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Medical Forum / Diseases and Disorders / Sinusitis / September 2007

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Need new irrigation suggestions

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MZB - 15 Sep 2007 04:42 GMT
Well, dammit, that incipient sinus infection (I posted awhile ago that I
sensed one was coming) seems to have arrived.

Main symptoms for me as always: sore throat, sick feeling, somewhat
irritated sinus feelings. No breathing problems.

My question: I've just never found the Grossan irrigator to be helpful and I
also worry about keeping it clean and bacteria free.

I'm looking for something else. Didn't some of you mention a netti-pot and
that is easier to keep clean?? If correct, where do you get it, how is it
used, and what solution should I use (if salt water, what proportion mix
should I use).

Mel (hoping to avoid antibiotic use)
Johnny1000@webtv.net - 15 Sep 2007 06:53 GMT
moo@noway.prudigy.net (MZB) wrote:

>Well, dammit, that incipient sinus infection (I
> posted awhile ago that I sensed one was
> coming) seems to have arrived.

I've been using the water pik irrigation system steady for the last 6 or
7 years now. ...Inspite of this, I've still had a number of acute sinus
flare-ups.  ...However, I've managed to flush them out after a few days,
and thus have avoided using any antibiotics for over 4 years now.
(Although I've been tempted a few times)

I think I'll be stuck with this regimen for the rest of my life, unless
I decide to take the "operation" route and then really "luck out".
(Unfortunately, at this point in time I haven't heard of any one who's
been comletely cured after having the old auger shoved up their nose.)
Thus, as long as I can keep my sinuses in fairly good shape for 95% of
the time, I think I'll keep doing what I have been up to now.
..Perhaps a major break-through is just around the corner, so I don't
want to risk doing further damage, just because I have a dozen days out
of the year where I feel like crap.   ..Jon
pcb3 - 15 Sep 2007 07:22 GMT
On Sep 14, 10:53 pm, Johnny1...@webtv.net wrote:

> >Well, dammit, that incipient sinus infection (I
> > posted awhile ago that I sensed one was
[quoted text clipped - 15 lines]
> want to risk doing further damage, just because I have a dozen days out
> of the year where I feel like crap.   ..Jon

I have heard that a new dual function device is coming for irrigation
and aspiration.  A guy I know in medicine said that it will replace
the Neti pots and irrigators..
pcb3 - 15 Sep 2007 07:20 GMT
> Well, dammit, that incipient sinus infection (I posted awhile ago that I
> sensed one was coming) seems to have arrived.
[quoted text clipped - 11 lines]
>
> Mel (hoping to avoid antibiotic use)

I have heard that a new device is coming which allows irrigation and
aspiration, which has a disposable cartrtige that supplies a sterile
saline supply and also is the recepticle for nasal contents.  Sounds
good.  Gets around sterilizing the whole thing and it's all premade.
Susan - 15 Sep 2007 17:19 GMT
> Well, dammit, that incipient sinus infection (I posted awhile ago that I
> sensed one was coming) seems to have arrived.
[quoted text clipped - 11 lines]
>
> Mel (hoping to avoid antibiotic use)

Mel, I've been using my NeilMed bottle; it and a neti pot are the most
easily sterilized/cleanable way to irrigate, IME.

My NeilMed is all I had on vacation to flush out the disgusting crud
after a weeklong cold, and it did a much better job than my Grossan does.

Susan
MZB - 15 Sep 2007 22:55 GMT
Is this a brand name? Where do I purchase it?

Mel
> x-no-archive: yes
>
[quoted text clipped - 21 lines]
>
> Susan
Susan - 16 Sep 2007 01:10 GMT
> Is this a brand name? Where do I purchase it?

You can find it online and in many drugstores:

neilmed.com

But his saline is very harsh; I'd keep making stuff at home with baking
soda and xylitol.

