A disease called Gobek's olfactory hallucinosis is a rather rare disease. But, in fact, many people suffer from suspiciousness, and there are two steps from hyperbolization to pathology. How is the forerunner of the disease and the disease itself manifested?

The essence of Gobek's olfactory hallucinosis

The disease lies in the following: it seems to a person that he smells terrible smells that come from his body. own body. As a result, delusional thoughts, a desire for purity with manic manifestations, attempts to isolate oneself from the outside world and even commit suicide on this basis may appear.

What do experts think about the disease?

Professor of Human Behavior and Psychiatry, Dr. Katharine Ay Philips, who works at the Road Island Hospital in the UK, has done several studies that shed some light on this ailment. The researcher undertook to study the behavior of twenty people suffering from hallucinosis. The goal was to identify the primary characteristics of the disorder. The average age of the participants in the study was thirty-three and a half years, while the disease plagued the subjects from the age of fifteen or sixteen. Sixty percent of the patients were female.

What research has shown

Patients spent an average of three to five hours a day thinking about their terrible smell. Many of them hurried to take a shower several times during the day, the patients washed off a whole bar of soap a day. Moreover, eighty-five percent of the study participants were absolutely sure that they actually exude an unpleasant odor, despite the fact that others assured them otherwise. Seventy-five percent of the subjects felt that they were in the center of increased attention of others because of the smell.

Three-quarters of the people thought they had a terrible breath. Other sources of bad breath included sweat (65 percent), armpits (60 percent), and genitals (35 percent). Eighty percent of people constantly tried to sniff themselves, 68 percent bathed like they were possessed, 50 percent changed clothes from time to time. Most patients could not do without talcum powder, deodorant, chewing gum, perfume (some patients even drank perfume). And one patient even decided to remove the tonsils, thinking that they were the ones to blame for the bad breath.

by Boris Efremov 12/27/2016

One of the main functions of the nose is olfactory, it is provided by a large number of receptors that transmit information about the inhaled air to the higher structures of the brain. Sometimes the sense of smell is disturbed by different reasons, among which the main ones are inflammatory processes, polyposis growths, tumors and atrophy of the nasal mucosa. Such violations may be temporary or permanent and result in partial or total loss, or to a perversion of smell. Except local reasons in the development of such a pathology, some severe systemic diseases. A person may feel discomfort from unpleasant odors that occur subjectively regardless of the quality of the air inhaled, for example, the smell of burning or dust in the nose. Where does it come from and what should be done?

Causes

The sensation of an obsessive odor in the nose may be due to local or general. If only the patient perceives the smell, then we are talking about a violation of the sense of smell, if others also notice this phenomenon and shun such a person, then, most likely, we are talking about a serious disease, including a systemic one.

An unpleasant smell in the nose cannot be ignored, because it indicates the occurrence in the body of a serious problem of local or general significance.

Parosmia is an anomaly of the olfactory system of the nose, which manifests itself in a perverted perception of smells in the form of illusions or hallucinations. It can be observed with neurosis, schizophrenia, hysterical reactions, hormonal imbalance in women (during pregnancy). This diagnosis is made after excluding the pathology of the peripheral part of the olfactory analyzer located in the nasopharynx. Inflammation of the nasal mucosa (rhinitis) in acute or chronic stage- more often with an atrophic form, when there is dryness of the mucous membrane and damage to sensitive olfactory cells. In this case, the patient can almost always be haunted by the smell of dust in the nose, which you want to wash off with water. Chronic pathology nasopharynx - laryngitis, sinusitis, tracheitis, pharyngitis. Constant inflammation of the mucosa leads to stagnation of the secretion, the multiplication of bacteria and the appearance of bad smell. Foreign body - long stay in the nasal cavity can support the inflammatory process and the accumulation of bacteria in the muconasal secretion. Allergic reactions - year-round irritation of the nasal mucosa with household allergens contributes to constant inflammation, attachment bacterial infection. Prolonged uncontrolled use of nasal drops and sprays leads to thinning and atrophy of the mucosa, including in the olfactory zone. Internal illnesses– brain tumor, consequences of skull injuries, diabetes, renal failure, pathology thyroid gland, diseases digestive system and others.

