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Medical Forum / Diseases and Disorders / Sinusitis / August 2007

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Saline Nasal Wash Lightheadedness/Sinus Infections

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J - 25 Aug 2007 06:59 GMT
I was wondering if anyone else in this group has ever experienced
lightheadedness and/or sinus infections after doing saline nasal
washes? After having a second nasal surgery (deviated septum/polyps)
my ENT told me to start doing the saline nasal washes. Before then I
had never done them before. I started with the Neilmed bottle and it
made me really dizzy. The saline would stay in my nose for hours and
then pour out two hours later (sometimes 6 hours later). I decided to
try the Grossan Hydropulse which didn't help either. I used the
Hyrdopulse for six months and was dizzy everytime I did it and the
saline again would stay up my nose for hours. Shortly after starting
to use the Hydropulse I got a full blown sinus infection. Over the
next 6 months I would get a sinus infection, quit the hydropulse, and
go on antibiotics. After I would feel better I would start using the
Hydropulse again and would get another sinus infection within a couple
of weeks and then repeat the cycle.

After 6 months I had had enough so I quit the Hydropulse. But over the
next year I tried saline nasal washes again every three months or so.
I tried the Neilmed, Hyrdopulse, Netipot, etc. and all of them made me
lightheaded and gave me sinus infections. I finally just gave up and
haven't done the saline nasal washes for 6 months. During this time I
have't had one sinus infection.

Has anyone else experienced these problems?
august - 25 Aug 2007 22:09 GMT
>I was wondering if anyone else in this group has ever experienced
> lightheadedness and/or sinus infections after doing saline nasal
[quoted text clipped - 20 lines]
>
> Has anyone else experienced these problems?

I have never experienced the light headedness or infections after irrigating
but I can tell you how to prevent (most) of the saline from staying in your
head after using a Hydropulse. Wait about ten minutes post irrigation during
which you are upright and not laying down. Then while standing go lean your
head down over the toilet and the saline will drain right out. For best
results tilt head to each side slightly and give each nostril a minute or
three to drain and this will get about 98% of the fluid out. At least this
works well for me. YMMV.   good luck with the other issues   AW
Murray Grossan - 27 Aug 2007 18:03 GMT
On 8/25/07 2:09 PM, in article Sb6dnQ9Zg54YB03bnZ2dnUVZ_hGdnZ2d@comcast.com,

>> I was wondering if anyone else in this group has ever experienced
>> lightheadedness and/or sinus infections after doing saline nasal
[quoted text clipped - 29 lines]
> three to drain and this will get about 98% of the fluid out. At least this
> works well for me. YMMV.   good luck with the other issues   AW

Dizzyness / lightheadedness associated with irrigation suggests forceful
blowing. You can get dizzy form blowing your nose too hard without
irrigaition, but some persons get it by forceful blowing while irrigatinng.
If you read the Hydro Pulse insruction booklet it specifically states not to
blow the nose while irrigating. If you must blow, stop irrigation,blow, then
resumre.  One advantage of the Hydro Pulse is that you can ste the pressure
just so and resume the same pressure when you continue. With squeeze bottles
and syringes there is not pressure monitor or valve.
These are only suggestions. Why you continue to have infections is somehting
that needs investigation. Please re-read the excerts from The Sinus Cure and
see if you are following these.
Some persons don't follow the instructions.  If you use plain water instead
of saline, that is wrong. If the pressure is higher than a one inch stream
that is wrong. If you leave saline in the basin all the time that is
incorrect. Once a week cleansing with peroxide or chlorox is needed too.
Positioniing the head correctly.
Fortunnately most 5 year olds use the Hydro Pulse with excellent results and
is a fovorite among the Pediatric ENT doctors.
J - 28 Aug 2007 04:09 GMT
I'm positive I was using the Hydropulse correctly. My Dad has used one
for about 5 years and has done saline nasal washes for 15+ years. He
has watched me and told me I am doing it correctly. However, when he
uses the Hydropulse he does not have the same problems that I do. I
have also re-read the instructions almost a hundred times

I have tried every thing from adjusting the pressure settings, to
using isotonic and hypertonic solutions. Also, I tried both regular
tap water and distilled water. I diligently cleaned my Hydropulse once
a week and flushed it with water after every use so I don't think that
was the problem. It wasn't just the hydropulse that affected me
though. I developed the same problems whether I used the Neilmed
bottle or a netipot. Every ENT I have seen as told me that my case is
unique and that they have never seen this.

