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Medical Forum / Diseases and Disorders / Sinusitis / November 2004

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sinuses getting worse when rinsing  - am I the only one?

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Andre - 28 Oct 2004 23:16 GMT
Thanks for reading - I am a first time poster here.

After reading many good things about sinus rinse,
I bought off-the-shelf Saline and tried to rinse my nose once/twice a
day.
But I had to stop after a few days because my symptoms are getting
much worse: sinus pressure, headache, congestion.

I have tried this several times.  Each time with the same negative
result.

Has anyone else been getting worse with rinsing?  And why?  

I really don't think it is caused by the additives in the Saline, but
I am willing to try other solutions if you think so.

In the last few years, I have had a very dry, stuffy nose, pressure.
No running.  No mucus.  No significant postnasal drip.  CT-scan
doesn't show much.  Allergy test didn't reveal anything.   My nose
seems to react to pollution (have to limit city biking in summer) and
to dust (maybe dust mites - vacuuming the house will do it).

Currently using Zyrtec generic 10mg and Nasonex each once a day.

Thanks!
Steven Litvintchouk - 29 Oct 2004 00:30 GMT
> Thanks for reading - I am a first time poster here.
>
[quoted text clipped - 8 lines]
>
> Has anyone else been getting worse with rinsing?  And why?  

Even the directions that come with Sinus Rinse warn about this
possibility, and suggest seeing a doctor.  It may mean that your sinuses
are so blocked that all that saline you're squirting into your sinuses
isn't draining out properly.  The saline in your sinuses will then add
to the congestion rather than relieving it.

> I really don't think it is caused by the additives in the Saline, but
> I am willing to try other solutions if you think so.
[quoted text clipped - 4 lines]
> seems to react to pollution (have to limit city biking in summer) and
> to dust (maybe dust mites - vacuuming the house will do it).

Did an ENT do a nasal endoscopy on you?  They should be able to tell
whether your nasal passages are indeed swollen.

A steroid nasal spray like Flonase or Nasonex might knock down any
inflammation caused by air pollution.

Vacuuming your carpeting won't get rid of dust mites.  There are some
chemicals (like tannic acid) that can cut down on the infestation.  But
if you're real sensitive to dust mites, replacing your carpets with hard
floors (perhaps with throw rugs that can be laundered periodically) is
the best solution.

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Andre - 30 Oct 2004 00:44 GMT
....
...
> Did an ENT do a nasal endoscopy on you?  They should be able to tell
> whether your nasal passages are indeed swollen.

....

Thanks for all the advise.  I very much appreciate it!
I did get a CT scan and the ENT told on a scale from 1 to 10,
10 being worst, I am a 2.     I am also taking Flonase.

Do CT scans show the whole picture? Should I still get this nasal endoscopy?

Andre
Steven Litvintchouk - 30 Oct 2004 22:53 GMT
> ....
> ...
[quoted text clipped - 9 lines]
>
> Do CT scans show the whole picture? Should I still get this nasal endoscopy?

Even CT scans can miss things.  Not often, but it does happen.  It
certainly did happen in my case.

A nasal endoscopy allows the ENT to view the sinuses directly.  Even
with CT scans and MRI scans, there is no substitute for a trained
physician looking right at the problem.

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Pamdomania - 31 Oct 2004 03:34 GMT
>> ....
>> ...
[quoted text clipped - 16 lines]
>with CT scans and MRI scans, there is no substitute for a trained
>physician looking right at the problem.

Hello,
No, youare wrong: the MRI is perfect, and limited only
by the zero doing the reading. The CT scan doesnot need
to be used for sinus pictures - it is no good for sinus
pictures. The MRI is no good for stroke finding, while
the CT scan is perfect, and/or only if the zero doing the
reading isnot drunk etc. when he/she/it is doing the reading.
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Andre - 02 Nov 2004 03:37 GMT
> > ....
> > ...
[quoted text clipped - 16 lines]
> with CT scans and MRI scans, there is no substitute for a trained
> physician looking right at the problem.

