
A bad or strange smell emanating from the nose can be caused by a variety of factors, most of which are related to the sinuses, nasal passages, or mouth. One possible cause is bacteria buildup in the mouth, which can result in the release of unpleasant gases that connect to the back of the nose. Poor oral hygiene, tooth decay, and gum disease can all contribute to this issue. In some cases, the smell may be due to nasal polyps, which are small, noncancerous growths in the nasal cavity or sinuses that can cause fluid buildup and a subsequent rotten smell. Additionally, certain health conditions such as sinus infections, inflamed adenoids, or even more serious issues like chronic kidney disease or brain tumors, can trigger phantom smells in the nose, known as phantosmia. While most conditions causing a bad smell in the nose are not life-threatening, it is important to address any underlying issues and maintain good oral and nasal hygiene to prevent and treat this unpleasant symptom.
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Poor oral hygiene
Plaque is a collection of bacteria that can live in the mouth, and when it hardens, it is called tartar. Poor oral hygiene increases the risk of developing plaque and tartar, which can, in turn, increase the risk of dental problems. Maintaining good oral hygiene helps remove food and bacteria from the mouth, reducing bad smells. This includes brushing your teeth with a fluoride-based toothpaste for two minutes, twice a day, and flossing daily.
In addition to poor oral hygiene, several other factors can contribute to a bad smell in the nose. These include sinus infections, dry mouth, smoking, and digestive issues. Dehydration can also lead to bad breath and a reduction in saliva production, which is essential for maintaining oral health. Saliva washes away food and debris from teeth and gums and helps prevent cavities and infections.
Furthermore, certain foods and beverages can also cause a bad smell in the nose. Foods that are high in odour, such as garlic, onions, coffee, and spicy dishes, can linger in the mouth and lead to an unpleasant odour.
Practicing good oral hygiene and addressing any underlying health or lifestyle issues can help prevent and treat a bad smell in the nose.
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Sinus issues
Nasal polyps are another possible cause of sinus-related odours. These are small, soft, noncancerous growths that can form in the nasal cavity or sinuses due to chronic inflammation. They can fill with fluid, leading to a rotten smell, and sometimes result in blocked nasal passages.
Poor oral hygiene can also contribute to sinus odours. Bacteria in the mouth can produce compounds containing sulfur, leading to foul-smelling gases that can connect to the back of the nose. These gases can also be produced by cavities, or holes in the teeth, which can trap bacteria.
In addition, dry mouth can cause or exacerbate a bad smell in the nose. This can be due to various factors such as mouth breathing, dehydration, or certain medications.
While most sinus-related odours are benign, they can sometimes indicate more serious health issues. For example, Phantosmia, or smelling odours that aren't there, can be triggered by conditions like Parkinson's disease, brain tumours, or inflamed sinuses.
To alleviate sinus-related odours, there are several treatments and home remedies available. Nasal corticosteroid sprays or drops may be used to treat nasal polyps, and oral corticosteroids may be prescribed if other treatments are ineffective. Maintaining good oral hygiene, including brushing, flossing, and treating cavities or gum disease, can help reduce bacteria-related odours. A saltwater rinse can also help to temporarily reduce the intensity of a bad smell in the nose.
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Phantosmia
There are two types of phantosmia: peripheral phantosmia, which is related to the nose, and central phantosmia, which is related to the brain. Problems with the nose or nasal cavity are the most common causes of phantosmia. These include sinusitis, nasal polyps, and other conditions that can cause inflammation or blockages in the nasal passages. When phantosmia is related to nose problems, people may notice a stronger smell in one nostril than the other.
Central phantosmia is caused by problems with how the brain understands smells. It can be associated with conditions of the nervous system or brain, including migraine, stroke, schizophrenia, epilepsy, and brain tumours. When phantosmia is related to the brain, the smells are often more persistent and can be noticeable during the day and night, with both nostrils experiencing the same smell.
In most cases, phantosmia is not a cause for concern and will go away on its own, sometimes gradually over several years. However, in some cases, it can be a sign of a more serious underlying condition, such as Parkinson's disease, chronic kidney disease, or intracranial haemorrhage. Therefore, it is important to discuss this symptom with a doctor. Treatment for phantosmia varies depending on the underlying cause and may include nasal saline drops, antidepressants, or surgery in very rare cases.