Susan
MZB - 15 Sep 2007 23:10 GMT
Susan:

Is this the product you are talking about?

http://cgi.ebay.com/NeilMed-Adult-Sinus-Rinse-Bottle-Kits-Lot-of-4_W0QQitemZ1501
60273055QQihZ005QQcategoryZ75037QQssPageNameZWDVWQQrdZ1QQcmdZViewItem


> x-no-archive: yes
>
[quoted text clipped - 21 lines]
>
> Susan
Steven L. - 16 Sep 2007 05:48 GMT
> Susan:
>
> Is this the product you are talking about?
>
> http://cgi.ebay.com/NeilMed-Adult-Sinus-Rinse-Bottle-Kits-Lot-of-4_W0QQitemZ1501
60273055QQihZ005QQcategoryZ75037QQssPageNameZWDVWQQrdZ1QQcmdZViewItem

Yep, that's it,
but you can also buy everything direct from the NeilMed company, where
they call the product Sinus Rinse:

http://www.neilmed.com/

The company now offers a new 16 ounce syringe-bottle, holding twice as
much as the standard one.  They now sell Neti Pots too.

In fact, because I use their product regularly, NeilMed was kind enough
to give me a special discount rate:  For every 10 of their saline packet
kits (each with 100 packets), they give me 2 kits free.  Of course, I've
been a regular customer of theirs for years.

Because when I'm on travel, I find their packets to be much more
convenient than trying to mix my own saline solution in a hotel room or
airport bathroom.

Signature

Steven L.
Email:  sdlitvin@earthlinkNOSPAM.net
Remove the NOSPAM before replying to me.

judy.n - 16 Sep 2007 16:26 GMT
I use both a Neilmed bottle and the classic neti pot--from the
Himalayan Institute. The NeilMed people sent me tons of free samples
last fall--and I gave them all away to patients. I thought to call
them when I saw a bunch at my allergist's office.
 You can buy Neilmed at lots of major retailers: Walgreens, CVS, etc.
Or directly from them. Kaiser Permanente stocks them in their
pharmacy.
 I buy my neti pots at Whole Foods. I used to buy them online. I also
buy a plastic neti--a sinucleanse. I bought one online at National
Allergy Supply, but once they had one at CVS, and I bought a
replacement.
  I keep the Neilmed clean with white vinegar. It used to be in the
original cleaning instructions, but I think they changed them
slightly. After use, I rinse with some white vinegar in the bottle,
making sure it gets into the central tube. The Neilmed people I talked
to at a medical convention told me they sell a drainer device online
to make sure the central tube gets thoroughly dry between use, to
discourage pseudomonas, etc. Since I use vinegar in my saline rinse, I
just put some saline in the Neilmed, rinse it up through the tube, and
throw it out before the next use. I only use the Neilmed occasionally,
when I seem to have a flare.
 Usually, I just use a neti pot, which I run through the dishwasher
about once a week. I put it in a container to air dry during the day.
 I used to use a water pik, and didn't do well with it.
 Also, a bulb syringe led to a pseudomonas post-op infection.
Judy

> > Susan:
>
[quoted text clipped - 24 lines]
> Email:  sdlit...@earthlinkNOSPAM.net
> Remove the NOSPAM before replying to me.
MZB - 16 Sep 2007 17:37 GMT
Judy:

OK but I am a bit confused. What is the difference between a NelMed and a
neti pot.

(I really need to go somewhere and LOOK at it)

Mel
>I use both a Neilmed bottle and the classic neti pot--from the
> Himalayan Institute. The NeilMed people sent me tons of free samples
[quoted text clipped - 51 lines]
>> Email:  sdlit...@earthlinkNOSPAM.net
>> Remove the NOSPAM before replying to me.
MZB - 16 Sep 2007 17:58 GMT
Is this a decent neti pot?? (I just ordered the neilmed from Ebay)

http://cgi.ebay.com/SINUCLEANSE-NETI-POT-w-30-SALINE-pks-24-Hour-Shipping_W0QQit
emZ200151475882QQihZ010QQcategoryZ1279QQssPageNameZWDVWQQrdZ1QQcmdZViewItem

