I don't know, and I expect the doctor would have mentioned it if he thought it were important, but have you seen a dentist recently.
I think the ocd is making things worse but it sounds like there may also be another problem.
Good luck with everything.
There can be several issues that can be affecting the sense of smell. The first would be chronic sinusitis, which can also contribute to the bad breath.
Another consideration would be a lesion within the brain, such as a pituitary mass, which can affect the smell or taste. This is a rare condition, and can be considered if the initial workup is non-revealing.
Brain imaging, either with a CT scan or MRI can be considered. If sinusitis is the culprit, antibiotics may be needed.
These options can be discussed with your personal physician.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin Pho, M.D.
KevinMD.com
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