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Medical Forum / Diseases and Disorders / Sinusitis / December 2005

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Irrigation doesn't work????

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Lateralus - 13 Dec 2005 06:20 GMT
Okay here is the deal have been battling sinusitis for about a year and
a half, enterobacter was one of the bugs but i seem to have kicked it.
Had a CT in May of this year with signs of moderate to severe
sinusitis. I have been irrigating about 3 times a week, and i surf so
water is always flushing my sinuses out. There was a period of about 6
weeks since May that i didn't irrigate. Went in today for a follow up
CT per my ENT, and seems mucosoul build up is worse? what the hell is
going on? been using breate ease gel, saline mixture, and enzymes but
after today i'm a little frustrated, i have also been exercising more
and eating better? I had blood work done a few days ago and my
Eosinophils were elevated slightly, scale for blood work was 0-5 and
mine came back 10? Sould i be concerned? I feel good i'm not currently
ill, but i thought that the mucous would diminish??? Any thoughts?

Thank you
Johnny1000@webtv.net - 13 Dec 2005 17:26 GMT
>Okay here is the deal have been battling
> sinusitis for about a year and a half,
[quoted text clipped - 8 lines]
> seems mucosoul build up is worse? what the
> hell is going on?

Well firstly...I don't think ocean water filled with sand and other
by-products (sea weed, fish crap etc) is the best thing for your
sinuses, but here's my story...  

I irrigated religiously for about 3 or 4 years -- 3X per day.
.Basically, all it did was help to keep my nose clear; however, I knew
it wasn't curing the underlying problem. ...I still experienced periodic
flare-ups where antibiotics were required, and if I put pressure on one
of my eyes, I felt pain in behind it..   ....I hate to say this, but it
wasn't until I added a _good_ shot of hydrogen peroxide to my saline
mixture that things started to improve. ....I (by accident) over did the
recommended amount. ...I hung my head over the tub writhing in pain...
However, out came mucus and blood (In fact, the pain was so severe, I
felt like I was going to purge my brain too).     ...Since that time (3
years ago), the pain behind my eye has completely dissappeared. .... I
have cut back on my irrigation (considerably), although I believe my
condition may be now starting to return, as lately I have experienced
some ongoing congestion..  (I should add... I haven't had the need to
take any antibiotics for over 3 years now)
...I firmly believe it was that first hydrogen peroxide application
that proved the most effective towards ridding me of the affliction --
out of everything that I have tried.   ....Although I must add,
subsequent applications did little more than irritate my sinus tissue. I
wouldn't recommend the regimen for everyone, but I know for me, it did
accomplish more than just merely rinsing out the outer mucus.   ...Good
luck with your condition.    ...Jon
Lateralus - 13 Dec 2005 21:20 GMT
Jon i have always heard that salt water cleans the sinuss out? What is
a good product to irrigate with that clears mucous?
Johnny1000@webtv.net - 13 Dec 2005 22:27 GMT
mwgoldie67@cox.net (Lateralus) wrote:
>Jon i have always heard that salt water cleans
> the sinuss out? What is a good product to
> irrigate with that clears mucous?

I think the whole point of the irrigation (particularly pulsatile) is to
assist the natural cleaning process within the sinuses.  The salt water
solution for me did the job, but unfortunately did not succeed in
completely eliminating the infection.
..I think the main concern with irrigating is you don't want to
introduce any new bug into your system; thus, I would avoid sucking up
sea water.
 ...Purchase some pickling salt. ...I never bother to precisely measure
when I make up my solution, as I go by how it feels. ..If you have too
much salt, it's just as painful as not having enough. ...I generally use
lukewarm water, but if I'm congested, I'll switch to cold.  I also use
flonase, which helps.   ...Jon
Murray Grossan - 14 Dec 2005 05:33 GMT
On 12/13/05 2:27 PM, in article
10742-439F4AD6-543@storefull-3254.bay.webtv.net, "Johnny1000@webtv.net"

>> Jon i have always heard that salt water cleans
>> the sinuss out? What is a good product to
[quoted text clipped - 13 lines]
> lukewarm water, but if I'm congested, I'll switch to cold.  I also use
> flonase, which helps.   ...Jon

