Nasal Irrigations

Even the sound of it may make one cringe a little but there is strong evidence that a saline nasal rinse can relieve, or decrease incidence of, allergy and sinus symptoms,

Allergies and infections can cause excessive mucous production from the nasal and sinus lining. This leads to symptoms such as a runny or stuffy nose or post nasal drip. An effective nasal rinse will wash away excess mucous and allergens such as pollen, dust particles, pollutants and bacteria, so reducing inflammation of the mucous membrane. Normal mucosa will fight infections and allergies better which will reduce or maybe even cure symptoms.

There are various nasal irrigation products on the market which fulfill this purpose. There are also some home recipes utilizing distilled, filtered or cooled boiled water, non iodized salt and bicarbonate of soda, which if mixed in the correct proportions performs adequately.

The main aim is to deliver enough volume of solution into a nostril so that it washes all in its path out of the nose through the other nostril. This is achieved by leaning over a basin with the head forward and to the side and gently instilling the recommended amount of saline solution into the upper nostril and allowing it to drain out the lower nostril. After gently blowing each nostril this procedure is repeated on the other side.

Sometimes the solution may continue to drain for some time after, so it is not recommended that you do this just before bed (or other important engagements) and prescription nasal sprays should not be administered until at least 30 minutes post irrigation for this same reason. The nasal rinse is usually prescribed once or twice a day.

It is best that nasal irrigations are recommended by a physician or ENT surgeon as they are not suitable for everyone. They are contraindicated for individuals who have an ear infection or completely blocked ears. For those who have had ear surgery medical guidance is necessary. The procedure is also not advised for young children, adults who have reduced comprehension, or debilitated or bed bound patients.
The procedure is often recommended to patients following sinus surgery.


In short saline irrigations are a quick, simple, well tolerated and cost effective option in the management of sinus disease, and may reduce the need for prescription drugs.

So if your physician recommends this treatment for you, don’t screw up your nose, it is for a good reason.

Irene