What causes a person to smell things that are not there?
Phantosmia may be caused by a head injury or upper respiratory infection. It can also be caused by aging, trauma, temporal lobe seizures, inflamed sinuses, brain tumors, certain medications and Parkinson's disease. Phantosmia can also result from COVID-19 infection.
Phantom Smells, such as odd, strong, acrid, metallic, blood-like, sour, ammonia-like, acidy, and repugnant smells, to name a few, are common anxiety disorder symptoms. Many anxious people report having phantom and odd smells as an anxiety symptom.
...
How is it treated?
- rinsing your nasal passages with a saline solution (for example, with a neti pot)
- using oxymetazoline spray to reduce nasal congestion.
- using an anesthetic spray to numb your olfactory nerve cells.
Phantosmia is the medical word used by doctors when a person smells something that is not actually there. Phantosmia is also called a phantom smell or an olfactory hallucination. The smells vary from person to person but are usually unpleasant, such as burnt toast, metallic, or chemical smells.
Smelling things that aren't there is called phantosmia. It can be unpleasant and affect how things taste. But it isn't usually serious and may go away by itself in a few weeks or months. See your GP if the strange smell doesn't go away in a few weeks.
Sinusitis, mouth infections, and certain foods, drinks, and lifestyle habits are usually behind bad smells in the nose. People can usually get rid of bad smells in the nose by using home remedies, trying OTC medications, and making lifestyle changes.
When a cancer starts specifically in the nerves that affect your sense of smell, it is known as olfactory neuroblastoma. (Esthesioneuroblastoma is another name for this type of cancer.) An olfactory neuroblastoma often happens on the roof of the nasal cavity.
It's a term used to describe olfactory hallucinations -- that means the organs related to your sense of smell are sensing odors that aren't really there. If you have phantosmia, the odors can vary from smells that almost make you sick to really pleasant scents. But most people with phantosmia tend to detect bad smells.
When stressed, your body secretes an odorless white, milky fluid consisting of water, proteins and fats. Once the fluid mixes with natural bacteria on your skin, the bacteria eat sweat and produce a foul-smelling waste you know as B.O. These glands produce stress-induced sweat — which is why stress sweat smells extra.
Phantosmia has been clinically related to schizophrenia and mood disorders: these mental diseases and perception of phantom smells have been linked to abnormal levels of several neurotransmitters such as acetylcholine, dopamine, and norepinephrine (27).
Does Covid cause you to smell things that aren't there?
While most patients recover from this, some report an unpleasant new symptom following COVID-19 infection called parosmia. It's a condition where otherwise normal smells now smell and taste unpleasant or even disgusting.
Phantom Smell: Sinus Infection
The phantom smell usually goes away on its own in a few weeks or months. Your doctor might suggest that you rinse your sinuses with a saltwater solution.

"Phantom smells are not known to be a sign of disease," said epidemiologist and lead author Kathleen Bainbridge of the communications disorders institute. "However, we found phantom odors to be more common among people who have fair or poor health."
Phantosmia is a condition that causes you to smell odors that are not there. Phantosmia has several possible causes, including inflamed sinuses, upper respiratory infection, head injury, brain tumor, medication side effects, and Parkinson's disease.
A significantly higher rate of parosmia/phantosmia symptoms was reported by patients with severe depression compared to patients with minimal to moderate depression.
- Chemotherapy. Antiproliferative drugs (e.g. Cisplatin)
- Antirheumatic Drugs (e.g. Penicillamine)
- Antithyroid Medications.
- Antidepressants.
- Anticonvulsants.
- Azelastine (Antihistamine)
- Zopiclone (for Insomnia)
Phantosmia is relatively uncommon. It makes up around 10-20% of disorders related to the sense of smell. In most cases, phantosmia is not a cause for concern and will go away on its own.
Can parosmia be dangerous to your health? Losing your sense of smell or having a change in your sense of smell is not going to directly cause you harm, but it can increase your risk of some potentially harmful things.
Smelly mucus in the nose, especially when it thickens and seems to drip incessantly down the back of your throat, is a sign of postnasal drip. Normally, mucus helps: keep your nasal membranes healthy. respond to infections.
Bad Breath
An infected sinus releases mucus that has a foul odor. The mucus drains to the back of your throat, resulting in bad breath. Also, when you have a sinus infection, there may be bacteria trapped in the nasal cavities, which produces an unpleasant smell.
What does it mean when you smell blood?
to recognize an opportunity to take advantage of someone who is in a difficult situation: When she smells blood, you don't get a second chance.
Ulcerating tumors are rare. If you have one, it's quite possible it will have an unpleasant odor. The odor would be the result of dead or necrotic tissue or of bacteria within the wound. If you have a bad odor coming from an ulcerating tumor, see your doctor.
These may include: seizures, difficulty thinking or speaking, changes in personality, anxiety, depression, disorientation, fatigue, abnormal eye movements, numbness or tingling on one side of the body, weakness on one side of the body, loss of balance, vision changes, memory loss, nausea, generalized pain, trouble ...
