Hastings Medical Park
Suite 203
2115 N. Kansas Ave
Hastings, NE 68901
402.463.2431
800.348.0368
402.463.2486 fax
midwestent@windstream.net

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Nasal Washes


Introduction:

Flushing or washing out the nose restores the normal flow of mucus and cleans away crust from inside entire nose. Routine nasal washes may help to clear infections, keep infections from starting, control nasal odors, decrease nasal stuffiness or promote healing after nasal or sinus surgery. You may need special tools to do this well. It may seem like a weird thing to be doing at first, but soon it will feel as normal as brushing your teeth or combing your hair! Think of it as a shower for your nose!

Solutions use for Nasal Washes.

Be sure to ask which solution and flushing method is best for you.

A. Salt: water (saline).
  1. The Salt – Pickling (carnning) salt or Kosher salt is best because it is free of lodine and other preservatives. Regular table salt is okay if you cannot get get pickling salt.
  2. The Water – use sterile, bottled or purified water if possible. Tap water or well water that is drinkable is also acceptable for people who are not immune suppressed.
  3. The Temperature – use the saline at body temperature (98.GF or 37C) or slightly warmer but NOT HOT. Short microwave heating may be an easy way to warm it.
B. Home Recipes
  1. Isotonic Saline: (used after surgery and in most other situations)
    Mix 2 tsp. Salt to 1 qt (I liter) water.
  2. Hypertonic Saline: (for stuffy noses)
    Mix 2-3 heaping tsp of salt and 1 qt (1 liter) water.
  3. Buffered Saline: (for dry noses)
    Number 1 or 2 above + 1 tsp baking soda.
  4. Moisturizing Flushes: (for dry noses)
    Number 1 or 2 above + 100cc's (6-2/3 tbs) Karo syrup.
  5. Antiseptic Flushes: (for infected or runny noses)
    Number 1 or 2 above + 5cc's (1 tbs) white vinegar.
(If you mix large amounts for multiple uses, be sure to store in a new or clean air-tight bottle at room temperature. Make up a new batch every 7 days (daily after surgery).

C. Commercial Solutions
  1. Saline drops, spray or mist from the local drug stores (Breathe Free, Salinex or Pretz are good brands. Avoid ones with alcohol or thimerisol in them).
  2. Pretz Irrigation - Lubricating solution in an 8 oz. Bottle with irrigating spout and large refills (from Parnell Pharmacy 1-800-457-4276).

BULB SYRINGE METHOD

Buy a small rubber, bulb Syringe (these are packaged as 2, 3, or 4 oz. Ear syringes-$5) from your local drug store). Fill it with the solution and place it into your nose while holding over a sink. Squeeze the bulb to flush your nose. The saline will flow back out from the nose and mouth. If the force of fluid seems too weak, you can use a scissors to trim back the syringe tip and widen its opening. This will make the flushing more forceful when you squeeze. Trim off just a little piece of the syringe tip at a time until you find the right amount.

WATER PIK METHOD

Use a regular dental water pik (about $40 from your local drug store). Instead of the dental tips that come with the water pik, use a special nasal tip (see below). Mix the irrigant in the water pik basin or fill it from a storage container. Set the water Pik on LOW. Put the nasal tip into the nose while holding over a sink or basin with your chin tipped down nearly touching your chest, then turn ON the water tap. Slowly increase the force or flow until debris comes out in the returns. The saline will pour into your nose then back from your nose and mouth.
 
Where to get nasal flushing tips for theWater Pik (no prescription needed).
  1. Grossan nasal irrigator tip. Order from Hydro Med. Inc., Los Angeles, California Phone: 1-800-560-9007 or email at hydromed @Westworld.com. The water pik sells for $64 plus $5.95 S&H and the tip is $15.95 plus $5.65 S&H (shown above). This has a rigid plastic arm with a hard bulbous rubber tip on a curved head that fits just inside the nasal opening.

  2. Ethicare Products, P.O. Box 5027, Fort Lauderdale, Florida 33313. Phone: 1-305-742-3599. They sell water piks and a variety of tips with soft., thin, flexible plastic tubes on hard plastic connectors. They are easy and comfortable to place well up inside the nose to reach trouble spots.

How much should I flush and for how long?

For all methods, keep flushing one side of the nose until the returns are clear. Then switch to the other side and flush until the returns are clear. The whole session
should last about 10 to 15 minutes.

Stop if you have any severe pain or brisk bleeding. Please call us immediately.

Some Do's and Don'ts while flushing:

Do breathe through your mouth or hold your breath while flushing.

Do take the tip out of your nose if you have to sneeze or cough.

Do not speak or swallow during the flushing as thus could change the pressure in your ears or nose and could cause infectious mucus to be drawn into the sinuses or middle ear

Clean up: Keep the devices very clean. especially the tips used in the nose.

After each use:
  1. Wash the tips and flush the devices thoroughly with hot, soapy water.
  2. Flush them with plain water to remove the soap.
  3. Be sure all water is drained out of the device.
  4. Allow it to air dry.

Once a week:
  1. Flush the device and tip with full strength hydrogen peroxide or a weak bleach mixture (1 part Clorox bleach to 100 parts water) to disinfect.
  2. Follow steps 2 through 4 above.
  3. Flush the device and tip after every use for the first two weeks after surgery)