I did schedule an apointment with ENT.   Now, if I take a decongestant
and then do a nasal rinse, should that work better?  Should the Saline
come out easier / better that way?
Steven Litvintchouk - 02 Nov 2004 17:27 GMT
>>>....
>>>...
[quoted text clipped - 19 lines]
> I did schedule an apointment with ENT.   Now, if I take a decongestant
> and then do a nasal rinse, should that work better?  

I don't know.  You could give it a try.  But I find a good time to do a
nasal rinse is just before bedtime; and oral decongestants can cause
insomnia, so I wouldn't want to take an oral decongestant just before
bedtime.

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Don Brady - 02 Nov 2004 17:40 GMT
>Now, if I take a decongestant
> and then do a nasal rinse, should that work better?  

Personally, I wouldn't take a  decongestants just to ease rinsing.

They have side-effects.....
Pamdomania - 03 Nov 2004 04:39 GMT
>> > ....
>> > ...
>> >
>> >>Did an ENT do a nasal endoscopy on you?  They should be able to tell

>> >>whether your nasal passages are indeed swollen.
>> >
[quoted text clipped - 16 lines]
>and then do a nasal rinse, should that work better?  Should the Saline
>come out easier / better that way?

Hello,
Pay no attention to the spammers:
If you want to do it the way i do it:
take the guaifenesin only (Robitussin
(green label)) in your colon cleanse,
which is usually in the morning if you
want to poop on the job. Or you can do
it as soon as you get home from work,so
that you arenot pooping when you should
be sleeping, not that the colon cleanse
should do that, however it does get things
moving if you have been lax in such areas.
The guaifenesin does nothing but liquefy
your mucus - the rest is up to you on how
to get it out. I would only use the salt
solution as a gentle spray when using
guaifenesin. I donot use it all the
time, because it is a chemical, and
i have chemical allergy along with
all my other "normal" allergies.
This is a case of the blind
leading the blind, because
we all respond differently
to everything under the Son.
You will have to "work" with
it to see how it does for you,
however it does work, if you
try . . .
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MS - 05 Nov 2004 08:43 GMT
A lot of ENTs don't do this though, at least not often. I guess it's quicker
for them to write a prescription for a CT scan.

> A nasal endoscopy allows the ENT to view the sinuses directly.  Even
> with CT scans and MRI scans, there is no substitute for a trained
> physician looking right at the problem.
Don Brady - 05 Nov 2004 15:15 GMT
>A lot of ENTs don't do this though, at least not often. I guess it's quicker
>for them to write a prescription for a CT scan.

I have noticed that  while most (not all) of the University-based ones I have
seen did one one every single visit, some of the private ones did not do them
at all.

I found a high correlation between the thoroughness  and skills of the
specialist and how often they did them.

At U. Penn., Dr. Kennedy has even trained one of his nurses to do them
(although he did them himself on me).  They have sinus-specialist nurses there
who are quite expert, which I have not seen elsewhere.  The specialized nurses
also do post-surgery debrisement.

The scopes stop working eventually and are very expensive ( I have seen how
concerned the are when "yet another" one goes bad), so some hesitate to use
them in their offices.  

There also seem to be various styles, various angles, so the cost probably is
very high for a full array of equipment.

There may also be reimbursement issues with insurance companies.
Tony Banana - 09 Nov 2004 00:55 GMT
>> Thanks for all the advise.  I very much appreciate it!
>> I did get a CT scan and the ENT told on a scale from 1 to 10,
[quoted text clipped - 9 lines]
> CT scans and MRI scans, there is no substitute for a trained physician
> looking right at the problem.

A nasal endoscopy cannot see inside the sinuses.  The sinuses
only have very tiny tubes like hairs to drain.  A scope cannot
see into the sinuse.  It can merely look at the external opening
of the draining tubes.

