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Medical Forum / Diseases and Disorders / Sinusitis / August 2006Pain after irrigating
I've been irrigating on a daily basis for nearly a year now. I traveled last week for business and used a Neilmed bottle to irrigate. I've been using my hydropulse since Friday and afterwards, I've had terrible sinus headaches, but nothing terrible is coming out so I'm pretty sure I'm it's not an infection. Is it just adjusting back to the hydropulse? I was using the Neilmed solution while traveling and mix my own solution while at home. >I've been irrigating on a daily basis for nearly a year now. I >traveled last week for business and used a Neilmed bottle to irrigate. [quoted text clipped - 3 lines] >the hydropulse? I was using the Neilmed solution while traveling and >mix my own solution while at home. The phrase "sinus headache" is heard a lot in TV commercials but is not really defined medically so I do not know what you mean. Maybe "severe headache"? Maybe "pain around the nose and eyes"? In any case you might check for TMJ - any manipulaton of your jaw (such as might occur in irrigating?) can provoke it.... Hmm....let's try this again, sorry if this shows up twice... sinus headache for me = pain around eyes, brow and nose I'm wondering if it's my apartment...returning to the environment and adjusting to irritants here. Also the left side of my left nostril has been hurting for the past week. Right at the point where the rubbery part meets the boney part. It feels like there's a dry crust there, but that doesn't make sense since I've been irrigating daily and well hydrated. I did fly last week. > >I've been irrigating on a daily basis for nearly a year now. I > >traveled last week for business and used a Neilmed bottle to irrigate. [quoted text clipped - 13 lines] > In any case you might check for TMJ - any manipulaton of your jaw (such as > might occur in irrigating?) can provoke it.... >Hmm....let's try this again, sorry if this shows up twice... > >sinus headache for me = pain around eyes, brow and nose That does sound like the sinuses although even that is not 100% sure. >I'm wondering if it's my apartment...returning to the environment and >adjusting to irritants here. I bet it is. >Also the left side of my left nostril has been hurting for the past >week. Right at the point where the rubbery part meets the boney part. >It feels like there's a dry crust there, but that doesn't make sense >since I've been irrigating daily and well hydrated. I did fly last >week. I had one or two superficial spots like that after surgery that did recover completely in say 6 months. Minor tears etc that are not deep within a partly-blocked sinus or some such will usually heal... After multiple surgeries, I have a couple of "denuded" spots in my nose, confirmed by endoscopy. They will hurt periodically, and sometimes even were the focus of infection. I've found that applying bactroban to the spot with a q-tip does wonders. Judy > Hmm....let's try this again, sorry if this shows up twice... > [quoted text clipped - 26 lines] > > In any case you might check for TMJ - any manipulaton of your jaw (such as > > might occur in irrigating?) can provoke it.... >I've been irrigating on a daily basis for nearly a > year now. I traveled last week for business [quoted text clipped - 6 lines] > Neilmed solution while traveling and mix my > own solution while at home. All my sinus problems have revolved around the ethmoids and the frontals. ...The frontals seem to be extremely sensitive to altidude, and/or pressure changes. ...One time, while driving down from Reno Nv. (altitude 4500') , I had to pull over to the roadside, as the pain, along with the tears streaming down my face made it impossible to drive (and I'd only lost a few hundred bucks;-) .... Likewise, the pain can become quite unbearable, if I dive even 3 or 4 feet beneath the water. ..I probably have a low grade "frontal" infection that flairs up from time to time. The H²0² solution has helped, but perhaps the drainage routes become periodically blocked; hence, the pain. At any rate, I'm wondering if your problems may stem from the same conditions: elevation, and/or weather pressure changes. ...Jon > All my sinus problems have revolved around the ethmoids and the > frontals. ...The frontals seem to be extremely sensitive to altidude, [quoted text clipped - 8 lines] > wondering if your problems may stem from the same conditions: > elevation, and/or weather pressure changes. ...Jon I'm also very sensitive to elevation and pressure changes. I usually have sinus headaches when the seasons change, get altitude sickness, get sinus pain from diving into the deep end of the pool, etc. Maybe flying nudged something? Anyhow, apparently ragweed has been pretty bad in my city too. Whatever the case, I can't figure it out if irrigating is good or bad for me now. I had a doozy of a headache today and when I irrigate, it was painful. Like the sensation when you first irrigated and you weren't used to having water up your nose. >Whatever the case, I can't figure it out if > irrigating is good or bad for me now. I had a > doozy of a headache today and when I > irrigate, it was painful. Like the sensation > when you first irrigated and you weren't used > to having water up your nose. I used to get the headaches really bad (directly beneath the eyebrow), and especially if I travelled to a lower altitude. ....in fact, it would cause me to vomit uncontrollably for hours on end. ...I figured out the cause, when one day in a motel room, I put a damp face cloth in the freezer and froze it. I then laid face down on the pillow, with the frozen cloth directly beneath