Pickling or kosher salt, next to drug store USP grade salt, is the purest
salt you can get. It has no added iodine or drying agents or other
chemicals.
Sea salt is evaporated sea water and contains all kinds of stuff that might
be irritating to the nose.
On the other hand lots of people use "ordinary" table salt with iodine and
driers without problems. Depends on your sensitivity. But why take a chance
on sea salt with unknown products?
If you mix 1/4 teaspoon of salt to four ounces of water you get an isotonic
solution . You can increase the amount of salt and get a hypertonic solution
for example two 1/4 teaspoons of salt to four ounces makes a 2 Normal
hypertonic solution .
The advantage of Breathe.ease XL by the way is that it contains electrolytes
- calcium and potassium chloride just like your natural blood stream. And
there are articles to show that it is more effective for the nose than
regular saline. And it doesn't contain preservatives.
Lateralus - 14 Dec 2005 06:00 GMT
Doc i haven't really been irrigating regularly, because i haven't beeen
sick in awhile but latest CT shows more mucous production, i think i
might make an appointment to see you and do the surgery.
birdieb - 14 Dec 2005 13:04 GMT
My doctor advised me to avoid water getting in my ears. So I try to
cover my ears as well as I can when i wash my hair. I found this helps
me a lot. Some people here suggested irrigating with garlic or
horseradish, I haven't tried it but my guess is it must really hurt.
Susan - 14 Dec 2005 15:24 GMT
> The advantage of Breathe.ease XL by the way is that it contains electrolytes
> - calcium and potassium chloride just like your natural blood stream. And
> there are articles to show that it is more effective for the nose than
> regular saline. And it doesn't contain preservatives.

Couldn't one use NuSalt or another substitute in preparing a solution?

Susan
Murray Grossan - 15 Dec 2005 04:42 GMT
On 12/14/05 7:24 AM, in article 40arpeF19u0fvU4@individual.net, "Susan"
<nevermind@nomail.com> wrote:

> x-no-archive: yes
>
[quoted text clipped - 6 lines]
>
> Susan
Hi Susan, don't know anything about Nu Salt. The articles that recocmmend
the Locke Ringer's formula - like Breathe.ease XL are at www.ent-consult.com
Susan - 15 Dec 2005 14:49 GMT
> On 12/14/05 7:24 AM, in article 40arpeF19u0fvU4@individual.net, "Susan"
> <nevermind@nomail.com> wrote:
[quoted text clipped - 12 lines]
> Hi Susan, don't know anything about Nu Salt. The articles that recocmmend
> the Locke Ringer's formula - like Breathe.ease XL are at www.ent-consult.com

I'll take a look.  But since I always have potassium choloride (NuSalt),
xylitol (for occasional baking), kosher salt (for everything) and baking
soda, I thought I could make a very cost effective version of the
irrigation solution.

Susan
MS - 21 Dec 2005 11:50 GMT
> I'll take a look.  But since I always have potassium choloride (NuSalt),
> xylitol (for occasional baking), kosher salt (for everything) and baking
> soda, I thought I could make a very cost effective version of the
> irrigation solution.
>
> Susan

Yes, you can. They are all very cheap ingredients, for the most part salt
and baking soda. Apparently a very high markup is charged to call it
"Breathe-Ease XL", "doctor-recommended" (by the doctor who sells them, of
course), etc. And probably plain salt and baking soda, without the other
ingredients, would work just as well. Perhaps just salt works as well, but I
think the baking soda helps with the Ph, makes it more gentle.
Susan - 21 Dec 2005 16:20 GMT
>>I'll take a look.  But since I always have potassium choloride (NuSalt),
>>xylitol (for occasional baking), kosher salt (for everything) and baking
[quoted text clipped - 9 lines]
> ingredients, would work just as well. Perhaps just salt works as well, but I
> think the baking soda helps with the Ph, makes it more gentle.

I have to object to your characterization of Dr. Grossan's participation
here.  Yes, he sells those products, but he also very frequently shares
the recipes to make cheap alternatives.

Your sniping is uncalled for.