These symptoms include drowsiness, headaches, cognitive and personality changes, poor communication, seizures, delirium (confusion and difficulty thinking), focal neurological symptoms, and dysphagia. Some patients may have several of these symptoms, while others may have none.
- Coffee in the morning.
- Your mother's perfume. (Image credit: Archive)
- Camp fires.
- Your favorite moisturizer.
- Tequila.
- The first snow of the season.
- Fresh-cut grass.
- Popcorn.
Unlike other human senses, olfactory responses are linked to the emotional center of our brains and correlate directly with our past experiences. This is why the smell of rain or the ocean or cookies baking rocket us back to wherever we first experienced that particular smell.
In conclusion, patients with depression have reduced olfactory performance when compared with the healthy controls and conversely, patients with olfactory dysfunction, have symptoms of depression that worsen with severity of smell loss.
People can unconsciously detect whether someone is stressed or scared by smelling a chemical pheromone released in their sweat, according to researchers who have investigated the underarm secretions of petrified skydivers.
Now a study has found that dogs can do something just as remarkable: sniff out stress in people. The dogs were able to smell changes in human breath and sweat, and — with high accuracy — identify chemical odors people emit when feeling stressed.
- Best for relaxation: Lavender.
- Best for sleep: Chamomile.
- Best for meditation: Orange.
- Best for anxiety: Sandalwood.
- Best for stress: Clary sage.
- Best mood lifter: Lemon.
- Best for diffusing: Bergamot.
- Best for topical use: Rose.
Can PTSD cause phantom smells?
A: Yes, hallucination can occur as a symptom of post-traumatic stress disorder (PTSD)! For example, one documented case of such a situation was with a a client who had olfactory hallucinations; she would smell the body odor of the man who molested her as a child.
Phantosmia is also associated with Alzheimer's and occasionally with the onset of a migraine. But it's not typically something sweet that's conjured up by the brain. “It's usually more unpleasant stuff or odors that are hard to describe,” says Hirsch. “People will say it's chemical-like or talk about a burning smell.”
Nasal polyps are painless, benign growths that form in the nasal passages and sinuses. They can cause smell problems such as phantosmia, as well as nasal congestion and nosebleeds.
If parosmia is a symptom of nasal polyps or a brain tumor, then your healthcare provider may recommend surgery. Sometimes, a surgeon can remove the damaged sensory receptors in your nose to restore your sense of smell.
What Does It Mean When People Say They Can 'Smell Death? ' Typically people will say that they can smell death when dealing with a loved one who's sick and dying. Saying that they can smell death can translate to knowing that their loved one's nearing the end of their life.
The medical term for this is phantosmia; an olfactory hallucination. In other words, a phantom smell, or a smell that isn't really there. This can happen to stroke victims, depending on what part of the brain is damaged during the stroke, but it does not always happen.
Interestingly, participants with diabetes treated with insulin showed a higher prevalence of phantom odours as compared with participants without diabetes (OR 2.98, 95% CI 1.41–6.32) [15].
While most patients recover from this, some report an unpleasant new symptom following COVID-19 infection called parosmia. It's a condition where otherwise normal smells now smell and taste unpleasant or even disgusting.
A study that evaluated the ortho- and retronasal olfactory functions in MS patients found that 75% of the 16 investigated patients showed a quantitative olfactory disorder, 6.25% reported parosmia, and 18.75% reported phantosmia (29).
This phenomena known as parosmia is a rare complication that can occur in the late period after COVID-19 – characterized by a misperception of existing odors.
Do brain tumors make you smell things?
A sense of change. Brain tumors can cause seizures, but not just the types that cause you to lose consciousness and convulse. According to the American Society of Clinical Oncology, some seizures can cause sensory changes: sensation, vision, smell, hearing, and even taste.
Phantosmia is relatively uncommon. It makes up around 10-20% of disorders related to the sense of smell. In most cases, phantosmia is not a cause for concern and will go away on its own.
Thirdly, phantosmia was the consequence of, mainly, damages in the frontal lobe, which is long known to be involved in the conscious perception of odors (Bowman et al., 2012, Wilson et al., 2014).
The sensation may originate in the peripheral nervous system at the level of the olfactory sensory neurons, may reflect damage to the olfactory nerve, or may originate in the central brain. We found phantom odor perception to be inversely associated with age predominantly among women.
"Phantom smells are not known to be a sign of disease," said epidemiologist and lead author Kathleen Bainbridge of the communications disorders institute. "However, we found phantom odors to be more common among people who have fair or poor health."
In the recovery phase of COVID-19, a patient normally regains their senses back. However, some people experience a change to their sense of smell about three to four months following infection. People report certain things—like food or body odor—smelling like garbage, rotten eggs, or chemicals.
An olfactory hallucination (phantosmia) makes you detect smells that aren't really there in your environment. The odors you notice in phantosmia are different from person to person and may be foul or pleasant. You may notice the smells in one or both nostrils.