Tony
Pamdomania - 31 Oct 2004 03:22 GMT
>.....
>....
[quoted text clipped - 10 lines]
>
>Andre

Hello,
CAT scans are no good for sinus. MRI should be used for
sinus - CAT scan is great for stroke etc. Donot agonize
over the "endoscope", my Doc never uses it. One time i
told him to, then i got a Staph. infection from it- they
cannot be properly sterilized . . .

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MustRead!  http://WWW.PAMINIFARM.COM
"My people are destroyed for lack of knowledge" Hosea 4:6

 
Pamdomania - 29 Oct 2004 01:25 GMT
>Thanks for reading - I am a first time poster here.
>
[quoted text clipped - 21 lines]
>
>Thanks!

Hello,
First thing:
make your own salt solution out of sea salt from the
Health Food Store that has no additives (Morton Kosher
Salt has a nasty additive in it READ THE LABEL). I think
it is 2 teaspoons to 1 pint of water (that is what i use).
Now then: itis the really big "f" word . . . fungus . . .
OR
Staph.
You arenot being careful to not plunge the solution far up
into your head; heading toward your eyes and brain. Youare
pressing hard against your nairs with the bottle tip, thus
causing "force", which does nothing more than plunge the
bacteria and fungus deep into your head and sinuses. Stop it!

Now that i have done all this damage, i would at this point
use real Listerene in place of the salt solution - just dump
the salt solution out and replace it with a Listeren solution
strong enough that you can stand. Hold the little spray bottle
away from your nares and spray hard - well . . . not too hard,
then after you recover; go blow, and if you can- do it again.
Then do the other side (be brave) in the same manner. The
next day or that evening when you do it again you will find
it doesnot sting so much. Then each time after, you will
find it stings less and less; that means the infection is
cleared up, however now you need to go deeper, which means
starting all over again with the brain-popping sting. Use
your imagination as to how to get it in deeper. I will tell
you how i do it (everyone in here will cuss be out, but pay
no attention to them, as i havebeen doing this for years). I
lie on the bed on my back and hang my head over the side; pointing the top
of my head to the floor, and fill up the
nasal/sinus cavity; then get ready to stand up:
pinch your nostrils closed; (say first part of K to stop
from swallowing the Listerene solution); then bend over,
pointing your head top to the floor; then run to sink and
let it run out. This isnot force you are using; it is only
gravity, and does no harm to me.
I suspect this will do little for the fungus except for
reliveing this:
Remember the "Saying":
Where there is irritation;
There is blockage;
Where there is blockage;
There is swelling;
Where there is swelling;
There is infection.
You will need this info if it is the really big "f" word:
Killing the Fungus:
http://www.mall-net.com/mcs/afung.html
Stuffy Nose
http://www.drmirkin.com/morehealth/G220.htm
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established institutions, and comfortable habit.
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Truth is great and swift and free, the light of the world,
and the chief glory of man.
Jesus is the Word and the Word is Truth.
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Pamdomania - 29 Oct 2004 03:25 GMT
Hello,
Sorry, i forgot to tell you after you have the infection
cleared up (about 2 days should be enough), you should
go back to your salt solution; doing it in the manner
of a habit - as brushing your teeth. Here is
something i would like to say:
I just did my salt spray (sea salt), and the bad
side swelled up, however it soon began to water,
which is what you want. I will probably give in
and use my Nasalcrom as Doc said i should, even
though i think it is wrong . . . I will continue
to trust Vit. E "application" in that nasal passage,
because Vit. E (oil)is healing and controls scarring
(i just had surgery in July).

>>Thanks for reading - I am a first time poster here.
>>
[quoted text clipped - 95 lines]
>               <><><><><><><>   The Worlds Uncensored News Source   <><><><><><><><>
>  

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ENTconsult - 29 Oct 2004 04:31 GMT
Most off shelf prepared solutions have preservatives including Benzalkonium
which is known to irritate the nose of nasal patients. Switch to a preparation
without preservatives. Various formulas are here.
Murray Grossan, M.D.
http://www.ent-consult.com
Dan - 29 Oct 2004 18:15 GMT
Do you believe .9 as opposed to the usual sprays of .65  that I have
found works better. I use Simply Saline, .9 sodium chloride and
purified water dispenses from an aerosol can.

