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Bad smell in nose, worst at night. Cause?

I have a bad smell in my nose that has been going on for a while maybe a year. I smell most of the time but worst at night. I feel like I get a pressure in my chest when I cant breath good. its a awful smell. I have had my house checked for mole but my house is all clear, what can cause this awful in my nose?
Asked On : Fri, 1 Feb 2013
Answers:  2 Views:  485
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ENT Specialist 's  Response
Aug 2013
hello and welcome to HCM,

A persistent bad smell in the nose can be due to many causes, this is generally known as PAROSMIA or altered smell.

You first need to differentiate whether only you are getting the smell or not and if you are getting at all places.

You need to definitely consult an ENT who will examine your nose for obvious causes which can cause this smell alteration. Let this be a checklist for you:
1. Complete diagnostic endoscopic examination and CT evaluation of the nose and paranasal sinuses
2. Complete blood profiling including ruling out chronic infections which can cause smell abnormalities
3. A neurological examination including CT Brain to rule out any lesion in the brain

goes without saying that you need to be tested with blood pressure and sugar levels estimation

at the end of all these tests you may still be told that everything is normal but anyway you can have a peace of mind.
You can meanwhile start an antihistamine medication and also try steam inhalation.

take care and get well soon

Dr Sriram Nathan
Answered: Thu, 22 Aug 2013
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