Ageusia: Difference between revisions
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{{Infobox medical condition | |||
| name = Ageusia | |||
| synonyms = | |||
| pronunciation = | |||
| specialty = [[Otolaryngology]], [[Neurology]] | |||
| symptoms = Loss of [[taste]] | |||
| complications = [[Malnutrition]], [[depression (mood)|depression]] | |||
| onset = | |||
| duration = | |||
| types = | |||
| causes = [[Upper respiratory infection]], [[head trauma]], [[neurological disorders]], [[medications]] | |||
| risks = | |||
| diagnosis = [[Taste test]], [[medical history]], [[neurological examination]] | |||
| differential = [[Hyposmia]], [[anosmia]], [[dysgeusia]] | |||
| prevention = | |||
| treatment = Addressing underlying cause, [[zinc]] supplementation | |||
| medication = | |||
| prognosis = Varies depending on cause | |||
| frequency = Rare | |||
}} | |||
'''Ageusia''' (pronounced ay-GOO-see-uh) is the loss of [[taste]] functions of the [[tongue]], particularly the inability to detect sweetness, sourness, bitterness, and saltiness. It is typically a symptom of [[anosmia]] - a loss of the [[sense]] of [[smell]]. Because the tongue can only indicate texture and differentiate between sweet, sour, bitter and salty, most of what is perceived as the sense of taste is actually derived from smell. True aguesia is relatively rare compared to the milder forms of taste loss: [[hypogeusia]] and [[dysgeusia]]. Hypogeusia represents a partial loss of taste whereas dysgeusia denotes a distortion or alteration of taste. | '''Ageusia''' (pronounced ay-GOO-see-uh) is the loss of [[taste]] functions of the [[tongue]], particularly the inability to detect sweetness, sourness, bitterness, and saltiness. It is typically a symptom of [[anosmia]] - a loss of the [[sense]] of [[smell]]. Because the tongue can only indicate texture and differentiate between sweet, sour, bitter and salty, most of what is perceived as the sense of taste is actually derived from smell. True aguesia is relatively rare compared to the milder forms of taste loss: [[hypogeusia]] and [[dysgeusia]]. Hypogeusia represents a partial loss of taste whereas dysgeusia denotes a distortion or alteration of taste. | ||
==Diagnosis== | ==Diagnosis== | ||
In order to discover the extent of the aguesia, scientists attempt to discern the minimum level of a chemical that a patient can detect by taste. Patients may also be asked to compare various concentrations of chemicals in order that the doctor may ascertain what level of intensity that the patient can differentiate. Various methods are used, including the "sip, spit, and rinse" test as well as direct application of chemicals to the tongue. | In order to discover the extent of the aguesia, scientists attempt to discern the minimum level of a chemical that a patient can detect by taste. Patients may also be asked to compare various concentrations of chemicals in order that the doctor may ascertain what level of intensity that the patient can differentiate. Various methods are used, including the "sip, spit, and rinse" test as well as direct application of chemicals to the tongue. | ||
==Causes== | ==Causes== | ||
===Neurological Damage=== | ===Neurological Damage=== | ||
Aguesia is typically a function of the loss of the sense of smell, but tissue damage to the nerves that support the tongue can also cause ageusia, especially damage to the Lingual Nerve and the Glossopharyngeal Nerve. The Lingual Nerve passes taste for the front two-thirds of the tongue and the Glossopharyngeal Nerve passes taste for the back third of the tongue. Neroulogical disorders such as [[Bell's Palsy]], [[Familial dysautonomia|Familial Dysautonomia]], and [[Multiple Sclerosis]] will cause similar problems to nerve damage. The lingual nerve (who is a branch of the facial nerve) can also be damaged during otologic surgery giving place to a feeling of metal taste. | Aguesia is typically a function of the loss of the sense of smell, but tissue damage to the nerves that support the tongue can also cause ageusia, especially damage to the Lingual Nerve and the Glossopharyngeal Nerve. The Lingual Nerve passes taste for the front two-thirds of the tongue and the Glossopharyngeal Nerve passes taste for the back third of the tongue. Neroulogical disorders such as [[Bell's Palsy]], [[Familial dysautonomia|Familial Dysautonomia]], and [[Multiple Sclerosis]] will cause similar problems to nerve damage. The lingual nerve (who is a branch of the facial nerve) can also be damaged during otologic surgery giving place to a feeling of metal taste. | ||
===Problems with the Endocrine System=== | ===Problems with the Endocrine System=== | ||
Vitamin deficiency, namely vitamins [[Niacin|B3]] and [[Zinc]], could lead to problems with the [[Endocrine system]], which may in turn lead to taste loss or alteration. Disorders of the Endocrine Sytem such as [[Cushing's syndrome|Cushing's Syndrome]], [[Hypothyroidism]] and [[Diabetes mellitus|Diabetes Mellitus]] could lead to similar problems. Ageusia can also be caused by medicinal side-effects from [[Antirheumatic Drugs]] such as [[Penicillamine]], [[Cytostatic|Antiproliferative drugs]] such as [[Cisplatin]], [[ACE inhibitor|ACE Inhibitors]], and other drugs including [[Azelastine]], [[Clarithromycin]] and [[Zopiclone]]. | Vitamin deficiency, namely vitamins [[Niacin|B3]] and [[Zinc]], could lead to problems with the [[Endocrine system]], which may in turn lead to taste loss or alteration. Disorders of the Endocrine Sytem such as [[Cushing's syndrome|Cushing's Syndrome]], [[Hypothyroidism]] and [[Diabetes mellitus|Diabetes Mellitus]] could lead to similar problems. Ageusia can also be caused by medicinal side-effects from [[Antirheumatic Drugs]] such as [[Penicillamine]], [[Cytostatic|Antiproliferative drugs]] such as [[Cisplatin]], [[ACE inhibitor|ACE Inhibitors]], and other drugs including [[Azelastine]], [[Clarithromycin]] and [[Zopiclone]]. | ||
