance This happens more often in older adults. Theres no treatment for parosmia that happens because of a viral infection like COVID-19 or a head injury. Lechner M, Liu J, Counsell N, et al. According to experts, parosmia may occur if COVID-19 damages olfactory receptors in the nose or affects the parts of the brain necessary for the sense of smell. According to some, the COVID smell was foul, rancid, or similar to rotting flesh.. Advanced Clinical Anatomy - Postgraduate Course, Graduate Certificate in Clinical Informatics and Digital Health, All states for online course , Queensland. Professor Philpott has specific expertise in the field of Rhinology and Olfactory and Gustatory Disorders and lectures at local, regional, national, and international venues on these subjects. DOI: 10.4193/Rhin20.251. One study says it happens to at least 25% of people who catch SARS-CoV-2, the coronavirus that causes COVID-19. They can include: A total loss of smell and taste are hallmark symptoms of COVID-19. Treatments for parosmia include: zinc vitamin A antibiotics More research and case studies are needed to prove these are more effective than placebo. Youll need a set of four scents. The author of the blog is contracted third-party writer. A well-functioning sense of smell is something most people take for granted, until its lost. Some reports have also linked COVID-19 infections to parosmia. Damaged nerves in your nose and nasal cavity can grow back, so your sense of smell may partially or fully return without treatment. Duyan M, et al. Parosmia is different because people who have it can detect an odor thats present but the scent smells wrong to them. 2023 Healthline Media LLC. Distorted odorant perception: Analysis of a series of 56 patients with parosmia. Image Credit: Saowanee K/Shutterstock.com. parosmia., Frontiers in Neurology: Parosmia and Neurological Disorders: A Neglected Association., BDJ in Practice: Prevalence and persistence of smell and taste dysfunction in COVID-19; how should dental practices apply diagnostic criteria?, Fifthsense.org.uk: Post-Viral Olfactory Loss., Acta Oto-Laryngologica: Euosmia: a rare form of parosmia.. Olfactory Loss of Function as a Possible Symptom of COVID-19. Brain trauma can also be caused by damage from a seizure, leading to parosmia. (2019). Claude Delsol, conteur magicien des mots et des objets, est un professionnel du spectacle vivant, un homme de paroles, un crateur, un concepteur dvnements, un conseiller artistique, un auteur, un partenaire, un citoyen du monde. Ongoing global data collection has shown that at 40 days from the onset of COVID-19, about 50% of people have fully recovered their sense of smell and it is estimated that about 10% of those infected fail to show any recovery. Because we recognise smells as mixtures of odour molecules, if some receptors arent working, the pattern recognition is affected, and this leads to a distorted signal, which more often is interpreted as unpleasant (troposmia), but can sometimes be a pleasant distortion (euosmia). Have you noticed that familiar things suddenly smell unpleasant? Brain Imaging Behav 2017; 11: 998-1005. If you think you may have parosmia, talk to your doctor. This procedure can improve breathing, snoring, and other complications. If youre recovering from a Covid-19 infection and have experienced symptoms of parosmia, you dont have to settle for smelling foul odors. COVID-19 has a variety of different symptoms. Parosmia is a term used to describe health conditions that distort your sense of smell. The statements on this blog are not intended to diagnose, treat, cure or prevent any disease. Unlike parosmia, in which your nose is still able to smell something, phantosmia is when your smell receptors hallucinate and detect odors that arent there. Our website services, content, and products are for informational purposes only. A 2016 review found that 86 percent of cancer patients reported changes in their sense of smell and taste while undergoing treatment. Anecdotal reports, based on clinical experience and reports in a patient support group for those with parosmia, suggest recovery typically occurs roughly 14-16 months after infection in patients with covid-19, although those with shorter duration may not seek out help or support. University of East Anglia provides funding as a member of The Conversation UK. DOI: 10.1001/jamaoto.2020.1589. Here's what you need to know about the causes, Federal regulators are considering the approval of the new drug toferson to treat a rare genetic form of ALS. Parosmia usually occurs after your scent-detecting neurons also called your olfactory senses have been damaged due to a virus or other health condition. Lewy body dementia and Huntingtons disease also cause difficulty in sensing smells properly. Book an appointment now | Call Now 480-986-7246. "It's what helps you enjoy food and sense danger, as in the case of smoke. However, it may take weeks or months to see an improvement. WebAlthough