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While many cases of phantosmia are benign or temporary, you should seek medical evaluation if : The phantom smell is persistent or worsening It interferes with daily life or sleep Its accompanied by other symptoms, such as: Headaches or seizures Memory loss or confusion Mood changes or hallucinations in other senses Loss of appetite or nausea triggered by the smell Youve recently had a head injury The smell suggests something burning, chemical, or dangerous, and recurs in the absence of an actual source A neurologist or ENT specialist (ear, nose, and throat doctor) can help determine the cause through exams, imaging (MRI/CT), or smell tests