You’ve heard of auditory and visual hallucinations, but what about oral phantoms?
. “Women have a double whammy,” Bartoshuk says. “Both of these things put you at a highly vulnerable position for burning mouth syndrome, and maybe a little bit of extra damage and you’re over the line and you get it.”
In fact, invasive procedures are not needed to treat burning mouth syndrome or taste phantoms. Grushka discovered the treatment for these conditions by chance. Some years ago, one of her patients was prescribed a drug called clonazepam for an unrelated condition—and her burning mouth pain went away. After the woman told Grushka what had happened, she began testing the drug at different doses. It turned out that a very low dose of clonazepam eased both burning mouth pain and taste phantoms.
People sometimes liken their olfactory phantom to some kind of chemical that they’d expect to smell in an industrial setting, says Donald Leopold, an ENT physician at the University of Vermont Medical Center in Burlington. When people can put a name to what they’re smelling, they often describe the odor as being like burned rubber, cigarette smoke or ashes, feces, or spoiled meat. The smells can sometimes be so powerful that they cover up the flavors of actual food.
In most cases, the phantom vanishes after a few minutes or after the person has gone to sleep. Rarely, the phantom does not abate; Leopold occasionally sees patients who have had olfactory phantoms for decades. Some people have asked him to surgically eliminate their sense of smell because their phantoms are so unpleasant. Even then, the phantom sometimes will return. But in the vast majority of cases, olfactory phantoms will disappear on their own within a year.
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