What should I do if I have rhinitis and cannot smell?

Rhinitis is a common condition encountered in daily life. Some patients with rhinitis experience anosmia (loss of smell). So, what should be done if a patient with rhinitis cannot smell?

What to do when rhinitis causes loss of smell

Common management strategies for anosmia associated with rhinitis include the following:

Acute rhinitis: Patients may experience anosmia, severe nasal congestion, and profuse rhinorrhea. Nasal decongestant sprays may be used to relieve nasal obstruction; once airflow is restored, odorants can reach the olfactory region, allowing patients to perceive smells again. In addition, intranasal corticosteroids—such as Rhinocort (budesonide) or Nasonex (mometasone furoate)—should be administered. These medications help reduce mucosal hyperemia and edema in the nasal cavity. Once the underlying viral infection (e.g., common cold) resolves, olfactory function typically recovers.

Allergic rhinitis: Patients often present with copious watery rhinorrhea, nasal congestion, pruritus, and sneezing. In such cases, oral antihistamines—such as loratadine or cetirizine—may be prescribed. Nasal decongestants (e.g., ephedrine nasal spray) may also be used adjunctively. With effective treatment and complete resolution of allergic rhinitis symptoms, olfactory function gradually returns.

In cases where excessive abnormal nasal secretions impair olfaction, saline nasal irrigation may be employed. Alternatively, mucolytic or mucus-clearing agents—such as Fluticasone propionate nasal spray (e.g., Flixonase)—may be used to facilitate secretion clearance. We hope this information proves helpful!