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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Parageusia And Headaches After A Total Hip Replacement Surgery?

Six years ago, my husband underwent a total hip replacement. Within a day after the surgery, he developed phantosmia and soon after developed paraguesia. He has suffered ever since with paraguesia and has recently begun experiencing daily headaches. He is on Lansoprazole 3x/daily and also takes temazepam nightly for sleep. He believes he suffered some type of nerve damage, but I was hoping you could provide additional insight. His quality of life has been severely affected.
Mon, 30 Mar 2015
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Neurologist 's  Response
Hello!
I understand your concern.
In my opinion the troubles with smell and taste may be related to a nerve damage. It may be central or peripheral. I would first recommend a brain MRI to rule out other causes and EEG for epilepsy. Phantosmia can be a symptom of epilepsy.
Treatment with gabapentine has shown good results in these cases despite the cause.
Irrigation of nasal nostril with physiologic drops would also be helpful!
Thank you for using HCM!
Best wishes Dr. Abaz Quka
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What Causes Parageusia And Headaches After A Total Hip Replacement Surgery?

Hello! I understand your concern. In my opinion the troubles with smell and taste may be related to a nerve damage. It may be central or peripheral. I would first recommend a brain MRI to rule out other causes and EEG for epilepsy. Phantosmia can be a symptom of epilepsy. Treatment with gabapentine has shown good results in these cases despite the cause. Irrigation of nasal nostril with physiologic drops would also be helpful! Thank you for using HCM! Best wishes Dr. Abaz Quka