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Medical Forum / Diseases and Disorders / Sinusitis / April 2004

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how many times a day should I irrigate

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Yitz - 14 Apr 2004 22:51 GMT
how many times a day should I irrigate?
Steven Litvintchouk - 15 Apr 2004 00:47 GMT
> how many times a day should I irrigate?

Do it as often as it takes to relieve your symptoms.

At least twice a day (morning and nighttime about a half-hour before
bed).  But it's worth doing it a lot more often.

-- Steven L.
Flash - 15 Apr 2004 01:00 GMT
> how many times a day should I irrigate?

From FAQ for Alt.Support.Sinusitis, Ver. 5.3

   "It's recommended that you irrigate your sinuses two times a day when
   you're experiencing sinus or allergy symptoms or if you have a cold,
   or three times a day if you're producing a lot of mucus. If you have
   chronic sinusitis with only mild symptoms, you should irrigate once a
   day. If you're trying to prevent a cold or allergy flare-up during
   cold or allergy season, you can irrigate once a day. If you have no
   symptoms, you typically don't need to irrigate, though some people
   irrigate anywhere from every other day to once a week as preventive
   medicine. Over-irrigating can compromise the sinuses' disease-fighting
   capabilities -- it removes from the sinuses the enzyme lysozyme, which
   kills bacteria."

See the FAQ at:

http://groups.google.com/groups?hl=en&lr=&ie=UTF-8&oe=UTF-8&selm=1081697438.1784
8%40localhost.lafn.org&prev=/groups%3Fq%3Dsinusitis%2BFAQ%26hl%3Den%26lr%3D%26ie
%3DUTF-8%26oe%3DUTF-8%26scoring%3Dd

ENTconsult - 15 Apr 2004 17:13 GMT
How many times a day to irrigate?
If you are not having symptoms don't irrigate. You remove Lysozyme and other
products that the body uses.
An exception is during allergy season when you want to remove pollen and IgE
from the nose or
if you are susceptable to catching colds, and everyone around you has a cold,
and you want to remove the ICAM 1 from your nose to help prevent catching a
cold.
Once your nose is normal, you don't need to be more normal.
When you use pulsatile irrigation or Hydro Pulse irrigation, there is a much
more effective removal of nasal mucus. You do get much more of the associated
bacteria out, but  irrigating excessively can remove the needed lysozyme too.
Therefore the "rules" of how much to irrigate are different for Hydro Pulse vs
Pots, etc. because more comes out with the former method.
Murray Grossan, M.D.
http://www.ent-consult.com
Thomas J. Lane - 16 Apr 2004 02:32 GMT
I have symptoms every day of my life since I had inferior turbinate
reduction 13 years ago. I suppose I should irrigate every day?

Tom

> How many times a day to irrigate?
> If you are not having symptoms don't irrigate. You remove Lysozyme and other
[quoted text clipped - 12 lines]
> Murray Grossan, M.D.
> http://www.ent-consult.com
ENTconsult - 16 Apr 2004 04:29 GMT
If you have Empty Nose Syndrome - see www.ent-consult.com for description - you
probably need to use Hydro PUlse daily to substitute for the clia that are no
longer there.
Murray Grossan, M.D.
http://www.ent-consult.com
ENTconsult - 15 Apr 2004 04:19 GMT
For regular post nasal drip once a day is usually suffecient. If there is
purulent discharge, twice a day till clear.
Murray Grossan, M.D.
http://www.ent-consult.com
Steven Litvintchouk - 15 Apr 2004 15:31 GMT
> For regular post nasal drip once a day is usually suffecient. If there is
> purulent discharge, twice a day till clear.
> Murray Grossan, M.D.
> http://www.ent-consult.com

Not for me.  When I get a severe sinus infection, I get floods of
purulent drainage.  I find that I can irrigate every *two hours* and
still find lots of purulent drainage coming out.

-- Steven L.
 
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