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Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2592
Experience:  Emergency Medicine and Family Practice for over 26 years
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My question is for Dr. or Dr. Das: Doctors your credentials

Customer Question

My question is for Dr. Josh or Dr. Das:
Doctors your credentials look good and I have asked a few others in this service their opinion and the opinions vary greatly. It is a complex question. I am midway through specialist and hospital visits this week and next so your opinion helps.
Situation: I have sharply decreased smell, resistance to breathing in nose without mucous, no sensation of moisture in nose (cannot feel steam in shower eg) voice painful to speak and raspy.
Background: in winter diagnosed with sinus infection and proscribed oral decongestants and nasal steroids which I took for 6 weeks. I was already dehydrated and take drying medication. I am a smoker. I had no congestion, no sinus pressure. I did have pain ranging from discomfort to sharp icepick like pain in my nose. That pain varied by environment (office - painful, home- discomfort, outside in fresh air no pain. We setup an ENT appointment for two months away. In the meantime I was off work and pain worsened. My wife procured an Asian remedy of smoking dried lotus leaves. I did this for about 10 minutes maximum one evening. It hurt slightly so I stopped. This was a very idiotic thing to do and I have asked myself since what was wrong with my brain. The next morning the sharp pain in the nose was gone but it was replaced by a sharply decreased sense of smell (can sense household items like coffee, perfume, cleaners but mild odors especially outside such as grass, trees, flowers I cannot smell unless I hold them to my nose), lack of moisture sensing in nose, hard to breathe through nose. ENT visit came. On the clinical report he checked 'normal" for nose endoscopy but wrote "wonder if he has damaged nose with chinese medicine". For throat no lesions but "laryngitis with vocal fatigue". CT scan just done last night. X rays negative. 11 weeks later the symptoms are the same. My voice continued to worsen over this time and I feel overpoweringly dry in nose and throat.
Questions:
1) something was definitely not right with nose before the "smoking leaves episode". Is it probable some olfactory nerves or receptors are killed or more likely they are irritated or damaged? No change in smell these three months - no better, no worse. Is there another explanation? It was just a few minutes of smoking these leaves but appears to be a lifetime of damage. What might be prognosis?
2) is it likely the nerves that sense moisture are killed or possible they are just injured or covered in tar, tobacco from decades of smoking. This change was immediate however, after the smoking episode and is unchanged. When in the shower I sense only vague feeling of congestion. I cannot sense dew on the grass, rain etc. Wondering how it can be that these nerves could be damaged despite ENT saying mucosa "normal".
3) I feel like I am breathing through a thin straw. Very difficult to get a full breath through nose. I use a netipot or I did until this week and the water flows through quite well but I feel even more congested after using it. Any thoughts here? Could I have edema of the mucosa. It is likely it is damaged although the ENT said normal.
4) on the voice. It feels very dry all the time. Feeling like the combo of being dehydrated and decongestants may have contributed? I am vaping now as opposed to smoking. Will this help? Any treatment suggestions? I drink plenty of water and sip as often as I can.
There, rather a complex situation and pretty tragic for me at least. Would appreciate your insight.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr. Phil, MD replied 1 year ago.

any other medical issues?

can I help?

Customer: replied 1 year ago.
Actually not. I am busy collecting one last opinion on my situation and have yours already. Thanks
Expert:  Camille-Mod replied 1 year ago.
HI, Dr Das has not been on the site in several months and Dr Josh has just told me that your question is out of his area of expertise. Would you like me to find another Expert or do you prefer to cancel this question?
Customer: replied 1 year ago.
Hi there and thanks for your patience. Do you have another expert other than Doctor Phil, Thomas, Rick, David, or Love. If not then yes please go ahead and cancel the question - no problem. I think I have probably invested more than enough - to say the least.
Expert:  Camille-Mod replied 1 year ago.
We do have other Experts, but it is up to them if they would like to respond to the question. I can cancel now, or If you'd like, we can leave it open through the day, if no other Expert responds, I can then cancel and refund it for you this evening?
Customer: replied 1 year ago.
Actually let's just go ahead and cancel it. I thought it might be one too many already. Certainly got a wide range of opinions. Thanks.
Expert:  Camille-Mod replied 1 year ago.
Done! Thank you and have a wonderful day :-)