What to do

Presence bad smell in the nose and keeping it for several days is a reason to visit an otorhinolaryngologist and find out the cause of this condition. At the same time, something should smell only for the patient himself (smoke, burning, dust), but not for those around him who have a healthy sense of smell. The diagnostic examination includes different methods examinations depending on the diagnosis suggested by the doctor. If the patient has chronic inflammation ENT organs, then the treatment will be carried out according to an individual scheme in the amount of appointments of the attending physician:

antibiotics - are selected according to the sensitivity of the selected microflora; anti-inflammatory drugs - local hormonal or systemic anti-allergic drugs are used; flushing saline solutions, decoctions of herbs, antiseptics. conducting surgical interventions– removal of a foreign body, tumors, adenoids, polyps, straightening of the nasal septum, etc.

With the exclusion of organ pathology respiratory system and/or the patient has parosmia and olfactory hallucinations doctors of other specialties, for example, neurologists, psychiatrists, gastroenterologists, endocrinologists, are involved in the examination and treatment.

The elimination of odor in this case will depend on the correct diagnosis and competent treatment of the disease. It should be understood that getting rid of obsessive sensations will not happen spontaneously if there is serious reason, then it requires a qualified approach to its elimination.

After watching the video, you will learn about 3 symptoms in the nose that will make you see a doctor:

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The body tells a person that changes are happening to him in different ways - there are pain, spasms, disorders of various kinds. Another signal that should not be ignored is a foreign smell in the nose. The causes of this problem must be found out immediately in order to begin a course of treatment.

A symptom in 95% of cases indicates the presence of a disease, so it is very important to undergo diagnostic examination at a specialist. Research will help determine the causes causing appearance foreign odors. Started on early stages therapy will help get rid of the problem in a short time.

Smells in the nose: varieties and causes

An unpleasant odor occurs in the nose infrequently. According to patients, similar phenomenon usually accompanies the underlying disease in history. There are many reasons for the occurrence of a symptom, so a comprehensive examination is indispensable. At the reception, people complain about a particular unpleasant odor. Most often, it is felt clearly. Similar manifestations indicate flowing in the nasal cavity pathological processes or changes.

The manifestation of the symptom became possible due to the anatomical ability that the mucous membrane possesses. She has a large number of special education - olfactory receptors, which transmit signals from the affected area directly to the brain as quickly as possible. There they are processed and, depending on the underlying problem, a person feels one of the following foreign odors in the nose:

sulfur; burning; rot; acetone; gland; ammonia; dust.

The smell of burning in most cases is side effect or the body's reaction to long-term use medicines. Classes of drugs can be different, so the symptom occurs in people with different diseases.

A putrid aroma manifests itself in the nasal cavity under the influence of the corresponding microflora. It is a symptom of the processes of suppuration of the paranasal sinuses, which can lead to sinusitis or sinusitis. The cause of the ammonia smell is a pathology that has arisen in the liver or kidneys. In order for the smell to disappear, you will need to undergo therapy that will eliminate the problem in these organs.

A metallic smell can occur in case of bleeding in the nasal cavity, injuries that caused damage to blood vessels or tissues.

It may also indicate poisoning or side effect some medicines. IN nasal cavity particles penetrate from environment when inhaled, the result is an odor of iron.

The sensation of acetone in the nasal cavity occurs in connection with the complications that diabetes gives. In this case, complex and lengthy therapy will be required. The smell of sulfur occurs when there are violations in the liver, allergic reactions of the body, disorders nervous system.

Important: The odors in the nose are most intense during fetid atrophic rhinitis.

The odors arising in the nasal cavity can be felt not only by people who are faced with their appearance, but also by those around them.

That is why it is necessary pass the special examination at a specialist.

All aromas cause discomfort to a person, so getting rid of it is a top priority.

Outsiders that cause obvious discomfort, unpleasant odors in 99% of cases occur when there is a certain progressive disease in the body - a certain cause that needs to be fixed immediately.

In 5-6% of cases, the presence of aroma in the nasal cavity becomes idiopathic, that is, permanent, the cause of which could not be determined after the examination.