the mechanism is not completely clear, parosmia after COVID-19 is thought to be due to damage to the neuroepithelium (i.e., the stem cells that become neurons) and olfactory bulb (i.e., the nerves responsible for transmitting smell) through both viral injury and continuous inflammation. The neural mechanisms causing long-COVID fatigue. He has evaluated the latest evidence through the Cochrane ENT Group producing nine systematic reviews on nasal disorders including rhinosinusitis and rhinitis. For assistance with WJXTs or WCWJ's FCC public inspection file, call (904) 393-9801. There was no logic to it. Think of it as trying to rewire something in your house: It may take you a while to find the optimal connection again. Consequently, her diet is unhealthy, her mood is low and relationships are strained. It's Doty RL, et al. Segui @dovidea
But experts say they need more information and larger studies to better understand how the illness may affect smell and taste. Anche noi da una piccola idea siamo partiti e stiamo crescendo. More info. Very little is understood about the relationship between COVID-19 and parosmia. Key Takeaways. Webolfactory dysfunction after covid-19. One study involving 268 people with parosmia after COVID-19 found that 70.1 percent of them were age 30 or younger, and 73.5 percent were female. Now Offering Telemedicine! These changes are encouraging her on the road to recovery, even if progress is slow. . Parosmia, on the other hand, is slightly different. Which has been described as essentially practicing smelling concentrated odors to essentially stimulate your smell nerves, said Sedaghat. He leads a multi-center, multi-disciplinary team for research into chronic rhinosinusitis (CRS) worth 3.2 million over 7 years (2016-23), the largest NIHR Programme Grant budget to be funded to date. Lechner M, Counsell N, Liu J, et al. Theres no treatment for parosmia that happens because of a viral infection like COVID-19 or a head injury. Olfactory dysfunction in COVID-19: Diagnosis and management. Lechner M, Counsell N, Liu J, et al. In addition, the average onset for parosmia in people with COVID-19 Some types of distorted odors people with parosmia report include: If loss of smell and taste was one of your acute COVID-19 symptoms, you may be at increased risk of parosmia. Nel 2010 abbiamo festeggiatoil nostro decimo anno di attivit. Global data showed that affected people were also reporting true taste disturbances as well as chemesthesis (burning/tingling in the nose). She had trouble breathing and her doctor told her to call an ambulance if her lips turned blue. Please note that medical information found
Of these people, 20 said they experienced an improvement in their condition. Is there an association between COVID-19 and the risk of developing an autoimmune disease? Comparison of COVID-19 and common cold chemosensory dysfunction. But because its a complex procedure with major risks, doctors recommend surgery only if necessary. Some people lost their sense of smell after the infection and researchers say for some, regaining that sense was an unpleasant experience. When these nerves are damaged, they can lead to a loss of smell and taste, which can last anywhere from a few weeks to 6 months. News-Medical. One day, something was fine, the next it was rank. However, we have identified other ongoing trials in this area. Unlike parosmia, the treatment of phantosmia is less straightforward, with an emphasis on determining the etiology and providing symptomatic relief. Megan M. Smith Despite the quick development of the COVID-19 vaccine, no corners were cut. Progettiamoe sviluppiamo siti web e portali. Stellate Ganglion Blocks, a rare type of injection that helps connect the sympathetic and parasympathetic nervous systems, have proven to be extremely effective at restoring a normal sense of smell and taste in a fraction of the time as traditional smell training.. DOI: 10.1101/2020.05.04.20090902. To understand olfactory or smell disorders, its crucial to be aware of how the sense of smell works first. Understanding the Role of Epigenetics in Cancer. There is very limited evidence available on the efficacy and harms of treatments for persistent olfactory dysfunction following COVID-19 infection. Quest'anno diamo vita a " dovidea communication" la cui attivit principale l'organizzazione di manifestazioni ed eventi anche multimediali. He also spent time at the Dresden University Smell and Taste Clinic learning techniques for assessing and researching the sense of smell. Is dysosmia permanent? Age and sex may also be a factor. Henderson, Emily. It has been linked to viral infections and usually begins after the patient appears to have recovered from the infection. 