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Hearing & balance

Smell testing

Formal testing of the sense of smell - increasingly relevant after COVID, in sinus disease and in neurological assessment.

Key facts

At a glance

  • The tests: standardised kits - scratch-and-sniff identification panels or odour pens - score your ability to detect and name smells against age norms.

  • On the day: no preparation beyond avoiding strong coffee or smoking just beforehand; testing takes 15-30 minutes.

  • Common causes of loss: viral infections (including COVID), chronic sinus disease and nasal polyps, head injury, and age.

  • Why formal testing helps: it grades the loss objectively, tracks recovery, and separates smell from taste complaints (usually smell in disguise).

  • Follow-up: an ENT examination looks for treatable nasal causes; smell training is the evidence-based rehabilitation for persistent loss.

The full picture

What this test involves, and how to get it

Formal smell testing replaces "I can’t smell much" with a standardised score. Validated tools - scratch-and-sniff identification tests such as UPSIT, or the Sniffin’ Sticks pen system that measures threshold, discrimination and identification - present a series of odours under controlled conditions and score performance against age and sex norms, grading normal smell, reduced smell (hyposmia) and absent smell (anosmia). Testing takes fifteen to thirty minutes, needs no preparation, and settles a surprisingly common confusion: most "taste loss" is actually smell loss, since flavour is largely smell working behind the scenes. Objective grading matters for tracking recovery, for medicolegal and occupational purposes, and for taking a symptom seriously that medicine has historically waved through.

The causes worth hunting are the treatable ones: chronic rhinosinusitis and nasal polyps respond to medical and surgical treatment, so an ENT examination with endoscopy accompanies the score. Post-viral loss - given mass visibility by COVID - often improves over months, and structured smell training with rotating essential oils twice daily is the evidence-based rehabilitation, cheap and worth the persistence. Smell loss also has a neurological dimension, appearing years early in Parkinson’s disease, which specialists weigh in context rather than as cause for individual alarm. NHS smell assessment is patchy, concentrated in specialist smell and taste clinics with long routes in; private ENT clinics offering formal testing can typically assess within one to two weeks.

A quiet reminder

This guide is for information, not medical advice.

Your own clinician knows your history and can tell you which parts apply to you. Next review of this page: 2027-09-27.

Frequently asked

Common questions about Smell testing.

Quick, plain-English answers to what people ask us most.

  • What is Smell testing?

    Smell testing is a blood test that measures a specific substance or marker in your blood, giving your doctor useful information about how a particular system in your body is functioning. It is one of many tools used alongside your symptoms and history to build a fuller clinical picture. Your doctor can explain exactly why it is relevant in your case.

  • Why would a doctor order Smell testing?

    This test is typically requested to investigate specific symptoms, monitor an existing condition, or check for a deficiency or imbalance that could explain how you are feeling. It may also be used as part of a broader panel of related tests rather than in isolation. The result helps guide whether further tests, treatment, or simple monitoring is appropriate.

  • Do I need to prepare for this test?

    Some blood tests require fasting, a specific time of day, or pausing certain medications or supplements beforehand, while others need no special preparation at all. You will usually be told what applies to your specific test when it is booked. If you are unsure, it is worth checking with the clinic or lab in advance.

  • What happens during the test?

    A small blood sample is taken, usually from a vein in your arm, in a process that takes only a few minutes. It is generally straightforward and similar to any other routine blood draw. You can normally return to your usual activities straight afterwards.

  • Does this test hurt or carry any risks?

    A standard blood draw involves brief discomfort from the needle but is otherwise low-risk. Minor bruising at the site is the most common side effect and usually settles quickly. Let the person taking your sample know if you have a needle phobia or have had problems with blood tests before, as they can help make it more comfortable.

  • How long do results take?

    Results are typically available within a few days, though turnaround can vary depending on the specific test and laboratory used. You will usually be told when and how to expect your results at the time of testing. More specialised tests may occasionally take longer.

  • What do abnormal results mean, and what happens next?

    An abnormal result can have several possible explanations, from common and benign causes to conditions that need further assessment, and is best interpreted by a doctor alongside your symptoms and history. Depending on the finding, next steps might include repeating the test, further investigation, or referral to a specialist. Try not to draw firm conclusions from a number alone before speaking to a clinician.

  • Is this test available on the NHS, or is it better to go private?

    This test can often be arranged privately within days, with results reviewed by a specialist, whereas routine NHS access may depend on your GP agreeing it is clinically indicated and can involve a longer wait. Cost for private testing varies by provider. Many people choose the private route for speed and convenience, particularly if they are self-funding for reassurance rather than an urgent clinical concern.

  • Is this test accurate and reliable?

    Blood tests like this are well established and generally reliable when carried out by an accredited laboratory. Results can occasionally be affected by factors such as timing, recent illness, medication, or hydration, which is why doctors interpret a single result in context rather than in isolation. If a result seems unexpected, repeating the test is sometimes recommended.

  • How do I book this test privately, and how quickly can I be seen?

    You can typically book privately with or without a GP referral, and appointments, including blood draw and results review, are often available within a few days. A doctor will explain what your result means and advise on any next steps.