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Medical Forum / Diseases and Disorders / Sinusitis / December 2007

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sharing your neti pot

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ellen - 20 Oct 2007 21:56 GMT
um, this seems like a stupid question.  or not.  i'm  frankly too
addled right now to make a good decision.  so here it is:
my dh has a sinus infection & used my neti pot.  i usually clean it
after each use with soap & water, put it in the dishwasher 1x/wk, &
rinse it through with vinegar once in awhile.

it seems like normal cleaning protocol makes it safe for me to use,
but somehow sharing it seems like sharing a toothbrush.  needless to
say, i am highly anxious about possibly sharing bacteria.  what's the
group verdict?

ellen
Neil Brooks - 20 Oct 2007 22:36 GMT
>um, this seems like a stupid question.  or not.  i'm  frankly too
>addled right now to make a good decision.  so here it is:
[quoted text clipped - 8 lines]
>
>ellen

1) Clean it with a dilute bleach solution, then give it a thorough
cleaning, followed by a dish soap cleaning with hot water and a
THOROUGH rinsing.  

AFAIK, ALL of the likely culprits for what we fight off ARE
susceptible to bleach.  I think most things are ;

2) I hope HE feels better now, too (another one?  Wow!)
ellen - 21 Oct 2007 23:47 GMT
> >um, this seems like a stupid question.  or not.  i'm  frankly too
> >addled right now to make a good decision.  so here it is:
[quoted text clipped - 17 lines]
>
> 2) I hope HE feels better now, too (another one?  Wow!)

thanks neil & steven.  with my luck, i'd  accidentally end up
bleaching my nose, so  i may still end up with the his/her fall neti
collection.  then he's responsible for his own cleaning (we have
slightly different standards).  since he's way healthier than me,
fortunately, he is already recovering well.

re: viral aspect.  i thought the majority of infections were bacterial
even if a virus started the mess (ie - cold mucking up the place).  i
try to be vigilant about the types of scenarios that steven
describes..

anyhow, hope you are both well (or as well as we get).

ellen
Steven L. - 22 Oct 2007 17:44 GMT
>>> um, this seems like a stupid question.  or not.  i'm  frankly too
>>> addled right now to make a good decision.  so here it is:
[quoted text clipped - 18 lines]
> bleaching my nose, so  i may still end up with the his/her fall neti
> collection.  

I used to wash out my SinusRinse syringe with rubbing alcohol.  Because
my sense of smell is shot when I get a sinus infection, I once made the
mistake of mistaking the alcohol in the syringe for water and I shot all
the alcohol up into my nose.  It took my nose several days to get over it.

Another time, I found that an insect had crawled inside it and I almost
squirted it into my nose too.

Ever since, I've gotten into the habit of rinsing the syringe out with
water BEFORE using it on my nose, as a precaution.

> then he's responsible for his own cleaning (we have
> slightly different standards).  since he's way healthier than me,
[quoted text clipped - 4 lines]
> try to be vigilant about the types of scenarios that steven
> describes..

No, it now appears that the majority of sinus infections are viral,
especially the ones that set in after a viral cold or the ones that hit
in the colder months of the year.

My ENT has his pet "Unified Field Theory of Sinusitis":  The upper and
lower respiratory tracts all have the same binding sites on which
viruses can attach.  Hence it's useless to talk about a "viral cold"
anymore as if it doesn't affect the rest of the respiratory tract.
Endoscopy clearly shows that in most simple colds, the sinuses are
invariably infected too, contrary to what they used to teach in medical
school.

As far as my ENT is concerned, it's a viral GENERALIZED RESPIRATORY
INFECTION and it can strike any or all parts of the respiratory system
at any time.  The different names we use:  cold (rhinitis), sinusitis,
laryngitis, tracheitis, bronchitis--should just be thought of as
describing localized SYMPTOMS, but it's all the same infection and it
can infect any or all of the above as the viruses spread.

That would explain why roughly half of all acute sinus infections
resolve spontaneously in a few weeks without antibiotics, and why
antibiotics are only marginally more helpful.  Because many of the
infections were probably viral anyway.

