I am 58 yrs old male. My taste of mouth has lost since last 2 yrs. I had sinus problem & I operate it but no gain in taste. What to do?

Question

Sir, the problem of taste is related to loss of senastion due to taste and smell. If any of these problems is there you will have aguesia (loss of taste) causes of loss of taste are- causes neurological damage tissue damage to the nerves that support the tongue can cause ageusia, especially damage to the [chordatympani nerve] and the glossopharyngeal nerve. The chordatympani nerve passes taste for the front two-thirds of the tongue and the glossopharyngeal nerve passes taste for the back third of the tongue. Neurological disorders such as bell's palsy, familial dysautonomia, and multiple sclerosis cause similar problems to nerve damage, as do certain infectious conditions like primary amoeboid meningoencephalopathy. The lingual nerve (which is a branch of the trigeminal v3 nerve, but carries taste sensation back to the chorda tympani nerve to the geniculate ganglion of the facial nerve) can also be damaged during otologic surgery, causing a feeling of metal taste. Problems with the endocrine system deficiency of vitamin b3 (niacin) and zinc can cause problems with the endocrine system, which may cause taste loss or alteration. Disorders of the endocrine system, such as cushing's syndrome, hypothyroidism and diabetes mellitus, can cause similar problems. Ageusia can also be caused by medicinal side-effects from antirheumatic drugs such as penicillamine, antiproliferative drugs such as cisplatin, ace inhibitors, and other drugs including azelastine, clarithromycin, terbinafine, and zopiclone. Other causes local damage and inflammation that interferes with the taste buds or local nervous system such as that stemming from radiation therapy, glossitis, tobacco use, and denture use also cause ageusia. Other known causes include loss of taste sensitivity from aging (causing a difficulty detecting salty or bitter taste), anxiety disorder, cancer, renal failure and liver failure.

Karun Gupta · Accepted Answer

Sir, the problem of taste is related to loss of senastion due to taste and smell. If any of these problems is there you will have aguesia (loss of taste) causes of loss of taste are- causes neurological damage tissue damage to the nerves that support the tongue can cause ageusia, especially damage to the [chordatympani nerve] and the glossopharyngeal nerve. The chordatympani nerve passes taste for the front two-thirds of the tongue and the glossopharyngeal nerve passes taste for the back third of the tongue. Neurological disorders such as bell's palsy, familial dysautonomia, and multiple sclerosis cause similar problems to nerve damage, as do certain infectious conditions like primary amoeboid meningoencephalopathy. The lingual nerve (which is a branch of the trigeminal v3 nerve, but carries taste sensation back to the chorda tympani nerve to the geniculate ganglion of the facial nerve) can also be damaged during otologic surgery, causing a feeling of metal taste. Problems with the endocrine system deficiency of vitamin b3 (niacin) and zinc can cause problems with the endocrine system, which may cause taste loss or alteration. Disorders of the endocrine system, such as cushing's syndrome, hypothyroidism and diabetes mellitus, can cause similar problems. Ageusia can also be caused by medicinal side-effects from antirheumatic drugs such as penicillamine, antiproliferative drugs such as cisplatin, ace inhibitors, and other drugs including azelastine, clarithromycin, terbinafine, and zopiclone. Other causes local damage and inflammation that interferes with the taste buds or local nervous system such as that stemming from radiation therapy, glossitis, tobacco use, and denture use also cause ageusia. Other known causes include loss of taste sensitivity from aging (causing a difficulty detecting salty or bitter taste), anxiety disorder, cancer, renal failure and liver failure.

Tapan Kumar Bhattacharjee · Answer

Loss of taste is a common symptom of gastroesophageal reflux disease (gerd), salivary gland infection, sinusitis, poor dental hygiene, or even certain medicines. The medical term for a complete loss of taste is ageusia. A partial loss of taste is called dysgeusia. Loss of taste is caused by interruption of the transfer of taste sensations to the brain, or by a problem with the way the brain interprets these sensations. Although taste problems are common, complete loss of taste is rare. Loss of taste in mouth can be a sign of a serious condition. Seek prompt medical care if your loss of taste in mouth is persistent or causes you concern. A senior consultant in general medicine / internal medicine can help you.