Parosmia

Parosmia is where smells appear distorted, often unpleasant. It is not a permanent or harmful condition, but distorted smell can be difficult to live with, affecting eating, relationships and mood.

Parosmia is the term used for an abnormality or distortion of smell. It is commonly experienced by people recovering their sense of smell following loss from a virus or injury, and appears to be a normal part of the recovery process for most people.

The condition is not harmful in itself and is usually temporary, though it can continue for many weeks or months.

The symptoms can seriously affect eating patterns as people try to avoid foods that trigger foul smells. They can also affect relationships and lead to low mood or depression. The information and links on this page are here to help.

What causes parosmia?

Research suggests the condition is triggered by certain odour molecules when they reach the receptors in the nose. Studies have so far identified two types of molecules, one containing sulphur and one containing nitrogen, as the main triggers. These molecules are found in a wide range of common foods.

Scientists do not yet fully understand which odour receptors these molecules link to, or why they have such a powerful effect on recovering olfactory neurons. Research is ongoing.

There is no medication for parosmia. Smell training is shown to be helpful in supporting recovery, but it does not cure distorted smell.

Parosmia triggers

Everyone with parosmia has a slightly different experience, but some smells are common triggers:

  • Coffee
  • Onions
  • Chocolate
  • Garlic
  • Eggs

Managing parosmia

Living with distorted smell can be disorienting at first. Familiar things start to smell wrong or unpleasant, which can affect eating, socialising, and mood.

One practical approach researchers suggest is to keep track of your own triggers and patterns. Finding out what works for you, and what to avoid, can make day-to-day life more manageable.

Eating and cooking

The Altered Eating Network, led by Dr Duika Burges-Watson, has practical advice on eating and cooking with distorted smell. The AbScent insights blog includes articles from Duika and her team.

Wellbeing and low mood

Low mood and depression are common in people with altered smell. Connecting with others going through the same experience can help. The AbScent community page has details of support groups where you can find others who understand.

The NoseWell guide

The NoseWell guide, created with support from the British Rhinological Society, includes a section on parosmia. Find out more at NoseWell.

Find out more

Understanding parosmia

Can you enjoy coffee and chocolate again?

Why do cooking smells make me gag?