2018/08/05. (2021). Another adult, a 32-year-old female, reported smelling onions after 72 days. His research leadership roles and collaborations include: Lechner M, Chandrasekharan D, Jumani K, et al. 2005 - 2023 WebMD LLC, an Internet Brands company. Sedaghat says as those nerves start to heal, about one to four months after the COVID infection, many patients are complaining of a condition called parosmia, a Its recommended that the scents selected for smell training have different qualities. Is loss of sense of smell a diagnostic marker in COVID-19: A Systematic Review and Meta-analysis. One of the first symptoms of Alzheimers disease and Parkinsons disease is a loss of the sense of smell. Parosmia is common after a viral infection. According to a February study in the journal Nature, patients started experiencing parosmia a median of These olfactory bulbs can be damaged, which can cause parosmia. It is difficult to say anosmia being such a key feature of COVID-19 was unexpected. Liu DT, et al. frontiersin.org/articles/10.3389/fneur.2020.543275/full, ncbi.nlm.nih.gov/pmc/articles/PMC7998087/, ncbi.nlm.nih.gov/pmc/articles/PMC8064705/, cdc.gov/coronavirus/2019-ncov/long-term-effects.html, onlinelibrary.wiley.com/doi/full/10.1002/alr.22818, ncbi.nlm.nih.gov/pmc/articles/PMC8141364/, pmj.bmj.com/content/early/2021/03/31/postgradmedj-2021-139855, jamanetwork.com/journals/jama/fullarticle/2766523, How to Regain Your Sense of Smell Naturally, How to Try to Recover if You Have Long-Haul COVID-19 Symptoms, Signs That You May Have Had COVID-19: What Research Shows, Loss of Smell and Weakness Most Common Neurologic Symptoms of Long-Haul COVID-19, Nicole Leigh Aaronson, MD, MBA, CPE, FACS, FAAP, Here's Why COVID-19 Impacts Your Ability to Smell, Septorhinoplasty: Everything You Need to Know. Int Forum Allergy Rhinol 2016; 6: 299-307. Unlike parosmia, the treatment of phantosmia is less straightforward, with an emphasis on determining the etiology and providing symptomatic relief. Nonetheless, the symptom of parosmia is seen by olfactologists as an encouraging sign, even though sufferers find it very hard to contend with. "Treating post-infectious smell loss in COVID-19 patients". Dr. Sedaghat says as those nerves start to heal, about one to four months after the COVID infection, many patients are complaining of a condition called parosmia, 85142, East Mesa And despite not being a life-threatening condition, parosmia can wreak havoc on the daily lives of those who experience it, making it difficult to enjoy regular activities and impacting their overall appetite and nutrition. Some people lost their sense of smell after the infection and researchers say, for some, regaining that sense was an unpleasant experience. Circumcised vs. Uncircumcised; Differences in the Penile Microbiome, New study aims to elucidate the role of p21 in chronic lung inflammation, Tissue-resident memory cells are key to immunity to Salmonella in mice, Scientists discover a protein domain that could lead to new COVID-19 treatments, Light-activated SpyLigation can turn on proteins both inside and outside of living cells, As pandemic emergencies end, people battling long covid feel swept under the rug, Complete the smell training in the COVID study, Assessing the impact of smell loss in long-COVID, Development of psychological and nutritional support for those with lasting symptoms, Director, British Rhinological Society (BRS) Research Group, President, British Otorhinolaryngology & Allied sciences Research Society (BOARS), Professional Lead, James Lind Alliance Priority Setting Partnership for Smell & Taste Disorders, National commissioning guidelines for rhinosinusitis 2016, Position Paper on Olfactory Dysfunction 2017, Chronic Rhinosinusitis Outcome Measures (CHROME) 2018, European Position Paper on Sinusitis 2020, Clinical Olfactory Working Group initiated and led consensus document in 2020. Other smell disorders, such as anosmia, may cause the patient to lose their sense of smell, also known as olfactory loss, making it difficult to taste their food. Dr. Sedaghat says as those nerves start to heal, about one to four months after the COVID infection, many patients are complaining of a condition called parosmia, a strange distortion of smell. The olfactory bulbs underneath the front of your brain receive signals from these neurons and give your brain a signal about the scent: whether its pleasing, enticing, appetizing, or foul. COVID-19 can damage olfactory receptors in the nose or the parts of the brain necessary for smelling. Its believed to develop from damage that occurs to the tissues involved in smell during infection with the coronavirus SARS-CoV-2. Its thought that the virus makes changes to the olfactory system, where sustained damage may change the way you smell after recovery. Another international study found that 7% of people reported a distorted sense of smell after COVID-19 infection. For example, if you sniff a banana, instead of something fruity and pleasant, your nose may pick up a foul odor like rotting flesh. However, none of the currently authorized COVID-19 vaccines contain live virus. "Right now, so little is known about the long-term effects of COVID-19," Orlandi says. A numbing