Susan
MS - 27 Dec 2005 08:12 GMT
> I have to object to your characterization of Dr. Grossan's participation
> here.  Yes, he sells those products, but he also very frequently shares
[quoted text clipped - 3 lines]
>
> Susan

Not sniping. Just stating the fact, that there is a very high markup on this
product made of very cheap ingredients, mostly salt and baking soda.
Steven L. - 27 Dec 2005 17:13 GMT
>>I have to object to your characterization of Dr. Grossan's participation
>>here.  Yes, he sells those products, but he also very frequently shares
[quoted text clipped - 6 lines]
> Not sniping. Just stating the fact, that there is a very high markup on this
> product made of very cheap ingredients, mostly salt and baking soda.

Which is perfectly fine, because the markup is for the convenience.
Just like the food you get in frozen TV dinners is way cheaper if you
bought it and froze it yourself.

Signature

Steven D. Litvintchouk
Email:  sdlitvin@earthlinkNOSPAM.net

Remove the NOSPAM before replying to me.

sedum41 - 27 Dec 2005 20:47 GMT
Yes Steven L. has described it exactly. There a lot of things in life you
can do or make cheaper for yourself or you can buy the same thing already
prepared without the hassle. Yikes - think of all the people that buy a $3
to $5 cup of coffee a day on the way to work! They could just as easy make
the coffee at home for a fraction of the price but they choose to spend
the money this way due to time or family constraints.

I like the product myself. Also, I do not consider spending between $15
and $30 a month too much considering how much prescription drug or office
visit copays are nowadays and how important it is to my continued sinus
health.
Susan - 27 Dec 2005 21:23 GMT
> Yes Steven L. has described it exactly. There a lot of things in life you
> can do or make cheaper for yourself or you can buy the same thing already
[quoted text clipped - 7 lines]
> visit copays are nowadays and how important it is to my continued sinus
> health.

I like the product, too, but with frequent use, and the ease of making
my own, it's just too pricey.

I do keep the individual packets on hand for travel, though.

Susan
sedum41 - 27 Dec 2005 23:27 GMT
Yes I agree this is good if you have ready and easy access to the
ingredients. For me the nearest health food store selling the xyitol and
USP salt is 45 minutes away. Plus I have to factor in my time going there
and the hassle of it. I probably could get the separate ingredients on the
internet but then this would take research to determine if the supply was
reputable, plus I would have to factor in the shipping costs. So all these
things are relevant. In a pinch when I've run out of the prepared stuff I
have made my own solutions. It is good to know how to make your own
solution in any case.

As you noted and I agree, Dr. Grossan has readily given out formulas and
answered questions here and via personal email. I am greatful that he
participates in this group. I have never felt that he is here just to sell
his products. So I wanted to offer my support to him in case any new
readers to this forum read this.
Susan - 27 Dec 2005 23:59 GMT
> Yes I agree this is good if you have ready and easy access to the
> ingredients. For me the nearest health food store selling the xyitol and
> USP salt is 45 minutes away.

You have internet access; that's where I've bought xylitol for years. If
you have nowhere to buy kosher salt you should probably move.  ;-)

 Plus I have to factor in my time going there
> and the hassle of it. I probably could get the separate ingredients on the
> internet but then this would take research to determine if the supply was
> reputable, plus I would have to factor in the shipping costs. So all these
> things are relevant. In a pinch when I've run out of the prepared stuff I
> have made my own solutions. It is good to know how to make your own
> solution in any case.

Where do you buy the ready made stuff?

Susan
sedum41 - 28 Dec 2005 16:30 GMT
I get the Breath.ease XL from AlerG in California. They have a web site.
So you can get it over the internet or they have a store you can go to if
you live nearby. I've found AlerG to be reliable and reputable, plus they
carry many hard to get allergy related products. This company has a very
good return policy -- no questions asked. Also many of the workers at the
company suffer from allergies so the products are tried out by the
employees before being sold in their catalog.

I can buy regular Kosher salt and baking soda at any grocery store so this
has not been a problem in times of emergencies. The Whole Foods store that
is 45 minutes from me carries the xyitol and a USP salt brand which I
prefer over regular Kosher salt. The USP salt brand (I don't have the
brand name with me) is a pharmaceutical grade, finer ground version of
non-iodized, no additives salt specifically formulated for nasal
irrigation. I think it is about $3.00 for an 8oz bag of this salt. This
brand from Whole Foods is much easy to mix in solution than regular kosher
salt.