The main diseases that affect the possibility of the appearance of all types of odors are:

ozena or fetid rhinitis; acute form of sinusitis; inflammatory processes in the sinuses of the nose; sinusitis; violations metabolic processes; problems with the gastrointestinal tract; kidney pathology; disorders in the liver; allergic reactions flowing in acute form; bacterial form of infection; thyroid disease; diabetes.

The sensation of an unpleasant smell in the nose also occurs with parosmia. In this case, violations of the function of smell are observed.

In order to feel the aroma, additional stimulation is not required.

To get rid of this violation, you need complementary therapy, prescribed by a neurologist.

The reason for the appearance of an unpleasant amber can also be the presence of a foreign object / body of any diameter in the nasal cavity. As a result, the accumulation of fluid, under the influence of bacteria in which, a purulent substance is formed. Pathological disorders often due hormonal imbalance or the presence of olfactory hallucinations.

Symptoms: what you need to know

Symptoms that actively develop and increase in number in proportion to the time that the person does not correct the problem, as a result of the presence of an odor in the nasal cavity, you need to know in order to seek medical advice as soon as possible. medical assistance. Main manifestations:

severe discomfort in the nose headache(especially pronounced in the parietal zone); difficulty smelling and recognizing other odors; dizziness (including without a reason); nausea; vomit; depressed state.

In especially advanced cases predepressive states are observed, general weakness and lethargy, apathy, indifference to what is happening. Sometimes characteristic purulent crusts can form in the nose, which also negatively affect a person upon visual contact.

Basic Troubleshooting

Treatment is a necessity when such symptoms appear. You can’t start the process, as well as self-medicate - this can cause deterioration general condition. The medical impact on the problem should be etiological in nature - aimed at eliminating the underlying cause, and not just the symptom itself. That is why there are several types of treatment that a specialist selects based on the results of the studies:

conservative impact- the fight against the infection in the body that caused the formation of odor. In the process, purulent or mucous crusts are also eliminated. It includes taking medications and sanitation (washing) of the nasal cavity. As a result, the unpleasant smell in the nose disappears when you inhale or exhale. Medication use- use of antibacterial medicines in combination with other drugs (oils, drops, sprays). Treatment with herbal remedies- solutions and infusions based on chamomile or calendula, as well as aloe. They are used most often for washing and relieving inflammation.

Sometimes, in advanced or chronic cases, the only way to help a person is through an operation. The technique is used in case of blockage of the nasal passage of the mucosa or purulent plug, and foreign body. After this exposure, it is recommended to include conservative, medicinal types treatment, as well as the use of phytopreparations for subsequent prevention.

Conclusion

Bad breath is a very common problem. Specialists have developed many systems for influencing foci, so questions such as the smell of dust in the nose and what it is will no longer be frightening for a person. As well as the sensation of other side unpleasant odors.

Timely seeking help, well-designed therapy and the implementation of all recommendations are the key to a quick recovery. To consolidate what has been achieved positive result you can use folk methods treatment, but only after obtaining permission to use similar drugs by your physician.

To all DD! Maybe someone has come across this. I would be glad if you tell me how it was and give reasonable advice. I don’t remember exactly when and how it all started. About a year and a half ago. At first it was funny. I'll change my clothes and wash myself ... for a couple of days the smell is still "standing in my nose." Further more. The smell appears suddenly. It pursues for 2-3 weeks. I walk around the house, sniffing all the cracks, windows, from where the smell can come from. I go out to the site to check. My husband has not smoked for 5 years. I also sniffed his clothes. Then, just as suddenly, the smell disappears.
The smell is in the nose, or I would say, in the head. It's funny if it weren't sad. It bothers you to the point of a headache ... They write on the Internet that you need to contact the lore, do an MRI of the brain ... for a consultation with a psychiatrist. It's more like its parts. I recently did a CT scan (or is it not the same, I don’t understand) they said no change. Everything is OK. Scary. Am I going crazy?