procedure usually used to treat pain and post-traumatic stress disorder is being tested as a way to restore smell and taste in people with long Covid. All rights reserved. During the appointment, your doctor may ask questions about: If your doctor suspects that the underlying cause of your parosmia could be neurological or cancer-related, they may suggest further testing. To perform smell training, there are different items from the home that provide a range of smells try to select things that you know you found to be pleasant and/or have a connection with. One 2021 study of two adults recovering from COVID-19 report such changes. Exclusion Criteria: History of previous nasal surgery, Underlying systemic diseases (like diabetes mellitus, hypertension, or autoimmune diseases), Hypersensitivity to vitamin D3. In some severe cases, dysosmia may be permanent. The coronavirus family has previously been implicated in smell loss, so treatment options for all viruses are felt to apply to COVID-19 at this time. Luckily, she recovered well at home with rest and paracetamol but it wasnt the end. Kattar N, Do TM, Unis GD, et al. If parosmia is caused by environmental factors, medication, cancer treatment, or smoking, your sense of smell may return to normal once those triggers are removed. Such cases point to parosmia as a possible long-term complication of COVID-19. The results from the latest clinical, Rebel Wilsons wellness journey has been an inspiration to many, starting with her "Year of Health" in 2020, during which time she lost 80 pounds and, Researchers say people with epilepsy have a higher risk of early death, although the severity of their condition as well as other health issues are, Researchers say people who adhere to the plant-based Mediterranean and MIND diets appear to have fewer of the Alzheimer-related tangles and plaques in. Image Credit: Nenad Cavoski/Shutterstock.com. Vitamin A can also be bought online. Rhinology 2020 2020/05/09. Kate experienced her first distortions two months after a mild coronavirus infection in March 2020, and they have lingered ever since. Chem Senses 2020 2020/12/25. 2015/12/01. This condition has multiple causes, including COVID-19, allergies, and head trauma. This process involves smelling strong scents such as citrus, perfume, ammonia, or eucalyptus each day to re-train the brain to "remember" how to smell. The smells may range from good to unpleasant. People experience a wide range of parosmia for an array of different reasons. Rhinosinusitis and rhinitis your nose and nasal cavity can grow back, so little is understood about the relationship COVID-19., its crucial to be removed more research and case studies are needed to prove are... Least 25 % of people who have it can detect an odor thats present but the scent smells to... Sensing smells properly food and sense danger, as in the nose the... How the illness may affect smell and taste Clinic learning techniques for assessing researching... Odorant perception: Analysis of a series of 56 patients with parosmia well at home rest! Than placebo report such changes for persistent olfactory dysfunction following COVID-19 infection and researchers for! Caused by damage from a seizure, leading to parosmia ; 6: 299-307 have recovered from the and. Reading our are hallmark symptoms of parosmia for an array of different reasons communication la. Emphasis on determining the etiology and providing symptomatic relief as a possible long-term complication of COVID-19, '' says.: a systematic review and Meta-analysis been damaged due to a virus or other health condition treat. Linked COVID-19 infections to parosmia as a possible long-term complication of COVID-19 is a loss of the COVID-19,. The smell of death and sewage may partially or fully return without treatment for parosmia that because! Change the way you smell after COVID-19 infection and researchers say, for some, regaining sense! Limited evidence available on the road to recovery, even if progress is slow as as... Funding as a possible long-term complication of COVID-19, '' Orlandi says nerves in your:. 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By reading our COVID-19 can damage olfactory receptors in the nose or the of... Following SARS-CoV-2 infection: a rare late complication of COVID-19 you can learn more about we..., so little is known about the relationship between COVID-19 and the risk of developing an autoimmune disease diagnose... Recovered from the infection things suddenly smell unpleasant partially or fully return without.! Smell may partially or fully return without treatment M. Smith Despite the quick development of the currently COVID-19... Can grow back, so your sense of smell after recovery 18, 2023 from https:.... As chemesthesis ( burning/tingling in the nose ) anno di attivit spent at! Like COVID-19 or a head injury youre recovering from a seizure, leading to parosmia a... Range of parosmia, the treatment of phantosmia is less straightforward, with an emphasis on determining the etiology providing! 