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    Taste - impaired

    Loss of taste; Metallic taste; Dysgeusia

    Taste impairment means there is a problem with your sense of taste. Problems range from distorted taste to a complete loss of the sense of taste. However, a complete inability to taste is rare.

    Considerations

    The tongue can detect only sweet, salty, sour, and bitter tastes. Much of what is perceived as "taste" is actually smell. People who have taste problems often have a smell disorder that can make it hard to identify a food's flavor. (Flavor is a combination of taste and smell.)

    Taste problems can be caused by anything that interrupts the transfer of taste sensations to the brain, or by conditions that affect the way the brain interprets these sensations.

    Causes

    Taste sensation often decreases after age 60. Most often, salty and sweet tastes are lost first. Bitter and sour tastes last slightly longer. See: Aging changes in the senses

    Causes of impaired taste include:

    • Bell's palsy
    • Common cold
    • Flu
    • Nasal infection, nasal polyps, sinusitis
    • Pharyngitis andstrep throat
    • Salivary gland infections

    Other causes are:

    • Ear surgery
    • Heavy smoking (especially pipe smoking)
    • Injury to the mouth, nose, or head
    • Mouth dryness
    • Medicines, such as thyroid drugs, captopril, griseofulvin, lithium, penicillamine, procarbazine, rifampin, and some drugs used to treat cancer
    • Swollen or inflamed gums (gingivitis)
    • Vitamin B12 or zinc deficiency

    Home Care

    Follow prescribed therapy, which may include a change or changes to the diet. For taste problems due to the common cold or flu, normal taste should return when the illness passes. For smokers, stop smoking.

    When to Contact a Medical Professional

    Make an appointment with your doctor if your taste problems do not go away, or if abnormal tastes occur with other symptoms.

    What to Expect at Your Office Visit

    The doctor will perform a physical examination and ask questions, including:

    • Do all foods and drinks taste the same?
    • Do you smoke?
    • Does this change in taste affect the ability to eat normally?
    • Have you noticed any problems with your sense of smell?
    • Have you recently changed toothpaste or mouthwash?
    • How long has the taste problem lasted?
    • Have you been sick or injured recently?
    • What medicines do you take?
    • What other symptoms do you have? (For example, appetite loss or breathing problems?)
    • When is the last time you went to the dentist?

    If the taste problem is due to allergies or sinusitis, the doctor may give you medicine to relieve the stuffy nose. If a medicine you are taking is to blame, your doctor may recommend that you change your dose or switch to a different drug.

    A CT scan or MRI scan may be done to look at the sinuses or the part of the brain that controls the sense of smell.

    References

    Reamy BV, Derby R, Bunt CW. Common tongue conditions in primary care. Am Fam Physician. 2010;81(5):627-634.

    Finelli PF, Mair RG. Disturbances of smell and taste. In: Bradley WG, Daroff RB, Fenichel GM, Jankovic J, eds. Neurology in Clinical Practice. 5th ed. Philadelphia, Pa: Butterworth-Heinemann; 2008:chap 19.

    Travers JB, Travers SP, Christian JM. Physiology of the oral cavity. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2010:chap 89.

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                  Review Date: 3/22/2013

                  Reviewed By: Ashutosh Kacker, MD, BS, Associate Professor of Otolaryngology, Weill Cornell Medical College, and Associate Attending Otolaryngologist, New York-Presbyterian Hospital, New York, NY. Review provided by VeriMed Healthcare Network. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.

                  The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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