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Should i be concerned about increased sense of smell and a metallic taste in my mouth? - Online Doctor Chats

Date : 25-Mar-2014
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2568 Questions
User:I have had a heightened sense of smell and a metallic taste in my mouth for about 2 months. I was diagnosed with stage IV metastatic colon cancer in March 2011 although I am currently in remission. I was wondering if this could be related to cancer.
Doctor:Please give me a moment to read your query
Doctor:yes, I have read your query
Doctor:It may be a possible side effect of the treatment that you had taken for colon cancer
Doctor:this is more so with the metallic taste in your mouth
Doctor:are you there?
User:I finished my treatment 23rd ago and this just started 2 months ago.
Doctor:Please let me know the treatment that you have undergone for the cancer
Doctor:Let us check if any of those is causing the problem
User:Finished treatment 2 years ago last December
Doctor:What treatment was given to you then?
User:I may not spell these correctly. 5 fun luck our in and ocxaliplatin
User:5 fu yes it was chemo and 35 pelvic radiation treatments
User:My spell check is trying to correct my spelling for me
Doctor:all right
Doctor:Both 5 FU And oxaliplatin can cause metallic taste
User:Would it cause it 2 years later
Doctor:5 FU also causes central neurotoxicity that could indirectly cause your heightened sense of smell
Doctor:Yes, it is possible to cause it 2 years later
Doctor:Perhaps, it is clinically more obvious now
Doctor:it would have started at an earlier stage whilst you were still on treatment
Doctor:But the signs are manifesting now
Doctor:However, I would suggest you to undergo a full cranial nerve examination to rule out underlying pathology within the brain.
Doctor:As for the metallic taste, it could be due to other medications as well
Doctor:Are you taking any medicines currently?
Doctor:like Iron or other metals?
User:I think I'm just getting a little nervouseverything I have read statistically speaking only 12% with my diagnosis are still living 3 years after diagnosis
Doctor:You have done great then
Doctor:Keep up the positive outlook
User:Mine had metastasized to my ovaries and I had a tumor the size of a baby. I was a stage iv at diagnosis.
Doctor:There is no need to feel nervous about it
Doctor:hmm, you have fought a tough battle
Doctor:Appreciate your efforts
Doctor:it is amazing that you were able to get over it
Doctor:Kudos on that
User:Right out of 9 family members i am the only one still living with this horrible disease
Doctor:that is a great struggle
Doctor:You have made your way all through
Doctor:you must continue in the good spirits
User:So maybe this smell disorder will leave just as quick as it came on?
Doctor:yes, it should leave you soon
Doctor:just rule out any local causes like nasal crusting
User:Could anything else cause it?
User:Could any medication cause it
Doctor:There are several other causes for this
Doctor:like cluster headaches, migraines and adrenal cortical insufficiency - Addison's Disease.
Doctor:several drugs can cause it too like amphetamines
Doctor:is there any particular drug that you are currently on?
User:I must not take that because i don't know what it is.
Doctor:What is it? is it a medicine?
User:Yes i have neuropathy really bad.
Doctor:is there a drug name on it?
Doctor:can you name the drug?
Doctor:No,Topimax does not cause it
Doctor:Neurotin also does not cause it usually
Doctor:So, you may continue taking both of them
User:Thank you so much for your help.
Doctor:my pleasure
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