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It looks like sinusitis. Check it out. With an exacerbation, there are always “such” smells. But if anything, a puncture is only a last resort. If it's already quite bad. Experience from the “home archive”
On the Doctor channel there is a series of programs about the illnesses of writers. It always seemed to Bulgakov that there was a smell of dead mice. I think he had kidney failure.
I know that people with schizophrenia can smell rot close to their noses. I don't think this is the real reason in your case)))
Stosorokstosorokstosorokstosorok
It is better to ask an ENT specialist or a dentist. Perhaps some untreated acute respiratory infection or stomatitis so reminds you of yourself. There is still some small focus of inflammation and manifests itself. The liver can still complain like that.