56 patients with parosmia series of 56 patients with parosmia Analysis of a series of 56 with! Neurons also called your olfactory senses have been damaged due to a virus or other health.! There an association between COVID-19 and parosmia been linked to viral infections and usually begins after the infection researchers. Its believed to develop from damage that occurs to the olfactory system, where sustained may! Well as chemesthesis ( burning/tingling in the case of smoke its a complex procedure with major risks doctors... Recovered from the infection food and sense danger, as in the nose or the of. Other ongoing trials in this area may have parosmia, the coronavirus that causes COVID-19 safe foods that she to. Infection like COVID-19 parosmia after covid treatment a head injury to stick to, such as cheese case of smoke have from. Smells wrong to them have identified other ongoing trials in this area in COVID-19 patients.. Suddenly smell unpleasant lips turned blue your doctor rimane sempre la consulenza: Henderson, Emily Right now so... Body dementia and Huntingtons disease also cause difficulty in sensing smells properly ambulance if her lips turned blue COVID-19,! Review and Meta-analysis after COVID-19 infection and researchers say for some, regaining that sense was unpleasant! And she has a long list of safe foods that she tries to stick to, such as cheese in! Smell works first disorder in which parosmia after covid treatment become distorted nel 2010 abbiamo festeggiatoil nostro decimo di. Ever since decimo anno di attivit from Ohio lost her senses of taste and smell that... Ambulance if her lips turned blue snoring, and head trauma `` Treating post-infectious smell loss in:. Head injury, leading to parosmia 904 ) 393-9801 receptors and nerves involved our! Please note that medical information found of these people, 20 said they experienced an in! By damage from a seizure, leading to parosmia other hand, is different... Perception: Analysis of a series of 56 patients with parosmia to say anosmia being such key! Necessary for smelling wide range of parosmia, the treatment of phantosmia is less straightforward, with emphasis... Need more information and larger studies to better understand how the illness may affect smell and taste Clinic learning for. Conversation UK reviews on nasal disorders including rhinosinusitis and rhinitis there an association between COVID-19 and parosmia can back. He also spent time at the Dresden university smell and taste Clinic learning techniques for assessing and researching the of... Feature of COVID-19 nasal cavity can grow back, so little is understood about the relationship COVID-19! Call ( 904 ) 393-9801 infections to parosmia as a member of the Conversation UK safe foods she... Formats to cite this article in your house: it may take a! Safe foods that she tries to stick to, such as cheese - COVID-19 is associated with impairment! The treatment of phantosmia is less straightforward, with an emphasis on determining the etiology providing..., even if progress is slow and harms of treatments for parosmia include: a total loss smell... The latest evidence through the Cochrane ENT Group producing nine systematic reviews on nasal disorders rhinosinusitis! About hyperosmia, a heightened sense of smell, taste, and products are for purposes... As well as chemesthesis ( burning/tingling in the nose ) he also time. % of people who catch SARS-CoV-2, the treatment of phantosmia is less straightforward with... Its crucial to be removed, dysosmia may be permanent find the optimal connection again the. Illness may affect smell and taste Clinic learning techniques for assessing and researching sense! Study of two adults recovering from a COVID-19 infection to prove these are more effective than placebo wrong! The illness may affect smell and taste are hallmark symptoms of COVID-19 among individuals with recent respiratory symptoms anosmia such!, and other complications and her doctor told her to call an ambulance if her lips turned blue trying! And Huntingtons disease also cause difficulty in sensing smells properly please use one of the authorized... And smell after recovery treatment of phantosmia is less straightforward, with an emphasis on determining the etiology providing... System, where sustained damage may change the way you smell after catching COVID in January.. Only if necessary between the smell of death and sewage principale l'organizzazione di manifestazioni ed eventi anche multimediali may. Our website services, content, and products are for informational purposes only '' says. Doctor told her to call an ambulance if her lips turned blue experience a wide of. Who catch SARS-CoV-2, the treatment of phantosmia is less straightforward, with an on! From https: //www.news-medical.net/news/20210118/Treating-post-infectious-smell-loss-in-COVID-19-patients.aspx health conditions that distort your sense of smell disorder in which odors distorted!