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ellen - 24 Oct 2007 14:47 GMT
> >>> um, this seems like a stupid question.  or not.  i'm  frankly too
> >>> addled right now to make a good decision.  so here it is:
[quoted text clipped - 67 lines]
> Email:  sdlit...@earthlinkNOSPAM.net
> Remove the NOSPAM before replying to me.

yikes, steven, that alcohol sniffing experience made me wince.  & i'm
glad that the insect sniffing wasn't meant to be (it did make me think
of a nasty spinach pie incident, though).  yeah, i always rinse before
my irrigation.

i like your ent's 'unified field theory of sinusitis,' or at least as
it applies to the viral aspects.

i ended up just cleaning the neti.  the drug stores in town used to
sell the sinucleanse plastic neti pots, but they've all replaced it
with the neilmed rinse bottles.  i just don't like those as well.

be well & safely irrigated,
ellen
Steven L. - 25 Oct 2007 05:17 GMT
>>>>> um, this seems like a stupid question.  or not.  i'm  frankly too
>>>>> addled right now to make a good decision.  so here it is:
[quoted text clipped - 66 lines]
> of a nasty spinach pie incident, though).  yeah, i always rinse before
> my irrigation.

When I shot the rubbing alcohol into my nose, it reacted immediately,
instantly manufacturing a TON of thin yellow (though not purulent) mucus
that was just pouring out of my nose and down my throat.  Alarmed, I
went to the Emergency Room of Mass Eye and Ear.  They scoped my nose and
said yep, irrigate like crazy (with real saline this time!) and be
patient till your nose stops reacting to the alcohol.  It took a few days.

> i like your ent's 'unified field theory of sinusitis,' or at least as
> it applies to the viral aspects.

It came up in the context of a nasty thrush infection I had in my
throat.  It started spreading upward, into my nasopharynx.  I told my
ENT that I never heard of a thrush infection in the nasopharynx before.
 That's when he told me about his "unified field theory."  Any bug that
can infect the back of the throat can also infect the nasopharynx or the
larynx, it's all the same type of tissue.  These divisions into
nasopharynx, oropharynx, etc.--are entirely arbitrary.

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ellen - 24 Oct 2007 20:59 GMT
> >>> um, this seems like a stupid question.  or not.  i'm  frankly too
> >>> addled right now to make a good decision.  so here it is:
[quoted text clipped - 67 lines]
> Email:  sdlit...@earthlinkNOSPAM.net
> Remove the NOSPAM before replying to me.

yikes, steven, that alcohol sniffing experience made me wince.  & i'm
glad that the insect sniffing wasn't meant to be (it did make me think
of a nasty spinach pie incident, though).  yeah, i always rinse before
my irrigation.

i like your ent's 'unified field theory of sinusitis,' or at least as
it applies to the viral aspects.

i ended up just cleaning the neti.  the drug stores in town used to
sell the sinucleanse plastic neti pots, but they've all replaced it
with the neilmed rinse bottles.  i just don't like those as well.

be well & safely irrigated,
ellen
Steven L. - 21 Oct 2007 02:29 GMT
> um, this seems like a stupid question.  or not.  i'm  frankly too
> addled right now to make a good decision.  so here it is:
[quoted text clipped - 6 lines]
> say, i am highly anxious about possibly sharing bacteria.  what's the
> group verdict?

I would soak the neti pot thoroughly in a 10% solution of Clorox for TEN
minutes.  It may take that long for the dilute Clorox to kill all the
germs.  That's the recommended protocol for disinfecting the HydroPulse too.

BTW, a lot of sinus infections are viral, not bacterial.  In that case
you're far more likely to catch your DH's viruses just by hand
contact--for example, touching a germ-laden faucet knob when you stand
over the sink irrigating with the Neti Pot.

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Andy - 24 Oct 2007 21:07 GMT
 > BTW, a lot of sinus infections are viral, not bacterial.  In that case
> you're far more likely to catch your DH's viruses just by hand
> contact--for example, touching a germ-laden faucet knob when you stand
> over the sink irrigating with the Neti Pot.

