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Medical Forum / Diseases and Disorders / Sinusitis / May 2005

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Safe Hydropulse Storage

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DMF - 21 May 2005 22:38 GMT
All,

Last year I had a bad sinus infection that took 9 months, 4 different
antibiotics and 3 doctors to clear.  During that process I started to
use the Grossan HydroPulse irrigator (thanks doc!) since I found it
was the only thing that kept my sinus headaches away.  I now use
the HP maybe once per month, if that (I service PCs and have to
open up older PCs on occasion that are filled with dust so I irrigate
when I get home as a precaution).  So my question is about how
should I clean and sterilize my HP if its going to sit in my cupboard
for a month or two?   Previously, when I was wrestling with the sinus
infection I was irrigation 2-4 times per day and running diluted bleach
through it once per week. Since I was using it so often I wasn't too
worried about bacterial growth while it was sitting between usage.
But now that it sits for weeks I am leery of some nasty bug making
a home inside and then being deposited in my nose on the next use.
So here's the steps I've been using and was hoping others could
comment and advise.

Before Use: I run a full tank of very hot tap water through the machine
to clear it out. Then I run another 3/4ths tank with hot tap water and a
splash of bleach and run that through with a ten minute pause in the
middle. Then I flush with a full tank of distilled water.

Use: I use distilled water with Breathease powder, heated in the
microwave.

After Use:  I run a full tank of hot tap water through the machine then
I run a tank of distilled water and run it down until its about 1/2 way
and I splash in some Hyrdrogen Peroxide and let it finish.  I wipe
everying down and use a can of "Dust Off" to blow water out of
any difficult to reach areas such as the tip, wand, and the valve at
the bottom of the tank and on the machine. I cover it with a towel
and put it in the cupboard.

So is that adequate? Overkill?  Is there a better way?

One final questions;  when I was irrigating daily I was using up the
2.5 gal. container of distilled water pretty quickly.  But now that I
am not using it every day the distilled water is sitting around. So I
was wonder if there is a chance that my distilled water is harboring
any bacteria?  To make it flow during use I have to punch a small
hole in the top so air can get in and water can get out.  Is this a
risk?  (Can you tell I am paranoid of getting another sinus infection ;-)

Regards,
David
Allen L. - 21 May 2005 23:38 GMT
> All,
>
[quoted text clipped - 43 lines]
> Regards,
> David

You'll be the first to wear out an irrigator with over-cleaning!! :-)

I run about 1/2 a tank of tap water through mine after irrigation and all
seems well.

...Allen
DMF - 22 May 2005 01:05 GMT
> You'll be the first to wear out an irrigator with over-cleaning!! :-)

The cleaning procedure is only 6 tanks worth of wear every 1-2
months or more -- when I had the sinus infection I was using it 2-4
times per DAY plus flush before and after each use and a flush with
bleach on the weekend. In fact, I wore out my first HP in about 6
months. The company graciously provided me with a new one, since
it was still under warranty.

> I run about 1/2 a tank of tap water through mine after irrigation
> and all seems well.

I don't mean to be snide, but this is like saying you've been playing
Russian Roulette for years and never had a problem ;-)   It doesn't
actually compare to Russian Roulette because I don't know what
my risk is regarding bacteria growth in a stored Hydro Pulse. I was
hoping to get a better understanding about the storage risk. If some
one convinces me that its a fairly high risk then I will probably stop
using it and resort to those sealed sterile saline spray bottles to clean
out nose dust after servicing the inside of a PC.

Regards,
David
Steven L. - 22 May 2005 00:07 GMT
> All,
>
[quoted text clipped - 32 lines]
>
> So is that adequate? Overkill?  Is there a better way?

If I ever stop irrigating with my HydroPulse for more than a couple of
weeks (as I did after sinus surgery when I found it to be a bit too
rough for my nosebleeds), I just throw it out and buy a brand new one.
$80 is a small price to pay to avoid a nasty sinus infection.  Bugs that
multiply in stagnant water inside uncleaned irrigators include
Pseudomonas.  Believe me, you do NOT want to get a Pseudomonas infection.

Signature

Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

DMF - 22 May 2005 01:17 GMT
Steven L. wrote...
> If I ever stop irrigating with my HydroPulse for more than a couple of
> weeks (as I did after sinus surgery when I found it to be a bit too rough
> for my nosebleeds), I just throw it out and buy a brand new one. $80 is
> a small price to pay to avoid a nasty sinus infection.

