10 doctors weighed in:
How do I give my 5 year old son who has cerebral palsy a nasal rinse? He has asthma but he is also allergic to eggs, wheat, nuts, corn.
10 doctors weighed in

Dr. Steven Machtinger
Internal Medicine - Allergy & Immunology
5 doctors agree
In brief: Drops over rinse
If swallowing & gagging are issues with your son you should probably stay away from the large amounts of saline involved with rinses.
In his case this may lead to aspiration pneumonia. Instead put a few drops or a few sprays of saline mist in his nose. You can try gently bulb suctioning out mucous after putting the saline in his nose.

In brief: Drops over rinse
If swallowing & gagging are issues with your son you should probably stay away from the large amounts of saline involved with rinses.
In his case this may lead to aspiration pneumonia. Instead put a few drops or a few sprays of saline mist in his nose. You can try gently bulb suctioning out mucous after putting the saline in his nose.
Dr. Steven Machtinger
Dr. Steven Machtinger
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Dr. Russell Faust
ENT - Head & Neck Surgery
3 doctors agree
In brief: Maybe not
One option is simply to try a nasal saline spray, instead of more aggressive rinse, although the rinse is very gentle.
Consider the saline spray that contains xylitol, which has many benefits. These include preventing various bacteria from adhering to the nasal lining, as well as helping our bodies kill some bad bugs. Xylitol tastes sweet, so kids love the spray :)).

In brief: Maybe not
One option is simply to try a nasal saline spray, instead of more aggressive rinse, although the rinse is very gentle.
Consider the saline spray that contains xylitol, which has many benefits. These include preventing various bacteria from adhering to the nasal lining, as well as helping our bodies kill some bad bugs. Xylitol tastes sweet, so kids love the spray :)).
Dr. Russell Faust
Dr. Russell Faust
Thank
1 comment
Dr. Kristen Stuppy
If your son can blow from his nose while you gently squirt the saline into his nose, the wash will work. It depends on his abilities. If he doesn't, then he will end up with a mouth full of saline, which tastes bad, but not dangerous.
Dr. Amrita Dosanjh
Pediatrics - Pulmonology
1 doctor agrees
In brief: Mgt/workup
If your son has asthma and food allergies, he may also have nasal allergies to dust, pollen and other allergens.
I would advise an allergy panel test called an immunocap test which can be ordered along with his other bloodwork. There are many types of applicators for nasal saline, and I would recommend using a gentle mist with gentle suction to remove the mucus.

In brief: Mgt/workup
If your son has asthma and food allergies, he may also have nasal allergies to dust, pollen and other allergens.
I would advise an allergy panel test called an immunocap test which can be ordered along with his other bloodwork. There are many types of applicators for nasal saline, and I would recommend using a gentle mist with gentle suction to remove the mucus.
Dr. Amrita Dosanjh
Dr. Amrita Dosanjh
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