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Medical Forum / Diseases and Disorders / Sinusitis / June 2007Head position for nasal irrigation
I've seen varying recommendations for head position when performing nasal irrigation and am wondering which is optimal. The insert in a package of HydraSense that I bought shows a picture wherein you lean over a sink and then tilt your head sideways so that one ear is parallel to the sink. You then irrigate through the upper nostril and (hope that!) the solution drains out the lower nostril or mouth. The Mayo Clinic video shows someone simply leaning forward over a sink with no tilting to either side. Using this method, I couldn't achieve anything but the solution draining out the same nostril through which it was being applied. Any advice would be appreciated! Thanks. >I've seen varying recommendations for head position when performing nasal >irrigation and am wondering which is optimal. [quoted text clipped - 11 lines] >Any advice would be appreciated! >Thanks. SerenaK, I have never used HydraSense. Is this used with a pulsatile irrigator? In any case, I would follow what the Mayo Clinic says. Turning your head to one side too much could make the stuff go into your inner ear, causing an infection. Rick > SerenaK, > [quoted text clipped - 4 lines] > head to one side too much could make the stuff go into your inner ear, > causing an infection. HydraSense is a commercial ("isotonic sterile, 100% natural-source sea water") solution (135 ml) that comes with an applicator tip that squirts when depressed. Apparently, it comes in four strengths, from "ultra-gentle mist" for babies through gentle mist, medium stream, and full stream. I used the whole damn medium stream bottle in two sessions and the mechanism doesn't allow you to refill the bottle with your own solution. I liked the tip and wanted to use it until I can procure a tip for my WaterPik. Thanks for the advice. I will try a modified position and see what happens! I use the neti pot, and it works best if you turn your head to the side: You do run the risk of introducing saline into the area near the eustachian tube, but a gentle lean avoids that risk. At times I've used the NeilMed squeeze bottle, and due to the positive pressure of the squeeze, I leave my head upright. Usually, the devices come with instructions--because it will vary by device. Sinucleanse is a plastic neti pot that is showing up at major drug stores. I use it for traveling. I prefer the porcelin neti pot for at home. It's easily cleaned in the dish washer. So is the plastic version. My ENT orginally recommended it due to the low pressure, high volume and the head tilt gets the fluid into the ethmoids. He's not a fan of water pik/Grossan. I didn't do well with the water pik: in retrospect, I never cleaned it adequately and was likely irrigating all sorts of water loving bacteria into my sinuses. Judy > > SerenaK, > [quoted text clipped - 14 lines] > > Thanks for the advice. I will try a modified position and see what happens! > Sinucleanse is a plastic neti pot that is showing up at major drug > stores. I use it for traveling. I prefer the porcelin neti pot for at [quoted text clipped - 4 lines] > retrospect, I never cleaned it adequately and was likely irrigating > all sorts of water loving bacteria into my sinuses. Thanks for your input! I'm realizing that different things work for different people and it's a matter of trial and error. >I've seen varying recommendations for head > position when performing nasal irrigation and [quoted text clipped - 7 lines] > that!) the solution drains out the lower nostril > or mouth. This is the position I use. The water won't run down your throat, unless the exit nostril is plugged. ...Thus, I don't think it even gets far enough down the throat, at any time, to get into the eustachion tubes. ..Jon On 5/27/07 11:15 PM, in article 135ksp1ot931202@corp.supernews.com, > I've seen varying recommendations for head position when performing nasal > irrigation and am wondering which is optimal. [quoted text clipped - 11 lines] > Any advice would be appreciated! > Thanks. The instructions for the Hydro Pulse specifically state no head tilting. The reason is that some persons have a eustachian tube that is wide open and with the head tilted the solution can enter the open eustachian tube. This is seen in my practice in persons who use a head tilt irrigation device for irrigation where the pressure varies depending on the amount of liquid. Whichever is used , you want the head to way forward so that the nasopharyx - back of the nose - top of the throat - is lower than the back of the tongue so that the fluid doesn't go down the throat. I sure get a lot more gunk out with tilting the head to the side, and haven't had trouble with my Eustachian tubes. > I've seen varying recommendations for head position when performing nasal > irrigation and am wondering which is optimal. [quoted text clipped - 14 lines] > Any advice would be appreciated! > Thanks. On 6/5/07 10:25 AM, in article o0h9i.17$ng.2@trnddc07, "MS" <ms@nospam.com> wrote: > I sure get a lot more gunk out with tilting the head to the side, and > haven't had trouble with my Eustachian tubes. [quoted text clipped - 19 lines] >> >> With the Hydro Pulse best results are head midline, bent over so you can see the drain. In persons whose eustachian tubes are open, having the head tilted may put fluid under pressure into the eustachian tube and the middle ear. The pressure is very important and should be steady at 5 PSI which is a one inch stream I get water in my inner eat and E. tubes by just gargling now. shirleyann |
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