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Medical Forum / Diseases and Disorders / Sinusitis / July 2006Draining, cleaning: how to?
Hi All, My airways are most often dry, I feel a lot better in humid weathers, but moving to an area with one of those weathers is not a practical alternative for me, at least for now. So, how do you guys manage to drain and/or clean your airways? What works best for me so far, is pseudo-efedrin, although I've only found that mixed with paracetamol, which I really would like to avoid, given its side effects on the liver. I'm all hears for your experiences. TIA jbr > Hi All, > [quoted text clipped - 11 lines] > TIA > jbr I think most folks here rely on irrigation, by a variety of means, including neti pots, NeilMed bottles, commercial saline preps, pulsatile irrigation. It all involves at least saline solution and getting it up one's nose. :-) Drinking a lot of water helps keep things flowing, too. I also use Astelin antihistamine nasal spray; some folks use steroid sprays. Susan >I think most folks here rely on irrigation, by a variety of means, >including neti pots, NeilMed bottles, commercial saline preps, pulsatile >irrigation. It all involves at least saline solution and getting it up >one's nose. :-) OK, I'm partly doing that already, when I feel "dry". Should I do it more often? Everyday? How much liquid is normaly necessary to clean your airways? I normally just keep spraying in one nostril, untill it starts coming out from the other... Is this enough, both in quantity of liquid, and procedure? I assume could add salt to water, and use that for my hygiene. Question: how much salt, for how much water? I don't find that anti-histamins help me drain much, only to clear a bloqueage. Thanks, jbr > OK, I'm partly doing that already, when I feel "dry". Should I do it > more often? Everyday? I do it daily, some folks do it a few times per day. > How much liquid is normaly necessary to clean your airways? I normally > just keep spraying in one nostril, untill it starts coming out from > the other... Is this enough, both in quantity of liquid, and > procedure? I irrigate with 2 cups in an irrigator. Sometimes I'll use more just for the right side, my trouble area. > I assume could add salt to water, and use that for my hygiene. > Question: how much salt, for how much water? One *must* add salt to the water to avoid serious discomfort! A tsp of kosher (not table salt with stuff added) salt and a pinch of baking soda for 2 cups sterile/distilled/boiled water is fine. Some of us add xylitol and calcium chloride (NuSalt in your supermarket). > I don't find that anti-histamins help me drain much, only to clear a > bloqueage. Astelin nasal spray prevents blockage and PND and the allergic conditions that cause congestion for me, quickly and very effectively. YMMV. Susan >I irrigate with 2 cups in an irrigator. Sometimes I'll use more just >for the right side, my trouble area. A lot more than what I'm using ... >One *must* add salt to the water to avoid serious discomfort! How's that? I've using straight calcium chloride, and don't seem to feel any disconfort. > A tsp of >kosher (not table salt with stuff added) salt and a pinch of baking soda >for 2 cups sterile/distilled/boiled water is fine. Some of us add >xylitol and calcium chloride (NuSalt in your supermarket). What do we need the baking soda, and the Xylitol for?? >Astelin nasal spray prevents blockage and PND and the allergic >conditions that cause congestion for me, quickly and very effectively. I'll look for that the next time I go to the pharmacy. Do you use anti-histaminics daily? If so, are you not concerned about covering up the symptoms, but letting problem go on? Thanks a lot! jbr >>I irrigate with 2 cups in an irrigator. Sometimes I'll use more just >>for the right side, my trouble area. > > A lot more than what I'm using ... Whatever works for you is what you should do. >>One *must* add salt to the water to avoid serious discomfort! > > How's that? I've using straight calcium chloride, and don't seem to > feel any disconfort. I meant as compared to plain water. If that works for you, go for it. >> A tsp of >>kosher (not table salt with stuff added) salt and a pinch of baking soda >>for 2 cups sterile/distilled/boiled water is fine. Some of us add >>xylitol and calcium chloride (NuSalt in your supermarket). > > What do we need the baking soda, and the Xylitol for?? Xylitol moisturizes, and, if you google on recent posts in this newsgroup, it appears to have antibacterial properties, too. It's known to have this property in dental applications, too, IIRC. Baking soda makes the saline solution more gentle. If you don't feel you need it, then don't use it. >>Astelin nasal spray prevents blockage and PND and the allergic >>conditions that cause congestion for me, quickly and very effectively. > > I'll look for that the next time I go to the pharmacy. It's a prescription drug. > Do you use anti-histaminics daily? If so, are you not concerned about > covering up the symptoms, but letting problem go on? LOL... the problems are chronic, and do go on, have for years. I take an oral ah daily, Zyrtec, I take allergy shots, I irrigate, use Astelin spray. You bet I want to reduce my symptoms and reduce the conditions that cause them. Susan >>>Astelin nasal spray prevents blockage and PND and the allergic >>>conditions that cause congestion for me, quickly and very effectively. >> >> I'll look for that the next time I go to the pharmacy. > >It's a prescription drug. Maybe not in the village where I live - Portugal :-P >LOL... the problems are chronic, and do go on, have for years. I take >an oral ah daily, Zyrtec, I take allergy shots, I irrigate, use Astelin >spray. You bet I want to reduce my symptoms and reduce the conditions >that cause them. I was afraid you'd say something like that, specially for 2 reasons. One, my condition has been getting worse; more intense pain, and more frequent. Second, some of my relatives swear that antihistaminics make you get the volume of