===Other Causes=== | ===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 abuse, and denture use will also cause Aguesia. Other known causes of ageusia include loss of taste-sensitivity from aging (resulting in a difficulty detecting salty or bitter taste), [[Anxiety disorder|Anxiety Disorder]], [[Cancer]], [[Renal failure|Renal Failure]] and [[Liver failure|Hepatic failure]]. | Local damage and inflammation that interferes with the taste buds or local nervous system such as that stemming from radiation therapy, [[Glossitis]], tobacco abuse, and denture use will also cause Aguesia. Other known causes of ageusia include loss of taste-sensitivity from aging (resulting in a difficulty detecting salty or bitter taste), [[Anxiety disorder|Anxiety Disorder]], [[Cancer]], [[Renal failure|Renal Failure]] and [[Liver failure|Hepatic failure]]. | ||
==Sources== | ==Sources== | ||
* MedTerms Online Medical Dictionary. [http://www.medterms.com/script/main/art.asp?articlekey=9664 "Ageusia"]. Retrieved April 15, 2005. | * MedTerms Online Medical Dictionary. [http://www.medterms.com/script/main/art.asp?articlekey=9664 "Ageusia"]. Retrieved April 15, 2005. | ||
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[[Category:Laryngology]] | [[Category:Laryngology]] | ||
[[Category:Symptoms and signs of mental disorders]] | [[Category:Symptoms and signs of mental disorders]] | ||
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Latest revision as of 23:25, 3 April 2025
| Ageusia | |
|---|---|
| Synonyms | |
| Pronounce | N/A |
| Specialty | Otolaryngology, Neurology |
| Symptoms | Loss of taste |
| Complications | Malnutrition, depression |
| Onset | |
| Duration | |
| Types | |
| Causes | Upper respiratory infection, head trauma, neurological disorders, medications |
| Risks | |
| Diagnosis | Taste test, medical history, neurological examination |
| Differential diagnosis | Hyposmia, anosmia, dysgeusia |
| Prevention | |
| Treatment | Addressing underlying cause, zinc supplementation |
| Medication | |
| Prognosis | Varies depending on cause |
| Frequency | Rare |
| Deaths | N/A |
Ageusia (pronounced ay-GOO-see-uh) is the loss of taste functions of the tongue, particularly the inability to detect sweetness, sourness, bitterness, and saltiness. It is typically a symptom of anosmia - a loss of the sense of smell. Because the tongue can only indicate texture and differentiate between sweet, sour, bitter and salty, most of what is perceived as the sense of taste is actually derived from smell. True aguesia is relatively rare compared to the milder forms of taste loss: hypogeusia and dysgeusia. Hypogeusia represents a partial loss of taste whereas dysgeusia denotes a distortion or alteration of taste.
Diagnosis[edit]
In order to discover the extent of the aguesia, scientists attempt to discern the minimum level of a chemical that a patient can detect by taste. Patients may also be asked to compare various concentrations of chemicals in order that the doctor may ascertain what level of intensity that the patient can differentiate. Various methods are used, including the "sip, spit, and rinse" test as well as direct application of chemicals to the tongue.
Causes[edit]
Neurological Damage[edit]
Aguesia is typically a function of the loss of the sense of smell, but tissue damage to the nerves that support the tongue can also cause ageusia, especially damage to the Lingual Nerve and the Glossopharyngeal Nerve. The Lingual Nerve passes taste for the front two-thirds of the tongue and the Glossopharyngeal Nerve passes taste for the back third of the tongue. Neroulogical disorders such as Bell's Palsy, Familial Dysautonomia, and Multiple Sclerosis will cause similar problems to nerve damage. The lingual nerve (who is a branch of the facial nerve) can also be damaged during otologic surgery giving place to a feeling of metal taste.
Problems with the Endocrine System[edit]
Vitamin deficiency, namely vitamins B3 and Zinc, could lead to problems with the Endocrine system, which may in turn lead to taste loss or alteration. Disorders of the Endocrine Sytem such as Cushing's Syndrome, Hypothyroidism and Diabetes Mellitus could lead to 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 and Zopiclone.
Other Causes[edit]
Local damage and inflammation that interferes with the taste buds or local nervous system such as that stemming from radiation therapy, Glossitis, tobacco abuse, and denture use will also cause Aguesia. Other known causes of ageusia include loss of taste-sensitivity from aging (resulting in a difficulty detecting salty or bitter taste), Anxiety Disorder, Cancer, Renal Failure and Hepatic failure.
Sources[edit]
- MedTerms Online Medical Dictionary. "Ageusia". Retrieved April 15, 2005.
- Family Practice Notebook. "Taste Sensation". Retrieved April 15, 2005.
- Massachusetts Eye and Ear Infirmary. "Taste Disorders". Retrieved April 15, 2005.
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