Illusion, the smell of cigarettes is constantly in the nose

Asked by: Evgenia

Female gender

Age: 33

Chronic diseases: No

Hello, Doctor. This is already a reoccurrence. The first was absolutely terrible to realize that it was an illusion! Suddenly she began to smell cigarette smoke to her husband, she complained about it that it was coming from the window and it was necessary to close it, and he answered me that he didn’t smell anything at all, and at least I squinted so much. This happened against the backdrop of acute respiratory infections and plus voice loss (the beginning of the school year, I started working as a teacher at school). I myself have never smoked, my husband has not smoked for a long time, I really don’t like this smell at all, and here it is. Gone. Two and a half weeks later, it is also not noticeable how it started. Every day, from morning to evening, this smell was in my nose, I thought I would go crazy or I was already going slowly. The smell either decreased or intensified, and when I realized that this illusion became even more terrible in the lesson, I could hardly restrain myself during the period of amplification so as not to involuntarily say out loud "How it stinks!". It was not possible to contact a neurologist. Was at Laura. Were asked general issues like the situation in the family, etc. at home, everything is fine, only the work is nervous. Passed and tried not to remember. It was more than a year ago, now on maternity leave I gave birth to my second child, I have been breastfeeding him for 8 months. I came after the hairdresser's where the master smoked in the next special. The room I felt. I was dyed and cut (against the background of menstruation). Came home and the smell is still in the nose and also an illusion, I'm tired help especially in the evening I want to air everything with two children, it's hard, I become irritable. I take comfort in the fact that it should soon pass.

2 answers

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Also do not forget to thank the doctors.

Hello.
You know, if the ENT removed his pathology, then we are talking about the presence obsessive syndrome. I doubt that a neurologist will help you. You need an appointment and treatment with a psychotherapist.
All the best.

Natalia 2018-05-15 21:07

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In a world where deodorants, eau de toilette and perfume are as much a part of a person's image as a dress, shoes, tie and briefcase, people don't always think about how their body smells without additional fragrances. But some diseases do not let you forget about it. And then, by the smell of the body, one can assume what the person is sick with.

Among the huge variety of human aromas, we have selected 7 interesting smells that are associated with diseases.

A severe deficiency of carbohydrates in the diet leads to the fact that the body begins to burn stored fats to obtain glucose. On the one hand, it's nice for those who want to lose weight. On the other hand, it doesn't smell very good in every sense of the word.

As a result this process ketones are formed, or rather acetone, which actually gives the smell of rotting apples or nail polish remover. The breakdown of fats to glucose and acetone occurs when normal nutrition, but very little acetone is formed at the same time - it is excreted in the urine or enters into further chemical reactions. If a person decides to completely transfer his body to fuel from fats, then too much ketones accumulate, the body cannot cope with their excretion, and the urine and the human body acquire a characteristic smell. A similar situation is observed during starvation, when the body, due to the lack of food, is forced to begin to break down its own reserves of fats.

Diabetes is another condition that leads to excess ketones. For example, the pancreas does not produce insulin, or the hormone is available in the right amount, but the cells cannot receive it for various reasons. In this case, glucose cannot get to the organs and tissues and accumulates in the blood. The brain, having not received glucose, requires food, and the body begins to break down fats, producing, as in the previous case, a large amount of ketones that are excreted through the skin.

This smell is present with various deviations of the state of the body from the norm. The fact is that ammonia is a volatile substance with which we get rid of excess nitrogen. It can be excreted in the urine, exhaled air or sweat.

Ammonia breath is characteristic of people with kidney failure, and also indicates a possible infection Helicobacter pylori and high risk liver failure. Cystitis is the cause of the characteristic ammonia smell of urine.

But if the skin smells like ammonia, this means that the kidneys and liver are not able to process all the excess nitrogen, so it is excreted through the skin through sweat. For this, the body needs to spend a lot of water. And the first thing that the smell of ammonia emanating from the body says is a possible deficiency of fluid in the body.

The ammonia smell also suggests that there is an excess of protein in the human body. This problem can be faced by people who prefer low-carbohydrate diets. In this case, it should be understood that it is more beneficial for the body to use carbohydrates for energy than proteins. To stop the breakdown of proteins, it is enough to introduce the required amount of carbohydrates into the diet. This is especially important to do against the backdrop of enhanced training.

