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Q: Olfactory hallucinations
asked by: DoctorQuestion on December 22nd, 2008
Why do I intermittently smell cigarette smoke or like a tar smell for long periods? Then, it goes away for months, then back again. It then makes me nauseous after awhile; sometimes a headache from all of the cigarette smell. I don't smoke. I do have epistaxis upon blowing at intervals in the winter. My eyes even feel like they're burning - like after crying or a cold. I have no cold symptoms, no sinus symptoms. No upper respiratory symptoms. Dr.'s are baffled however, hundreds of people on this blog site with same EXACT symptoms. I have no psychiatric disorders. I am very realistic with treatment. I am very scientifically oriented. Any suggestions? Is this a "marker" for any other disease or pathology? Very concerned gathering that every physician seems to want to label this as psychiatric or ENT related with unknown findings.


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Dr. Nikola Gjuzelov , MD
replied on December 24th, 2008
Ear, Nose and Throat Disorders Answer A5145
Diagnosis that has been suggested: obesity, NIDDM, asthma, gastritis, bilateral 1-2 pedal edema no known reason for smelling smoke at long intervals
Current medical status: see above
Current medical treatment: Amaryl 2mg PO BID Protonix 40mg PO BID Ibuprofen prn ( questionable arthritis - going to see a Rheumatologist 1/09)

If you feel a certain smell that doesn’t really exist that is called olfactory hallucination. Olfactory hallucination can be a result of nose disorders (inflammation), neurological disorders (brain tumor, epilepsy, multiple sclerosis…) or certain psychiatric issues.

If there isn’t any ENT or any neurological disorder the only possibility left is a psychiatric disorder.

You could consult an ENT and neurologist about your problem.





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