For your situation, I agree. However, buying a new HP is not a practical
solution since I would need a new one every 1-2 months. I was hoping I
could find out what the risks are and/or what the best way is to clean it
for storage. If storage is inherently risky then I will probably resort to
using
those sealed, sterilized bottles of saline for cleaning my nose after I
service
a PC.  I'll miss using my HP though.

> Bugs that multiply in stagnant water inside uncleaned irrigators include
> Pseudomonas. Believe me, you do NOT want to get a Pseudomonas
> infection.

I dread getting ANY sinus infections, worst-of-class or not.  Last year was
a nightmare and I didn't have it nearly as bad as many on this newsgroup.
My heart goes out to sinus sufferers -- I'm fortunate that mine did not
morph
into a chronic condition.

Regards,
David
Steven L. - 22 May 2005 22:55 GMT
> Steven L. wrote...
>
[quoted text clipped - 7 lines]
> could find out what the risks are and/or what the best way is to clean it
> for storage.

Why store it away for long periods?  Just take it out every week and run
the Clorox bleach solution thru it just as if you were irrigating with it.

Signature

Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

DMF - 24 May 2005 01:52 GMT
Steven L wrote...
> Why store it away for long periods?  Just take it out every week
> and run the Clorox bleach solution thru it just as if you were
> irrigating with it.

That's one possible solution... but I have decided I will only use the
Hydro Pulse if I get a cold or if my allergies act up. I will just use
the saline sprays to clear out nose dust from when I service PCs.
(See my reply to Dr. Grossan's post).

Regards,
David
Murray Grossan - 24 May 2005 15:43 GMT
On 5/23/05 5:52 PM, in article CJSdnSfX67VA5w_fRVn-uw@inreach.com, "DMF"
<me@sans.spam.com> wrote:

> Steven L wrote...
>> Why store it away for long periods?  Just take it out every week
[quoted text clipped - 8 lines]
> Regards,
> David

That is what I recommend. Once your nose is normal, it doesn't have to be
made more normal. We have patients who used the Hydro Pulse two weeks and
didn't need it any more too.
Susan - 24 May 2005 19:04 GMT
> On 5/23/05 5:52 PM, in article CJSdnSfX67VA5w_fRVn-uw@inreach.com, "DMF"
> <me@sans.spam.com> wrote:
[quoted text clipped - 16 lines]
> made more normal. We have patients who used the Hydro Pulse two weeks and
> didn't need it any more too.

One comment, one question: it occurs to me that if the little coiled
hose on the Hydro Pulse weren't coiled, it would be drainable by hanging
it low and letting all the fluid run out.  At the very least, it should
be able to be taken off and replaced with a new one periodically to
prevent unreachable buildup of mold, bacteria, etc.

My question is, how do I know if my nose is normal?  It's still stuffy,
perhaps from allergy, perhaps from sinusitis.  All is clear, though, I
don't appear to have infection raging at this moment.  I'd love to stop
irrigating if I'm not likely to have immediate rebound.  Irrigating
didn't stop my cold from turning into a week of sinus hell that made me
want to die.

Susan
Murray Grossan - 22 May 2005 02:38 GMT
On 5/21/05 2:41 PM, in article ec6dnTOM9Zh3NxLfRVn-jw@inreach.com, "DMF"
<me@sans.spam.com> wrote:

> All,
>
[quoted text clipped - 43 lines]
> Regards,
> David

If it is sitting there for a month, should be covered. Then run 200 cc of 3%
hydrogen peroxide through the machine - tip in the basin so it recirculates.
Then let it stand for several hours or overnight. Then rinse with clean
water.
DMF - 24 May 2005 01:56 GMT
Murray Grossan wrote...
> If it is sitting there for a month, should be covered. Then run
> 200cc of  3% hydrogen peroxide through the machine - tip in
> the basin so it recirculates. Then let it stand for several hours
> or overnight. Then rinse with clean water.

Based on Dr. Grossan's reply and a little research on the web
regarding the difficulty in sterilizing and disinfecting various items
(medical equipment, beer brewing equipment, canning and jarring
supplies,etc)  I've come to the conclusion that occasionally using
the Hydro-Pulse is probably not a good idea.  I'm going to switch
over to using saline to clean my nose of dust when working on PCs.
I'll keep the Hydro Pulse on standby if my allergies act up or if I
get a head cold and use Dr. Grossan's procedure to clean it out
before use.

Thanks to all who replied to my post.

Regards,
David

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