By the way, the active excretion of ammonia through the skin can be provoked by the use of certain sports supplements as well as vitamins and medicines. Excessive addiction to asparagus can also cause a characteristic smell.

If a person smells like fish, and even rotting, then he most likely suffers from trimethylaminuria. The cause of this syndrome is a rather rare genetic disease, which develops against the background of a mutation in the FMO3 gene. It is responsible for the production of the enzyme flavin monooxygenase-3, which is involved in the processing by-product digestion - trimethylamine. If there is no such enzyme, the substance accumulates in the body, combines with other body secretions (urine, sweat, exhaled air) and causes a characteristic fishy odor. Substances that give trimethylamine during digestion are choline, carnitine, lecithin. Accordingly, people with trimethylaminuria syndrome are not recommended to eat foods containing them. For example, carnitine is found in abundance in red meat, fish, and whey. Lots of lecithin egg yolk, in buttermilk, as well as in seeds, nuts and raisins. Choline is also present in large quantities in egg yolk, liver and germinated cereals.

And here is the smell rotten fish at vaginal discharge - characteristic symptom bacterial vulvovaginitis (gardnerellosis). Its causative agents are gardnerella bacteria, which are normally opportunistic pathogens. But in violation acid-base balance vaginal environment or when immunity is weakened, they begin to multiply too actively and simultaneously produce volatile amines - putrescine and cadaverine. interesting moment: the smell becomes more pungent after sexual contact. This is because semen, with its alkaline pH, activates the production of volatile amines, which enhances the “aroma”.

That's what people who suffer smell like genetic disease tyrosinemia. There are several varieties of this disease, but they have the same essence: due to certain mutations, the body cannot produce enzymes that break down the amino acid tyrosine. As a result, the body accumulates such amino acids as tyrosine, methionine and phenylalanine. This leads to severe pathologies of the kidneys and liver, disorders of the central nervous system and changes in bone tissue. A increased content methionine and tyrosine in the blood is the cause of the characteristic smell of boiled cabbage emanating from such patients.

Smell of fermented dough: scabies mite

The sour smell of sour dough accompanies Norwegian scabies - severe form disease caused by the common scabies mite. She has many names that best characterize appearance affected tissues - crusty, crusty scabies, etc. The disease usually develops against the background of disorders immune system and other diseases: AIDS, leprosy, age-related dementia, tuberculosis, skin lymphoma, leukemia, etc.

When Pseudomonas aeruginosa rages in the human body, his body begins to exude a characteristic sweet smell, which is compared to the smell of honey. By the way, even in the laboratory, a Petri dish with "pseudomonium" is easy to distinguish by strong smell jasmine. Despite its pleasant aroma, Pseudomonas aeruginosa is one of the most dangerous infections relating to nosocomial (or hospital). Some strains of this bacterium are resistant to the most common antibiotics. Pseudomonas aeruginosa can cause various diseases respiratory tract, meningitis, otitis, inflammation of the facial sinuses, cause severe abscesses and lead to the development purulent processes in wounds, etc. For a doctor, the smell of honey emanating from a patient is bad symptom requiring immediate action.

Cheese smell: excess isovaleryl-CoA

Cheese (or "sweaty feet" - it all depends on perception) smells like people suffering from another hereditary disorder metabolism. This time we are talking about a congenital deficiency of the enzyme isovaleryl-CoA dehydrogenase. Against the background of its absence, isovaleryl-CoA accumulates in the body, which, as a result of hydrolysis, turns into isovalerate and is excreted with sweat and urine. It is isovalerate that gives the characteristic smell of cheese.

conclusions

The vast majority of body odors that differ from the norm indicate metabolic disorders - temporary or permanent. Therefore, any unusual smell emanating from the body is a reason to consult a doctor. Perhaps this is a signal from the body that something is seriously wrong with it.

According to scientists, people choose their soulmate precisely by the smell of the body. It is believed that it is the sense of smell that allows you to select a partner with the most suitable set of genes. After all, a person is able to secrete pheromones: substances that arouse interest in the opposite sex. However, there are situations when this or that smell emanating from the body should be taken as a distress signal. After all, he can talk about the presence of enough serious illness. Doctors say that some diseases have their own "flavor". How exactly diseases smell and what you should pay attention to when a new smell appears - in the material of AiF.ru.

