Doctor insights on:
Is it possible to over-use salt water nasal douche? Been using it for 2 years 2x per day to clear irritants + allergy meds. Worried about any damage.
Study points to yes: Saline irrigation can be beneficial when used for a short period of time. A study presented at the 2009 College of Allergy, Asthma, and Immunology suggested that chronic use of saline was counter productive. Although it removes pathogens when used from time to time, chronic use may remove the "good bacteria". Usually 1-3 weeks of use once a day is enough. If symptoms persist, see an ENT. ...Read more
Is it possible to do jal neti ( nasal irrigation) and sutra neti ( string neti ) after septoplasty safely?
How often should I do a nasal irrigation that breaks up biofilm but preserves the lysozymes? Thanks or your advice!
Sounds dubious: There is an independent medical thinker who promotes a bizarre nasal irrigation system based on his own ideas about biofilms -- they're interesting and you're free to decide for yourself. But how you kill a biofilm and preserve the lysosomes that are helpful is beyond me. Since this is "pop" medicine, use it as much as you wish and you're probably safe. I'll pass this to the holists on the list. ...Read more
Absolutely: Even a higher concentration than 1n may be used. There is evidence that concentrations> 1 n may improve ciliary beat frequency which could help the nose be even cleaner. ...Read more
Saline: Saline irrigation is all you need. You can buy saline nose drops at a pharmacy, or you can make your own saline solution: add 1 cup (237 ml) distilled water to a clean container. If you use tap water, boil it first to sterilize it, and then let it cool until it is lukewarm. Add ½ teaspoon (2.5 g) pickling or canning salt to the water. Add ½ teaspoon (2.5 g) baking soda. ...Read more
Nasal Irrigation: Greetings. We often will prescribe solutions for nasal/sinus irrigations that are usually directed at treating a specific bacteria determined by a prior intranasal/sinus culture. As a regular intranasal wash, I recommend NeilMed intranasal irrigation. You can even add up to 1 capful (or 1 TBSP) of Johnson's baby shampoo to the nasal wash. This has been suggested to help restore bio films. ...Read more
How safe and effective is nasal irrigation for treating allergies? Is it worth the cost? Which method is best?
Very!: It is a great first line treatment for not only allergies but any inflammation of your sinus. As long as you don't use tap water (use distilled water). It is usually very vost effective. Any of the system you find over the counter are good. I like neilmed sinus rinse. ...Read moreSee 1 more doctor answer
Is there anything wrong with me using hypertonic nasal irrigation 2x daily if i get significantly better results than w isotonic?(2 nielmed packs/8oz)
Maybe: Hypertonic saline is drawing the fluids out of your nose. This is not fixing of the underlying problem and could cause irritation in your nose. It sounds like having somebody figure out the underlying cause would fix your problems better. ...Read more
No: If the nasal irrigation starts in the nostril, it is highly unlikely that the inner could react to a nasal irrigation. However, if you are using a nedi-pot to irrigate the nose and if the water gets into the middle ear through the et, it is possible that the middle ear temperature could alter the inner ear fluid temperature and the inner ear fluid would move. Vertigo can only occur by temp.Change. ...Read more
1/4 tsp per cup: Usually 1/4 to 1/2 teaspoon for 8 ounces will do. Nasal lavage can be helpful for chronic sinus congestion, and i often recommend it. However, some studies suggest a risk of infection if neti pot or bottle not kept clean or use of contaminated tap water, or even injury to nasal tissue. So be cautious. ...Read more
What is the most hygienic way to create a saline solution, for nasal irrigation purposes, for a 5 month old?
Saline solution: By using boiled water to dissolve the salt you wont have a problem. ...Read more
Recurrent sinusitis. I'm on Nasonex (mometasone) and nasal irrigation, but I get sinusitis every time I get a cold. 4 sinusitis in 4 months. What else I can do?
Antihistamine?: If you haven't already tried an antihistamine that might be worth a try. If you've been on antibiotics, it sounds like you've already seen your doctor at least once. At this point a follow up and consideration of additional testing and/or possible ENT referral may be in order. Good luck! ...Read moreSee 2 more doctor answers