>I use both a Neilmed bottle and the classic neti pot--from the
> Himalayan Institute. The NeilMed people sent me tons of free samples
[quoted text clipped - 51 lines]
>> Email:  sdlit...@earthlinkNOSPAM.net
>> Remove the NOSPAM before replying to me.
judy.n - 16 Sep 2007 20:01 GMT
Mel,
 Yes, the sinucleanse is a plastic neti pot. The neti pot is also
sort of a trade name for the porcelin version marketed by the
Himalayan institute--it was originally developed for yoga, where they
want you to breath through your nose.
The Neilmed people also sell a blue plastic neti pot, as well as their
various squeeze bottles.
 The classic NeilMed is a squeeze bottle that holds about one cup of
solution. They market a saline mix you can mix with water for the
bottle--I fill it with my own. They also market a pediatric version,
the larger version that Susan referred to--16 oz--and a small version
for administering medications. They also sell various holders for
their products, on line.
 So, the neti pot is a pot that looks like a genie's lamp, that you
fill with saline, and with no positive pressure, allow it to flow from
one nostril, and out the other, with your head tilted sideways. The
NeilMed squeeze bottle is a bottle with a central tube and nasal tip,
that you squeeze into one nostril, with your head held straight up but
slightly forward, and it runs out the other side. One is low pressure,
the other involves some positive pressure, and the head positions are
different. My ENT likes the neti pot because he feels the head
position allows better irrigation. And he tries all the products
personally. He's anti the Grossan. He never really discussed the
NeilMed. I find that patients who think irrigation is gross will
consider the NeilMed, but the neti is too "far out" for them.
 Last time I was at Whole Foods, because my porcelin neti developed a
small chip, I found they had a steel version as well as the ceramic
one. And, the sinucleanse is a nice plastic neti pot that both my
daughters use because they're unbreakable. I use the sinucleanse on
vacation.
 I use the NeilMed when something is brewing, as I find the positive
pressure will sometimes knock something loose. The tell you not to use
it if your ears are blocked.
 Grossan doesn't like the neti pot because it doesn't involve
"pulsatile" flow and he thinks the head position encourages water up
the eustachian tubes. Once in a blue moon it feels like solution is
hitting my eustachian tube, and I just adjust my head position.
 So, that's my ramble on the two.
 They do sell the sinucleanse and NeilMed squeeze bottles in a lot of
major drug stores, as well as ebay, and direct from the manufacturer.
 Judy

> Is this a decent neti pot?? (I just ordered the neilmed from Ebay)
>
[quoted text clipped - 53 lines]
> >> Email:  sdlit...@earthlinkNOSPAM.net
> >> Remove the NOSPAM before replying to me.
judy.n - 16 Sep 2007 20:17 GMT
Mel,
 the ebay price is high. I bought it at CVS for around $14, no
shipping, and I've bought them at National Allergy Supply as well.
 16.50 + 7$ shipping seems high.
Judy

On Sep 16, 12:07 pm, Susan <neverm...@nomail.com> wrote:
> Mel,
>   Yes, the sinucleanse is a plastic neti pot. The neti pot is also
[quoted text clipped - 99 lines]
> > >> Email:  sdlit...@earthlinkNOSPAM.net
> > >> Remove the NOSPAM before replying to me.
Susan - 16 Sep 2007 17:07 GMT
>> Susan:
>>
[quoted text clipped - 19 lines]
> convenient than trying to mix my own saline solution in a hotel room or
> airport bathroom.

I find their solution to be very harsh.  I just carried a little tiny
plastic Rubbermaid container of my homemade salt mixture and put what
looked like a tsp into my palm and scooped it up with the bottle, worked
great.

Susan
pcb3 - 16 Sep 2007 16:34 GMT
> Susan:
>
[quoted text clipped - 27 lines]
>
> > Susan

Those work ok.  I have heard from a friend of mine a "Sonicare" -like
device that can spray, flow and suction if need be.  Sometimes I need
the extra suctioning if my head is too full to blow.  It is being made
now, and will have a doctor's backing.  I can get more info.
petercb3@hotmail.com
pcb
Susan - 16 Sep 2007 17:09 GMT
> Those work ok.  I have heard from a friend of mine a "Sonicare" -like
> device that can spray, flow and suction if need be.  Sometimes I need
> the extra suctioning if my head is too full to blow.  It is being made
> now, and will have a doctor's backing.  I can get more info.
> petercb3@hotmail.com
> pcb

It's pretty easy to find a doctor to back anything for money.

I'd want to see unbiased user reviews before believing any pre marketing
hype.

Susan

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