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Anaerobic bacteria
A bad smell in the nose can be caused by a variety of health conditions, most of which are related to the sinuses. One possible cause is sinusitis, a sinus infection that affects around 31 million people in the United States. Sinusitis refers to inflammation of the sinuses, which can lead to nasal congestion and interfere with a person's sense of smell. The infection is usually caused by bacteria, but can also be caused by viruses, fungi, or molds. The bacteria and mucus buildup associated with sinusitis can produce a strong, foul odor that smells like something rotten.
Another possible cause of a bad smell in the nose is poor oral hygiene, which can lead to tooth decay, gum disease, and the formation of tonsil stones. Bacteria buildup on the teeth and in the mouth can release unpleasant gases containing sulfur, which can cause bad breath and a bad smell in the nose. Additionally, the bacteria can feed on tonsil stones, generating a further bad smell in the mouth and nose.
Nasal polyps, small growths that form on the walls of the nasal cavity or sinuses, can also cause a bad smell in the nose. This is due to fluid buildup inside the polyps, which comes from the damp lining of the mucous membrane. Large polyps or multiple small polyps can result in blocked nasal passages and may require treatment with nasal corticosteroid sprays, drops, or oral corticosteroids.
In some cases, a bad smell in the nose may be caused by phantosmia, a hallucination of the olfactory system. Phantosmia can develop after a respiratory infection, head injury, or conditions such as Parkinson's disease, brain tumors, or inflamed sinuses.
While most conditions causing a bad smell in the nose are not life-threatening, it is important to seek medical attention if the smell is severe or chronic, as it can negatively impact one's quality of life.
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Skin conditions
A variety of health and skin conditions may trigger a bad smell in your nose. Most of these conditions are not serious, but some can be life-threatening.
One possible explanation for the cheese-like smell is epidermoid cysts, a type of acne. These cysts develop when dead skin cells accumulate deep in the skin and fail to slough off. They are typically filled with a thick, yellow substance made of the protein keratin, which has a texture similar to cheese. While epidermoid cysts are usually painless and noncancerous, they can occasionally become inflamed or infected and, in rare cases, develop into skin cancer. If you notice any redness, swelling, or pain associated with these cysts, it is recommended to consult a dermatologist for appropriate treatment.
Another factor to consider is your dietary habits and personal hygiene. Consuming dairy products or greasy foods without properly washing your face afterward can result in the sebum on your skin emitting a cheese-like odor. Improving your facial hygiene routine and increasing your water intake may help address this issue.
Additionally, certain health conditions related to your sinuses, throat, or oral health can contribute to unpleasant nasal odors. For example, nasal polyps, tonsil stones, or gum disease can lead to bad smells in the nose. In some cases, these odors may be caused by phantosmia, a condition where you smell odors that aren't actually present, which can be triggered by respiratory infections, head injuries, or conditions like Parkinson's disease or inflamed sinuses.
It is important to note that if you are experiencing persistent or concerning symptoms, it is always advisable to consult a healthcare professional for a thorough examination and proper treatment recommendations.
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Frequently asked questions
The side of your nose may smell like cheese due to bacteria buildup, which can cause bad breath and a bad smell coming from your nose. Poor oral hygiene can increase the risk of this occurring.
Other causes of a bad smell in the nose include sinusitis, inflamed adenoids, cavities, dry mouth, and nasal polyps.
Good oral hygiene, which includes brushing your teeth and flossing daily, is essential in preventing tooth decay and gum problems that can cause a bad smell in the nose. If you have tonsil stones, improving your oral hygiene may help reduce the risk of bacteria buildup. Additionally, a saltwater rinse can help temporarily reduce the intensity of a bad smell in the nose.
Most conditions causing a bad smell in the nose are not life-threatening. However, if the smell is severe, chronic, or negatively impacting your quality of life, it is recommended to seek medical attention.

