I should probably elaborate a little more which might help explain my
problems.  I have always had a bit of a lightheadedness problem since
I was young. Doctors could never explain it so I learned to live with
it. Later as an adult a doctor discovered that I had a deviated septum
and thought that might explain my lightheadedness. So I had septum
surgery and then a year-and-a-half later had a follow up operation
(they also remove some polyps). The septum surgery helped my breathing
a ton but didn't help my lightheadedness problem. I started doing the
saline nasal washes after the second surgery. After doing the washes
my lightheadedness increased tremendously and I would be terribly
dizzy. It was as if my lightheadedness had multiplied by 10. Then I
started getting the sinus infections, which I detailed in my earlier
post.

After using the hydropulse for about 6 months I quit. My extreme
lightheadedness went away as did my sinus infections. As I stated in
my first post over the next year I would try the saline nasal washes
once every three months or so and have the same problems.

I should probably mention this part, though I am not sure if it is
relevant. Shortly after quitting the hydropulse for the first time I
purposely lost 35 lbs. After losing this weight my lightheadedness got
really bad even though I wasn't doing the nasal washes. I went back to
my ENT who recommended that I try the nasal washes again so I did.
This time the lightheadedness and sinus infections got really, really
bad. I quit doing the wahses and my lightheadedness got better but not
to the level it was at before I had lost weight. Over the next nine
months I would try the nasal washes again but would again run in to
the same problems.

Currently, I haven't done the sinus nasal washes in 6 months. I
haven't had a sinus infection but my lightheadedness has not improved
(the only thing that makes it somewhat bearable is chewing gum which I
do all day long). I have seen 4 different ENTs none of which can
explain 1) my lightheadedness and 2) why the sinus nasal washes don't
work for me. One doctor theorized that I might have a patulous
eustachian tube. He thought it was possible I'd had it for a long time
and that it could explain why sinus nasal washes caused me so many
problems. He thought it was possible that after I had lost weight my
eustachian tube had become wide open where as before it was only
somewhat open or open only some of the time. However, he ruled out
this possibility because I did not have fullness in my ears. None of
the other ENTs felt that this was a plausible explaination.
Terry Raymond - 28 Aug 2007 01:15 GMT
J <jeffreyvalentin@mail.weber.edu> wrote in news:1188021565.978035.47550
@m37g2000prh.googlegroups.com:

> I was wondering if anyone else in this group has ever experienced
> lightheadedness and/or sinus infections after doing saline nasal
> washes? After having a second nasal surgery (deviated septum/polyps)
[stuff deleted]
After I would feel better I would start using the
> Hydropulse again and would get another sinus infection within a couple
> of weeks and then repeat the cycle.
[quoted text clipped - 7 lines]
>
> Has anyone else experienced these problems?

If you are using tap water, you should change to distilled
water because you might be picking up some bacteria from less
than clean water.

Signature

Terry
===========================================================
Terry Raymond
Crafted Smalltalk
80 Lazywood Ln.
Tiverton, RI  02878
(401) 624-4517        traymond at craftedsmalltalk nospam dot com
<http://www.craftedsmalltalk.com>
===========================================================

judy.n - 30 Aug 2007 01:12 GMT
The lightheadedness sounds like some kind of vestibulopathy--a
disorder of the inner ear. A common cause is migraine associated
vertigo, which is very common and very under-recognized. It can
persist for years, and you don't have to have headaches. There's a
good eMedicine article on it:
http://www.emedicine.com/ent/topic727.htm

An otoneurologist could test you for inner ear disorders.
I have some vertigo issues, and sometimes the head position of the
neti pot can be a bit of a challenge.
Judy

> J <jeffreyvalen...@mail.weber.edu> wrote in news:1188021565.978035.47550
> @m37g2000prh.googlegroups.com:
[quoted text clipped - 32 lines]
> <http://www.craftedsmalltalk.com>
> ===========================================================

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