a ballon..., not just around your waist, but inthe whole body. I friend of mine has been on anti-histaminics for years, more recently on Zyrtec, and was surprised when I meantioned this to him. Today I had half a Claratine - loratadine - in the morning, and it gave me such a sleep ... God, I could not do any work - specially concerning I work at home, alone, in front a computer ... Worse than that, I went for my longish bicycle ride - 70 km, almost 3 1/2 hours - and after the ride I had the same usual symptoms, as intense and persistant as in the last few rides. Thanks a lot for the advice! jbr >Susan > Maybe not in the village where I live - Portugal :-P Maybe not. :-) > I was afraid you'd say something like that, specially for 2 reasons. > One, my condition has been getting worse; more intense pain, and more > frequent. So did mine a couple of years ago when bad allergy treatment resensitized me. Until then, I'd had periodic infections, but not this constant condition requiring upkeep and daily maintenance. > Second, some of my relatives swear that antihistaminics make you get > the volume of a ballon..., not just around your waist, but inthe whole > body. Bullshit. Fat accumulation around the waist is caused by insulin resistance, and is remedied by restricted carbohydrate consumption and increased activity. > I friend of mine has been on anti-histaminics for years, more recently > on Zyrtec, and was surprised when I meantioned this to him. I've lost weight on it, and gained weight while on it. > Today I had half a Claratine - loratadine - in the morning, and it > gave me such a sleep ... God, I could not do any work - specially > concerning I work at home, alone, in front a computer ... I don't get drowsiness from Zyrtec. YMMV. > Worse than that, I went for my longish bicycle ride - 70 km, almost 3 > 1/2 hours - and after the ride I had the same usual symptoms, as > intense and persistant as in the last few rides. > > Thanks a lot for the advice! Sorry not to have an easier answer for you. Susan >> Maybe not in the village where I live - Portugal :-P > >Maybe not. :-) That's right! There is no such thing as Astelin for sale in Portugal, but Allergodil is the brand name for a nasal spray based on the same active substance - Azelastine - which you can buy without a prescription! (I haven't tried it yet, though; no need so far.) Other than that, I also got pseudo-ephedrine - which I'll now be able to take without paracetamol, as in Sinutab - and l already had bought Loratadine (all without need for a prescriprion!). Xylitol, is present apparently present in several pills, but mied with loads of other stuff :-( I've been doing rather well with regular washing of my nostrils/airways. Cheers, jbr > That's right! There is no such thing as Astelin for sale in Portugal, > but Allergodil is the brand name for a nasal spray based on the same > active substance - Azelastine - which you can buy without a > prescription! (I haven't tried it yet, though; no need so far.) If you're congested, though, it may be more direct, without systemic effects, than pseudoephedrine. Just a thought. > Other than that, I also got pseudo-ephedrine - which I'll now be able > to take without paracetamol, as in Sinutab - and l already had bought > Loratadine (all without need for a prescriprion!). Good luck with all that. I think Loratadine only works for about 30% of the population, so if you don't feel it's helping, try a different ah. > Xylitol, is present apparently present in several pills, but mied with > loads of other stuff :-( Have you tried the baking/sweetener section of a natural foods store? Or buying it in bulk online? > I've been doing rather well with regular washing of my > nostrils/airways. Good! Susan >If you're congested, though, it may be more direct, without systemic >effects, than pseudoephedrine. Just a thought. Forgive the ignorance: what do mean by "systemic effects"? >Good luck with all that. I think Loratadine only works for about 30% of >the population, so if you don't feel it's helping, try a different ah. Well, there's always Zyrtec ;-) >Have you tried the baking/sweetener section of a natural foods store? >Or buying it in bulk online? None of both. Will try that next time I go to a natural foods/medicines store. >> I've been doing rather well with regular washing of my >> nostrils/airways. > >Good! Actually, I'm amazed at how well this is working for me, and wonder why none of the many doctors I paid an appointment to, ever mentioned and explained me how to do it. The closest thing they keept mentioning was taking advantage of summer to let sea water do its cleaning in my nostrils - and that does work surpringly well, too! BUT, I don't have summer all year long - Portugal is not a tropical region - and I can't go to the beach everyday in Summer!! Long lives Internet - and people willing to share their experiences!! Thank you Susan! jbr > Forgive the ignorance: what do mean by "systemic effects"? If you take a pill, it makes it's way through your whole body, whereas the spray stays mostly in your nasal tissues, though they absorb some. >>Good luck with all that. I think Loratadine only works for about 30% of >>the population, so if you don't feel it's helping, try a different ah. > > Well, there's always Zyrtec ;-) :-) > Actually, I'm amazed at how well this is working for me, and wonder > why none of the many doctors I paid an appointment to, ever mentioned > and explained me how to do it. Good question. > The closest thing they keept mentioning was taking advantage of summer > to let sea water do its cleaning in my nostrils - and that does work > surpringly well, too! BUT, I don't have summer all year long - > Portugal is not a tropical region - and I can't go to the beach > everyday in Summer!! You'd think they'd make the next logical recommendation re: salt water, eh? > Long lives Internet - and people willing to share their experiences!! > > Thank you Susan! You're very welcome, and good luck. Susan |
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