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Nasal irrigation for atrophic rhinosinusitis

Nasal irrigation for atrophic rhinosinusitis
Buffered normal saline nasal irrigation
The benefits
1. When you irrigate, the saline (saltwater) acts as a solvent and washes the mucus crusts and other debris from your nose.
2. The sinus passages are moisturized.
3. Studies have also shown that a nasal irrigation improves cell function (the cells that have fine filaments to move the mucus out work better).
The recipe
Choose a one-quart glass jar that is thoroughly cleansed.
Fill with water that has been distilled, previously boiled, or otherwise sterilized.
Add 1 to 1 ½ heaping teaspoons of pickling/canning salt, NOT table salt, as it contains a large number of additives.
Add 1 teaspoon baking soda (pure bicarbonate).
Mix ingredients together and store at room temperature. Discard after one week.
The instructions
You should plan to irrigate your nose with buffered saline two to three times per day. You may use a bulb/ear syringe, large medical syringe (30 cc), or water pick with an irrigation tip. Always pour the amount of fluid you plan to use into a clean bowl. Do NOT put your used syringe back into the quart, because it contaminates your solution. Many people prefer to warm the solution slightly in the microwave, but be sure that the solution is NOT HOT. Bend over the sink (some people do this in the shower), and squirt the solution into each side of your nose, aiming the stream toward the back of your head, NOT the top of your head. It will not harm you if you swallow a little.
Some people experience a little burning sensation the first few times they use buffered saline solution, but this usually goes away after they adapt to it.
After irrigating, apply a lubricant (such as petrolatum or KY liquid) to the inside of the nose with a clean cotton swab. If told to do so by your health care provider, you may apply mupirocin ointment instead (also with a cotton swab).
Adapted with permission from: Diseases of the Sinuses: Diagnosis and Management. Kennedy DW, Bolger WE, Zinreich SJ (Eds), BC Decker, Hamilton, Ontario 2001. Copyright © Kennedy DW, Zinreich SJ.
Graphic 78832 Version 10.0

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