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An altered sense of taste can cause patients to self-manage in ways that are detrimental to their health. Patients may find 1 alteration especially repulsive: metallic taste. Metallic taste usually originates from the following causes :. Studying taste is a difficult task because taste is entwined with the sense of smell and changes with food texture and temperature. It is almost impossible to determine if patients have decreased sensitivity a quantitative problem or distorted perception a qualitative problem. Some common drugs are frequent culprits Table 2 5,6, When dysgeusia occurs, patients may change their eating habits to try to restore normal taste or they may discontinue the medication they believe is the cause of the problem without informing their health care team. The best approach to treating a metallic taste is prevention or correction of the underlying disorder. Because a zinc deficiency is a common but often overlooked cause, encourage patients and primary care providers to assess zinc levels. If drug therapy is likely to be long term or the problem seems to be related to high doses, dose reduction may be a suitable option Table 2. Also consider keeping on hand a list of low-cost, simple interventions that patients can implement to combat dysgeusia, of which oral hygiene is one. Recommend frequent brushing and flossing to clear away trace minerals; this can be especially useful for patients with a heightened sense of taste or phenytoin- induced gingival hyperplasia. Next, discuss food preparation. Suggest adding acidic flavors tomato, citrus or strong spices or herbs. Cold or frozen food tends to taste better than warm food and may ameliorate the metallic taste, as well. Switching to alternative cooking materials directly prevents metal ion loss. This is especially useful if the sense of taste is heightened. Patients should mix a half teaspoon of salt and a half teaspoon of baking soda in 1 C of warm water and rinse but not swallow. Humans use their sense of taste to evaluate food, select appetizing food, and identify food that has gone bad. Taste is a critical sense, even though some clinicians may consider it to be trivial, especially in patients who have comparatively serious health problems. Dysgeusia, specifically a metallic taste, can cause patients to self-manage in ways that are detrimental to their health eg, by increasing salt or sugar intake. Therefore, if the cause of dysgeusia cannot be determined, referral to a multidisciplinary taste and smell center is recommended. Wick is a visiting professor at the University of Connecticut School of Pharmacy. October Product News. All News. FDA Updates. Press Releases. All Videos. Digital Detail. Independent Corner. Medical World News. Peer Exchange. Perfect Consult. Practice Pearls. Sponsored Webcast. Student Voices. Conference Coverage. Conference Listing. Pharmacy Times. Pharmacy Practice in Focus: Oncology. Pharmacy Practice in Focus: Health Systems. Pharmacy Careers. All Publications. About the Publications. Author Submission. Submit a Manuscript. Become a Peer Reviewer. Alzheimer Disease. Atopic Dermatitis. Bipolar Disorder. Brain Health. Breast Cancer. Cardiovascular Health. Cervical Cancer. Chronic Kidney Disease. Chronic Lymphocytic Leukemia. Colorectal Cancer. Cough and Cold. Digestive Health. Dry Eye Disease. Eye Care. Future of Pharmacy. Gastrointestinal Cancer. Gastrointestinal Health. Heart Failure. Infectious Disease. Lung Cancer. Macular Degeneration. Mental Health. Multiple Myeloma. Multiple Sclerosis. Ovarian Cancer. Pain Management. Parkinson Disease. Pharmacy Heroes. Pharmacy Management. Prostate Cancer. Psoriatic Arthritis. Reproductive Health. Respiratory Syncytial Virus. Rheumatoid Arthritis. Skin Cancer. Travel Vaccines. Veterinary Pharmacy. Vitamins and Supplements. Weight Management. Women's Health. Upcoming Events. Upcoming Webinars. Clinical Forum. Educated Patient. Information for the Pharmacist. Interactive Tools. Clinical Role. Supplement Spotlight. October Pharmacy Technician Edition. News All News. Media All Videos. Conferences Conference Coverage. Publications Pharmacy Times. Clinical B Compounding Pharmacy. Events Upcoming Events. Resources Clinical Forum. Pharmacy Technician. Author s : Jeannette Y. Articles in this issue. Menstrual Pain Exacerbated by Smoking. Generic Product News July Time for a Change? Related Videos. Related Content. Consent Preferences. About Us. Clinical Forums. Contact Us. Editorial Staff. Privacy Policy. Do Not Sell My Information. Contact Info.
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