Smell test

Doctors have long been using the unpleasant odor emanating from the human body as an option. primary diagnosis various diseases. After all, repulsive amber is a clear signal that metabolic processes have been disturbed. This often occurs against the background of the development of certain pathologies.

The bacteria that colonize the skin survive the previous colonies that were "healthy", and the waste products of the newcomers begin to smell differently.

Does it smell like acetone?

If sweat acquires the smell of acetone, it is worth checking for pathologies such as:

• Various endocrine pathologies that are associated with diabetes
• Problems with the digestive system
• Liver and kidney disorders
• Human infection with microbes, bacteria and viruses

All this can lead to an imbalance in the body, which is why there is a general dysfunction. At the same time, it should be understood that diabetes mellitus is the most common cause the appearance of acetone body odor. This is due to the fact that a person develops insulin deficiency. Glucose begins to break down worse, and an excess of it causes a change in the composition of the blood and a deterioration in metabolism: from this, the number of ketone bodies in the body begins to increase. The body actively removes excess, including and together with sweat: hence the appearance of a sharp acetone amber. It should be understood that this condition is fraught with serious health problems and often indicates the approach of a diabetic coma.

Also, the smell of acetone can be observed if the kidneys are affected. In this case, in addition to the characteristic "aroma", the person will show symptoms such as swelling, problems with urination, pain in the lumbar region, increased pressure, and the smell of acetone from the mouth.

If the acetone smell from the skin is accompanied by a sharp loss of kilograms with continued appetite, irritability and insomnia, they say that the cause of the problem may be a violation of the thyroid gland.

Cat smell

There are situations when the smell of cat feces begins to come from a person. In this case, the body also signals possible problems. So, for example, the smell of urea appears when:

• Diseases of the kidneys and liver
• Pathologies of the endocrine system and VVD
• Tuberculosis
• obesity
• Disorders in the digestive system

Among the common causes of such a "flavor" are kidney problems. After all, if their work fails, the whole organism reacts painfully to this. Moreover, it should be understood that the smell of urea in this case will be strong, and it will be impossible to cope with it with improvised means: deodorants do not take this.

A problem develops due to the fact that the breakdown products of proteins are excreted through sebaceous glands. Doctors in this case talk about uricidosis, which may be the result of chronic nephritis, pyelonephritis and uremia.

The smell of vinegar

A person's sweat can sometimes smell like vinegar. It is important to understand here that the appearance of such a symptom is accompanied by increased sweating. Among the reasons due to which such a problem may develop:

• Endocrine disorders
• Vitamin D and B deficiency
• Infectious and inflammatory diseases of the lungs
• Mastopathy

When it comes to failures in endocrine system, in the body there may be a lack of iodine. This immediately leads to an unpleasant odor. It is quite possible to recognize tuberculosis by the vinegar smell from the body, because in this case, symptoms such as severe cough, fatigue, weakness and fever. Women are not recommended to leave such a smell unattended: it may indicate serious problems with chest.

Other options

As soon as the body odor has changed, turning into something unbearable, it is worth visiting a doctor as soon as possible. After all, a different smell can indicate various pathologies, some of which are quite difficult to treat.

Body odor	Possible disease
	Metabolic problems
Putrid or sweetish	Diphtheria
Sheep wool (wet)	Disorder of the adrenal glands
hydrogen sulfide	Ulcer, dyspepsia
rotten meat	Cancer problems
The smell of old age	Problems with hormonal background
rotten apples	Condition before hypoglycemic coma (requires immediate hospitalization)

Expert opinion

Mehman Mammadov, professor, MD, expert of the "League of Nation's Health":

The body smells in various metabolic disorders. For example, due to impaired glucose metabolism, the number of ketone bodies increases and their accumulation on the skin gives an odor. This is typical for decompensation of diabetes. The smell of urea is terminal stage kidney failure. The characteristic smell of the skin, as a rule, is a sign of a malfunction of the organs associated with metabolism - these are the kidneys, lungs, liver. Ulcerative and inflammatory diseases of the skin can also smell.