Where do you get your supplies??
Susan - 28 Dec 2005 16:43 GMT
> I get the Breath.ease XL from AlerG in California. They have a web site.
> So you can get it over the internet or they have a store you can go to if
[quoted text clipped - 15 lines]
>
> Where do you get your supplies??

Sedum, I think you may be addressing me, but since you don't quote
anything you're replying to, it's impossible to know for sure.

I buy from the cheapest source, I do a new search each time, though I
note that the price of certain products seems to be fixed at a
particular level.  I suspect this means that those who sell for less
have been warned they will lose the product placement if they discount
it.  AlerG is one place I've shopped at, but I shop at several.  For
years, I've done much, if not most of my non-grocery shopping online.

I've bought bulk xylitol at xylitol now, or smaller quantities at a
local health food store.  I buy supermarket kosher salt, and I have no
problem dissolving it, especially since I nuke the water til it's hot
each time.  NuSalt is potassium chloride and can be found in any
supermarket.

Susan
sedum41 - 28 Dec 2005 17:05 GMT
Susan, Thank you for replying how you get your supplies. I am sorry I don't
know how to pull in a previous post to quote it in my reply in this
newsgroup :-) So usually I find myself writing a book to explain
myself...

So one question I have for you is how do you know if your credit card is
safe with the new internet vendor each time? I guess my problem with this
approach is protecting my credit card information. I know I am not liable
for any charges. You see from my actual experiences in the software
industry with helping companies with their web sites I have found many
e-commerce web sites and their respective databases are not very secure.
Through various means the information can be stolen by inside employees or
outsiders months later than you purchase the product with your credit card.
That is why I deal with a small number of vendors I've had good luck with
in the past.
Susan - 28 Dec 2005 17:15 GMT
> Susan, Thank you for replying how you get your supplies. I am sorry I don't
> know how to pull in a previous post to quote it in my reply in this
> newsgroup :-) So usually I find myself writing a book to explain
> myself...

You're going to need to learn how to quote; most newsreaders will do so
when you hit "reply." Otherwise, you just have to cut and paste a small
snippet that you're responding to.

> So one question I have for you is how do you know if your credit card is
> safe with the new internet vendor each time?

It's not any less safe than when I hand it to someone in a restaurant or
store.  I try not to store my info on internet sites.  Some folks have
one card just for the internet.

 I guess my problem with this
> approach is protecting my credit card information. I know I am not liable
> for any charges. You see from my actual experiences in the software
> industry with helping companies with their web sites I have found many
> e-commerce web sites and their respective databases are not very secure.

As compared to brick and mortar stores?

> Through various means the information can be stolen by inside employees or
> outsiders months later than you purchase the product with your credit card.
> That is why I deal with a small number of vendors I've had good luck with
> in the past.

We each have to decide what our risk/benefits ratios are.  I find stuff
online that I can't find locally, or for much less, or both.

Susan
MS - 21 Dec 2005 11:50 GMT
> Hi Susan, don't know anything about Nu Salt. The articles that recocmmend
> the Locke Ringer's formula - like Breathe.ease XL are at www.ent-consult.com

Yes, that is your web site, on which are your articles, recommending your
products.
MS - 21 Dec 2005 11:50 GMT
> I irrigated religiously for about 3 or 4 years -- 3X per day.
> .Basically, all it did was help to keep my nose clear; however, I knew
> it wasn't curing the underlying problem. ...

No, it certainly does not cure the underlying problem, despite some
statements to that effect. It certainly hasn't with me (after much more than
3 or 4 years), and I don't think with others on the NG either. It does help
to wash out the thick mucous buildup though. I need to irrigate to breathe.
I'd be miserable without it. But it certainly has not "cured" me, not a bit.
sedum41 - 14 Dec 2005 20:17 GMT
Lateralus - I think you need to irrigate more than 3 times a week for it to
be effective.Think if we were talking about brushing teeth - brushing three
times a week would not be enough to prevent tooth decay!

I irrigate twice daily and us the Breathe.ease XL powder which I find much
better than Kosher salt or USP salt. Also if you have allergies or
underlying structural problems you must treat these for the sinuses to get
better not just take the antibiotics. Increased Eosinophils are a measure
of allergies in the system.
 
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