my brow. ...I kept pinching my nose, and swallowing. ...I irrigated about 1/2 hour later, and flushed out masses of yellow and green pus. ...Within minutes, my headache, upset stomach, and cold-like symptoms, completely disappeared. ...That was 6 years ago. ...I've never had it quite that bad since, as I now irrigate on a regular basis. The irrigation hasn't eliminated my problems, but it seems to help keep it in check. ...Jon When it hurts when I irrigate, I usually have an infection or am close to one. I used to take a lot of antibiotics, but the bactroban ointment has helped me ward them off. You may have an infection brewing--plane flights are uniquely tough due to the low humidity, poor air quality and pressure trauma. Judy > > All my sinus problems have revolved around the ethmoids and the > > frontals. ...The frontals seem to be extremely sensitive to altidude, [quoted text clipped - 19 lines] > was painful. Like the sensation when you first irrigated and you > weren't used to having water up your nose. judy.nudelman@gmail.com (judy.n) wrote: >When it hurts when I irrigate, I usually have an > infection or am close to one. I have to admit, I have never had any pain during the irrigation process. ...Even while under the influence of a full blown infection. ..I have been fotunate in that I have avoided all antibotics for 3 years. ...When a fare-up has hit me, I simply step the irrigation up to 3 or 4 times per day, and have managed to flush the infection out. ...Are you sure you're not trying to force the liquid in? ...If I sense that my sinuses are plugged, I hold the irrigator tip loosely to the nostril, so that the liquid will simply discharge backwards, rather than forcing its way in. ...Jon I use a neti pot, so there's minimal pressure. When I've been infected the inside of my nose will get "raw" and very sore, and if I don't head it off with bactroban, it goes away with antibiotics. Judy > >When it hurts when I irrigate, I usually have an > > infection or am close to one. [quoted text clipped - 8 lines] > nostril, so that the liquid will simply discharge backwards, rather than > forcing its way in. ...Jon I woke up in the middle of the night with my left nostril aching, I checked in the bathroom mirror and yep, it was swollen. And I was wrong about the location, the area is near the bottom half of my nose, where it's all rubbery. It's the roof of that area and not only is it swollen, it's hard. Infection? I squirted some bactroban into the area. This is the first time I've done this, so I have a couple of questions. Should I continue to irrigate along with applying the bactroban? The instructions on the bactroban is to apply 2-3 times daily. Do you irrigate and clean out the old ointment and then apply fresh ointment? Or do you clean out with a Q-tip and then apply? Thanks. I irrigate twice a day, wait half an hour for all the drainage to stop, then apply my nasal steroid followed by bactroban on a q-tip. A lot of the other posters here use the bactroban in small squeeze bottle--it's water soluble. I've applied it three times a day when needed. Because I just have a couple of areas that tend to cause local problems, and they correspond to surgical scars, I can get away with the dollop on a q-tip. It's very soothing because it coats the raw spot. If you have a swollen bump, it may need oral antibiotics--but it's worth trying the topical. One of my ENT's, who did a big surgery, told me he left me with a "ridge" that could form crusts, and recommended bactroban lubrication as needed. I hope you feel better soon. Judy > I woke up in the middle of the night with my left nostril aching, I > checked in the bathroom mirror and yep, it was swollen. And I was [quoted text clipped - 10 lines] > > Thanks. Thanks Judy. I will anything, anything! to avoid oral antibiotics. I had a around last fall and it was the most miserable experience. Anyhow, I checked and I'm using CVS' Bacitracin which is in ointment form. It occurred to me what the pain feels like...I think I have a boil in my left nostril. I'm googling boils in noses and many of the sites point to staph infection as the culprit. I wonder if using my travel irrigation bottles were the problem? Maybe they weren't clean? I did soak them in hydrogen peroxide first. Also I remembered once having to dig into my nostril to get out really gooey mucous after irrigating with my Neilmed bottle while I was on my business trip. Maybe my nail wasn't clean? Plus, airplane air, hotel towels and gyms...arghhhhhhhhh. So I'm a little bit worried about irrigating and pushing the infection into my sinuses. I've had sinuses headaches all along, maybe the infection has already spread? I think I don't want to face the obvious...a trip to the doctor's office. Bacitracin is not the same as bactroban. Bactroban is water based and very powerful against staph: it's used for impetigo and to eradicate staph in the nose. Bacitracin is an old antibiotic that's sold in a petroleum base: it's actually a bad idea to put that into your nose because the ointment can cause lung problems if inhaled. It's not a particulary strong antibiotic and it can cause allergy when applied topically. I'd only try the bactroban (I believe the generic is mupirocin 2% ointment.) Staph is common in the nose, and a cut or scratch can let it invade and cause an infection. Maybe it's time for a physician evaluation. Judy > I'm googling boils in noses and many of the sites point to staph > infection as the culprit. I wonder if using my travel irrigation [quoted text clipped - 10 lines] > I think I don't want to face the obvious...a trip to the doctor's > office.
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