Why You Smell Phantom Cigarette Smoke When Nobody’s Smoking

Nobody around is smoking, so why do you smell cigarette smoke? Is this crazy or what? There are some explanations for this phenomenon.
“There are many reasons that cause people to have phantom smells and/or bad smells (known as parosmia),” explains Jordan S. Josephson, MD, Ear, Nose and Throat Specialist at Lenox Hill Hospital in NY, Author of Sinus Relief Now, Director of the New York Nasal and Sinus Center.


Unfortunately, some causes of smelling cigarette smoke
when nobody is smoking are very serious:

“These phantom smells can be caused by damage to the olfactory nerve by chemicals, or infection with a virus or bacteria, or trauma. A tumor of the brain or the olfactory nerve can also cause phantom smells. Or it can be caused by the infection itself. And the resulting sensation is then confused in the brain with the smell of cigarette smoke.”


More about parosmia: Dr. Josephson notes, “The bottom line is that many people may get this sensation at one time or another. If it comes and goes, then again, there is probably nothing to worry about. However, there are a few conditions that can cause parosmia, and this lasts longer than a fleeting moment, or recurs more frequently, and this is something that needs to be looked at carefully.” 


Why is cigarette smoke usually the phantom smell? “The parosmia is often described like the smell of smoke or cigarette smoke or like something that is burning. Overall this symptom is poorly understood and we don’t know why people relate this to cigarette smoke. It may be that the neurologic signals sent to the brain by the damage is closest to what we have learned is the smell of cigarette smoke or something burning.”  


If one has parosmia, when should he seek medical attention? “If the parosmia lingers, worsens and does not get better or it occurs with increasing frequency, you should probably see a board certified otolaryngologist and a neurologist and get studies to evaluate the cause of this problem. The good news is there most likely is a solution for most of these sufferers.”


What is it about phantom cigarette smoke and being alone in a car and nobody’s been puffing tobacco? “Many people report that this sensation of parosmia is brought on by dry heated air.  That is probably why many people report this to occur in the car because of the heating system in the car blowing dry air. 

"Boiling water and forced hot air from a furnace have also been reported by many patients to induce this sensation as well.  It is probably that there was damage to the nerve, and the heat causes the nerve to fire and cause this sensation of parosmia.  However, this is not well understood.”


Other causes of smelling cigarette smoke are infections that can invade the sinuses or throat. These can harm the nerves that pick up scents. Dr. Josephson explains, “This is usually following a sinus infection or an upper respiratory tract infection.” 


He continues, “If it is a bacterial sinusitis it needs to be treated with antibiotics, irrigation with saline and topical steroid sprays.  Furthermore, viruses that attack the olfactory nerve or taste nerve can lead to this sense of something burning. Migraines can also be related to an aura that brings on the sensation of something burning or a smell described like there is cigarette smoke when there is none.”


If you continue to smell cigarette smoke, Dr. Josephson urges a comprehensive workup which includes a smell test and CAT scan. “Then appropriate treatment has to be instituted. And the cause may be multi-factorial and therefore the treatment may need to be multifaceted.” Unfortunately, two more causes could be neurological conditions including stroke.

18 comments:

  1. I have been getting Phanton cigarette smmels for about 4 to 5 years now. It only happens after I have been around a smoker. Up to three days later, I can still smell the cigartte smell. I do not smoke. I was dianosed with CLL leukemia about a year and half ago. Not sure if it's related, to the phantom cigartte smells.

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  2. I have only been smelling it up in my part of the house since my mother passed away last year. She used to smoke downstairs and id get the same whiff I am getting now.
    I hope its nothing serious for me but my father smells it from time to time to.
    If anybody can help, flyingslugs@gmail.com
    Thanks

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    1. I always think it's my dad who passed many years ago. The smell is just so nauseating and overwhelming that I feel like I'm going to purge! I wish I knew what was the cause. It makes me so sick whenever I smell it.

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    2. My family smells it too, after my grandfathers passing as he was a smoker.

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  3. I am not a smoker and have never been one. My spouse is not a smoker. For the last three days I cannot stop smelling cigarette smoke. At work (in a scent free massage studio), at home, in the car, outside in the fresh air. There is no escape. I have tried burning scented candles and can smell the scent but over the scent I smell cigarettes. After reading the above article I am getting worried. This is so freaking weird. I am going to give it one more day and then I am making a doctor appointment.

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  4. I smell a sweet smell all the time. Anyone else experienceed this?

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    1. Yes, I smell something that I equate to pipe tobacco or pipe smoke.

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    2. That's what I smell! It is driving me nuts at this point.

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  5. I only smell it after phantom sex.

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    1. Very funny; thanks for lightening things up.

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  6. I got phantom smell like something burned and sometime it smell like human blood

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  7. A couple days ago I hit my head on a metal clip on my horses rug and since then I've had two little bumps on my forehead and can smell smoke most the time.

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  8. I get the phantom smoke smell on and off for the past couple years, though mine is more like burning wood than cigarette smoke. Lately it has been much more often and more intense. Sometimes it lasts for hours or days at a time.

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  9. I've been smelling smoke for 6 months. Turned out to be a zinc deficiency. It stopped about a week after I started taking a zinc supplement

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  10. I have been smelling cigarette smoke for a few weeks sometimes so bad it takes my breath away. My brother has a benign tumer in his head which is being monitered. Could i also have one

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  11. This started with me also about 3 weeks ago, I thought I was going crazy. I did not bring it up to anyone because it sounded so ridiculous to myself that I thought I would just sound like a fool to anyone else.
    After about the 3rd week I finally asked "does anyone else smell cigarette smoke?" No, was the reply. It was so bad that it was starting to make me sick and I googled the symptoms, thinking nothing would show up, but it did. The only relief I have now, is knowing that I am not alone. This is one of the worst things, if not thee worst thing that has ever happened physically to me, and I have had lots of bad things, from herniated discs and so on.
    It is like I am in a room of smokers or a bar from way back when people were able to smoke in them. I am not a smoker, never have been and I have not been around any smokers, nobody in my house smokes. It's driving me crazy.
    I went to the E.R. because I could not take it anymore, the headache, also a stinging feeling in the back of my head were so bad that I decided to go to the hospital.
    A CT Scan was done, and that came back normal, so far I am being treated for a sinus infection which I do not have. I also was able to see my Primary Care doctor yesterday, I need an MRI for it will show him more, he needs to rule out stroke and tumors. Also, lots of blood work, which was done today. I hope to find out results in a few weeks, I have a vacation scheduled for next week so this is the worst time for me to actually be going away but it was planned a while ago, my brother and wife had a baby and I have to meet the little guy, but I am completely miserable surrounded by smoke. This is so terrible. I am just glad I am not alone even though I would not want anyone else to have this ever.
    I will update this blog with info as I learn more.
    Good luck to all who are also suffering with this. Take Care

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  13. I've been smelling this for some time and will soon go to the dr. for it but I wonder if my Guardian Angel has taking up smoking....rofl

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