If a sinus infection is viral, is there any reliable treatment for it?
When I have what I think is a sinus infection, I'll go to my ENT.  He'll
ask a few questions, look up my nose, and say "yeah, you have a sinus
infection", and prescribe sudafed/guaifenesin and antibiotics.

What should a doctor do to confirm in an infection is viral or
bacterial?  Is there a reasonably cost effective way of finding out?
Steven L. - 25 Oct 2007 05:23 GMT
>  > BTW, a lot of sinus infections are viral, not bacterial.  In that case
>> you're far more likely to catch your DH's viruses just by hand
>> contact--for example, touching a germ-laden faucet knob when you stand
>> over the sink irrigating with the Neti Pot.
>
> If a sinus infection is viral, is there any reliable treatment for it?

Eventually, your immune system will get a handle on it (unless you have
some kind of immune disorder).  Unlike bacteria, viruses don't multiply
in the mucus, but in the cells of the tissues themselves.  So drainage
of the mucus isn't the issue for a viral infection.  Whereas for a
bacterial infection, the bugs can just keep multiplying in the stagnant
mucus indefinitely till the sinuses are opened and the mucus is drained.

> When I have what I think is a sinus infection, I'll go to my ENT.  He'll
> ask a few questions, look up my nose, and say "yeah, you have a sinus
> infection", and prescribe sudafed/guaifenesin and antibiotics.
>
> What should a doctor do to confirm in an infection is viral or
> bacterial?  Is there a reasonably cost effective way of finding out?

Viral infections are invariably self-limiting in otherwise healthy
people.  If it goes away in less than a month, it was viral.  If it
lingers and lingers or seems to get worse over time, it's probably
bacterial.

And while it's not 100% sure, viral infections tend to have a sudden
onset because of how rapidly the viruses multiply--I'm sure you've
noticed how a cold seems to start out of nowhere with a sudden scratchy
throat.  Whereas a bacterial infection comes on gradually and gets a
little worse each passing day.

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ilaboo - 25 Dec 2007 23:18 GMT
steve

i would put teaspoonful in with your chlorox solution--forms very active
chlorine gas--also iu would never share a neti pot regatdless of the
cleaning

thre maybe nooks and cranies in it that are never exposed to sterilizing
solution

hth
peter
Ghamph - 27 Oct 2007 01:32 GMT
> um, this seems like a stupid question.  or not.  i'm  frankly too
> addled right now to make a good decision.  so here it is:
[quoted text clipped - 8 lines]
>
> ellen

If your neti is ceramic then boil water in it for a few minutes in the
microwave.

If plastic either get another neti or soap or bleach or water with as much
baking soda as will dissolve.

Alcohol too wouldn't hurt.

Always rinse neti more than thoroughly.

A ceramic neti can be boiled in a pot of water or baked in the oven.

Jamffer
ilaboo - 31 Oct 2007 22:50 GMT
dont
get another one

to much of a risk for infections for a lousey $12.00
surfacrs especially plastic can be very difficult to do
hth
peter
> um, this seems like a stupid question.  or not.  i'm  frankly too
> addled right now to make a good decision.  so here it is:
[quoted text clipped - 8 lines]
>
> ellen
ellen - 03 Nov 2007 16:21 GMT
> dont
> get another one
[quoted text clipped - 15 lines]
>
> > ellen

thanks to you & jamffer for the input.  i went out & found another
plastic neti so that we would each have our own.  why risk the known
misery when i seem to be finding it quite well on my own most of the
time.

ellen
judy.n - 03 Nov 2007 21:31 GMT
Ellen,
 I have to agree that I'd never share a neti pot. I like the porcelin
ones from Whole foods, because you can throw them in the dishwasher.
 I use the plastic ones for travel, and actually both my daughters
use them at college. They got over the yuck factor, when they
discovered they felt better and weren't catching the virus de jour.
Judy

> > dont
> > get another one
[quoted text clipped - 25 lines]
>
> ellen

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