On 29 Oct 2004 03:31:01 GMT, entconsult@aol.comnospam (ENTconsult)

>Most off shelf prepared solutions have preservatives including Benzalkonium
>which is known to irritate the nose of nasal patients. Switch to a preparation
>without preservatives. Various formulas are here.
>Murray Grossan, M.D.
>http://www.ent-consult.com
ENTconsult - 29 Oct 2004 18:45 GMT
Simple Saline is a preferred product with normal saline and no preservatives.
Breathe.ease XL is similar but has the electrolytes that improve cilia
function.
Murray Grossan, M.D.
http://www.ent-consult.com
MS - 05 Nov 2004 08:41 GMT
> Do you believe .9 as opposed to the usual sprays of .65  that I have
> found works better. I use Simply Saline, .9 sodium chloride and
> purified water dispenses from an aerosol can.

A much less expensive way to get saline solution in aerosol can without
preservatives.

One can find it as a contact lens solution in 12 oz cans. The
cheapest--Wal-Mart's "Equate" brand, $1.88 per 12 oz. can. (In Wal-Mart
stores. Not online.) It is saline solution, no preservatives.

The contents say: sterile, isotonic buffered saline solution containing
sodium chloride, boric acid, and sodium borate. (I think the latter two
items do the "buffering", regulating the pH, similar to using baking soda
mixed with salt in irrigation solution.)

Compare the prices--12 oz. for $1.88, versus "Simply Saline" $6 or so for 1?
ounces!

You can also get non-preserved saline solution for contact lenses in 4 oz.
squeeze bottles. Unisol brand, or generic equivalents. They come in boxes of
three 4 oz bottles, so still 12 oz total. Unisol is available from
Amazon.com at $5.08 for a box of three 4 oz bottles. Also at various drug
stores.
Dan - 29 Oct 2004 18:04 GMT
Most sprays only only contain .065% sodium chloride, Simply Saline by
Blairex Labs has .9 and just purified water and sodium choride. No
preservatives. Comes in an aoresol can. Has given me much relief.

>Thanks for reading - I am a first time poster here.
>
[quoted text clipped - 21 lines]
>
>Thanks!
iamthezookeeper - 30 Oct 2004 17:07 GMT
I am one of those people that has found much relief using a gentle sinus
irrigation with homemade saline solution. I have had my first good exam in
two years which was such a relief. I was using nasal steroid spray and it
stung so badly I had to quit, weird that it was made by bauch-lomb and
they didn't seem to get the ph right...since they make products that don't
sting the eyes. Before that none of the nasal steriod sprays bothered me.
Anyway, I make my solution daily with 1 quart water, 1 rounded teaspoon
kosher salt, 1/2 teaspoon baking soda...boil it, let it cool, then use
that throughout the day. Trudy.
MS - 31 Oct 2004 22:24 GMT
It isn't stated in the directions here, but I know I need to shake my head
in all sorts of directions (over the bathtub, kneeling, head bent over it)
after irrigation, and much comes out that way. If I didn't do that, I'd
probably feel worse afterwards.

> Thanks for reading - I am a first time poster here.
>
[quoted text clipped - 21 lines]
>
> Thanks!
Steven Litvintchouk - 01 Nov 2004 17:42 GMT
> It isn't stated in the directions here, but I know I need to shake my head
> in all sorts of directions (over the bathtub, kneeling, head bent over it)
> after irrigation, and much comes out that way. If I didn't do that, I'd
> probably feel worse afterwards.

Sinusitis causes impaired ciliary function.  Perhaps saline solution
that a healthy person's cilia might quickly sweep away may linger longer
in the sinuses of a sinus sufferer.

Might make an interesting research study for Dr. Grossan (if he hasn't
done it already).

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