Using Saline Nasal Irrigation to Treat Sinus Problems

What is saline nasal irrigation?

Nasal irrigation is an ancient technique of using a salt solution to bathe or wash the nasal passages. It is also referred to as nasal wash, sinus irrigation, sinus rinse and sinus lavage. The procedure was first introduced hundreds of years ago in India as part of the Ayurvedic medical tradition and called “jala neti”.

There is growing interest in saline nasal irrigation as it has been reported in The New York Times, on NPR radio and on The Oprah Winfrey Show. Also some research suggests a therapeutic benefit for several sinus conditions and more medical professionals are recommending this procedure to their patients.

Which conditions can be treated with saline nasal irrigation?

Healthcare professionals are recommending saline nasal irrigations as adjunctive therapy (added to conventional therapy) for patients with upper respiratory infections (the common cold), sinus infections, chronic runny nose, hay fever and allergies.

How does saline nasal irrigation work?

It is not known for sure how this procedure works to improve nasal symptoms but there is some very good theories. It is believed to work by:

1. As the saline solution passes through the nasal cavity, it cleanses the area of mucus making it easier to breath.
2. Removing inflammatory (causes swelling) chemicals secreted by the body into the mucus which in turn reduces their inflammatory effect.
3. The rinsing improves the movement of tiny hairs in the nasal passages responsible for moving mucus, dust, pollen and germs out of the area. This improved movement allows irritants to be removed more efficiently.

What products are available to perform irrigation?

There are many products on the market available to deliver saline nasal irrigations. The traditional way to perform the rinse involves using a neti pot. This is a small container resembling a tea pot which is used to pour the solution in through one nostril and let it run out the other side. A newer approach is a squeezable bottle which will squirt the solution into one nostril and let it pour out the other side. Both are considered to be equally effective and selection is a matter of personal preference. These can be found at your local pharmacy. If you can’t locate them here is a link for nasal irrigation products.

How do I do these irrigations?

Always use filtered room temperature water. The product you choose should have detailed instructions in the package.. Follow the instructions carefully. There is a video available to watch here. There is also a do-it-yourself instructions here.

Precautions

1. Always check with your doctor before treating yourself.
2. If you have an acute sinus infection avoid this procedure as you could facilitate the spread of bacteria.
3. Make sure there is some airflow through both nostrils before attempting this procedure.
4. Gagging or ear pain may mean you are being to vigorous during the process.
5. Coughing, nasal dripping and draining of fluid in the back of your throat may occur.