Posted by Sarah T. on August 19, 2005, at 0:48:56
In reply to To Sara T, posted by Phillipa on August 14, 2005, at 19:07:42
Hi Phillipa,
I'm sorry it has taken me so long to respond to you.
A few days ago, I came across an article about the loss of the sense of taste in a magazine called "Arthritis Today." An otolaryngoloist by the name of Christina McAlpin, M.D. (at Cedars-Sinai Hospital in LA) was quoted as saying that Sjorgen's syndrome, an autoimmune disorder, can cause erosion of taste buds; however, she said that sinus problems are a more likely cause of taste loss. Inflammation of the nasal passages, nasal polyps, and infection can affect both smell and taste.
Many medications, including decongestants, can dry out the nasal passages to such a degree that there is no mucous to absorb molecules and transmit messages to the brain. Other medications that are known to affect smell and taste are antidepressants, such as amytriptyline, doxepin and fluoxetine; corticosteroids, such as dexamethasone or hydrocortisone; DMARDS, such as penicillamine or auranofin; and NSAIDS, such as diclofenac (Voltaren).
Dr. McAlpin also said that smoking and inflammatory diseases, such as rheumatoid arthritis, can damage the lining of the sinuses and prevent messages from being sent to the brain. Zinc deficiency is another cause of taste loss and smell loss.
It's such a disappointment to have a negative experience with a highly respected physician. Perhaps the doctor you saw was one of those who is so busy with research and writing papers that he has forgotten how to relate to patients. It's particularly difficult to have that kind of experience when you've heard that someone is "the best." When a physician is praised like that, you can't help but have high hopes.
You mentioned that you have chronic Lyme Disease. I wouldn't be a bit surprised if that had something to do with the taste loss. Every one I know who has had chronic Lyme has had multiple body systems affected by the disease. Were you diagnosed with Lyme very late in the course of the disease?
I wish that you would begin to feel better very soon. Please continue to let us know how you're doing.
S.
poster:Sarah T.
thread:541512
URL: http://www.dr-bob.org/babble/20050816/msgs/543760.html