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Medical Forum / Diseases and Disorders / Sinusitis / September 2003

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what to do with portion of nasal path that can't be reached by irrigator?

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Jerome Tan - 22 Sep 2003 06:23 GMT
my doctor told me that very far from my nose there's mucuous.
somewhere near eustachian tube and it can't be reached by the nasal
irrigator, is there anything i can do to clear those up?

Regards/
Jerome
Oliver - 22 Sep 2003 06:51 GMT
Talk to your doctor about oral decongestants.  Sudafed as an example, others
are by prescription.  Talk to your doctor about antihistamines.  I don't
generally reccomend them, nor am I now, but it's worth a discussion with the
doctor.

Treat your allergies directly.  Control your environment as best you can,
get shots if you test positive.

Stop drinking alcohol while you have symptoms.  Stop smoking permanently.
Try to get a little exercise daily, but respect your allergies and the way
you feel.  Don't exercise during times that you are clearly having a
reaction.  Seek times of the day, or indoors, or outdoors to exercise in
when your allergies are lowest.

There are lots of things to do....

-O

> my doctor told me that very far from my nose there's mucuous.
> somewhere near eustachian tube and it can't be reached by the nasal
> irrigator, is there anything i can do to clear those up?
>
> Regards/
> Jerome
ENTconsult - 22 Sep 2003 17:11 GMT
the Hydro Pulse does not work as a hose that is put into your sinus or is
directed at the eustachian tube. It works by removing thick mucus, by pulsing
cilia so that the cilia work to restore proper drainage and nasal function. It
also works by displacing mucus and pus in the sinuses by displacement - not as
a hose stuck in the sinus.
In other words. it is not a direct washing that helps, it is restoring the clia
so they can do the work they are supposed to do.
In our practice, where we specialize in Scuba Divers with ear problems,
pulsatile irrigatin has been very useful.
Incidentally the flow does bathe the eustachian tube but that is not the
theraputic action. It is the restoration of cilia movement with flow of normal
mucus that helps the eustachian tube recover.
by the way, a number one reason for failure of clearing a blocked ear is
blowing the nose too hard. That's like rubbing your eye too hard.
Murray Grossan, M.D.
http://www.ent-consult.com
http://www.hydromedonline.com/presentingthehydropulse/
Jerome Tan - 23 Sep 2003 05:08 GMT
thanks for specifying the blowing nose... i'll stop blowing nose after
irrigating. i think that's my mistake.

Regards/
Jerome

> the Hydro Pulse does not work as a hose that is put into your sinus or is
> directed at the eustachian tube. It works by removing thick mucus, by pulsing
[quoted text clipped - 13 lines]
> http://www.ent-consult.com
> http://www.hydromedonline.com/presentingthehydropulse/
Jerome Tan - 23 Sep 2003 07:22 GMT
considering blocked ear has already occured, is there anything i can
do or should i resort to myringotomy?

my tympannogram shows slight negative pressure on the left ear.

Regards/
Jerome

> the Hydro Pulse does not work as a hose that is put into your sinus or is
> directed at the eustachian tube. It works by removing thick mucus, by pulsing
[quoted text clipped - 13 lines]
> http://www.ent-consult.com
> http://www.hydromedonline.com/presentingthehydropulse/
ENTconsult - 23 Sep 2003 17:25 GMT
ask your doctor is using proteolytic enzymes to shrink the eustachian opening
and thin the mucus would help.
Murray Grossan, M.D.
http://www.ent-consult.com
http://www.hydromedonline.com/presentingthehydropulse/
Jerome Tan - 24 Sep 2003 02:10 GMT
> ask your doctor is using proteolytic enzymes to shrink the eustachian opening
> and thin the mucus would help.
> Murray Grossan, M.D.
> http://www.ent-consult.com
> http://www.hydromedonline.com/presentingthehydropulse/

is there a generic name for proteolytic enzymes? i'm wondering if i
can find them in philippine drugstores.
Jerome Tan - 28 Sep 2003 05:30 GMT
is it ok to use Pancreatin as my protoelytic enzyme?

Regards/
Jerome

> > ask your doctor is using proteolytic enzymes to shrink the eustachian opening
> > and thin the mucus would help.
[quoted text clipped - 4 lines]
> is there a generic name for proteolytic enzymes? i'm wondering if i
> can find them in philippine drugstores.
ENTconsult - 28 Sep 2003 05:44 GMT
I have had no experience with pancreatin.
Murray Grossan, M.D.
http://www.ent-consult.com
http://www.hydromedonline.com/presentingthehydropulse/
Doublej - 29 Sep 2003 00:52 GMT
Be careful  that it doesn' t turn into a Cholesteatoma. It is very BAD NEWS.

> considering blocked ear has already occured, is there anything i can
> do or should i resort to myringotomy?
[quoted text clipped - 21 lines]
> > http://www.ent-consult.com
> > http://www.hydromedonline.com/presentingthehydropulse/
 
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