Dr. Grossan Please
Question:
On 10 May 2000 02:54:40 GMT, entcons…@aol.com (ENTconsult) wrote: >You should irrigate if there is an advantage to you. For the average person, if >the nose is working well, the cilia are moving, you aren’t going to get >significant benefit.
Earlier you said that over-irrigating could cause harm, that you have to reign in some of your younger patients who tend to irrigate too much. Unfortunately, I don’t remember exactly what you said, but it had something do with over-irrigation removing a substance from the sinuses that fights infections. I suspect that this is highly individualistic, that some do quite well with irrigating a lot even without symptoms. But is it true that some would do better by not irrigating so much? And what again is removed from the sinuses when you over-irrigate?
Response:
On Wed, 10 May 2000 04:18:41 GMT, Reid Goldsborough <reidg…@netaxs.com> wrote: >But is it true that some would do better by not >irrigating so much? And what again is removed from the sinuses when >you over-irrigate?
From Dr. Grossan: If the nose is normal and you over irrigate you can remove lysozyme from the nose. This is a natural enzyme that kills bacteria. Present in the tears and keeps the eye free of infection.
Response:
Two questions after just placing an order for your irrigation tip. 1. If table salt is OK to use for mixing the solution – does it matter if it is iodized or not? 2. For a resolving infection…should the secretions be totally clear before one assumes it is gone, or are "whitish" secretions also a healthy sign? Thank you.
Response:
some persons are sensitive to iodine and silica. if you aren’t then iodized salt is fine. the reason for recommending Breathe.ease is that many patients are sensitive to the iodine, silica, etc in regular salt. but if you aren’t then you can use regualar salt. Stop the irrigations when the nasal symptoms are improved. Murray Grossan, M.D. http://www.ent-consult.com
Response:
ENTconsult wrote: > Stop the irrigations when the nasal symptoms are improved.
I thought that regular preventive irrigating is desirable for a person prone to perennial chronic sinusitis regardless of whether there are on-going symptoms. This is from the group FAQ – is this harmful? "If you have no symptoms, you don’t need to irrigate, though some people irrigate anywhere from every other day to once a week as preventive medicine."
Response:
On Tue, 09 May 2000 13:57:26 -0400, doxy…@waterw.com wrote: >I thought that regular preventive irrigating is desirable for a person prone to >perennial chronic sinusitis regardless of whether there are on-going symptoms. >This is from >the group FAQ – is this harmful? >"If you have no symptoms, you don’t need to >irrigate, though some people irrigate anywhere from every other >day to once a week as preventive medicine."
What the FAQ says and what you say it says are two different things. It doesn’t say that irrigation without symptoms is desirable. It says you don’t need to do it, though some people do, such as Nestora, and benefit from it (the FAQ perhaps should say instead, "If you don’t have symptoms, you don’t typically have to irrigate…". Dr. Grossan has said that over-irrigating can compromise the sinuses’ disease-fighting capabilities. Bottom line is find out what works best for you, through trial and error, using others’ experience and the advice of experts such as Dr. Grossan as guidance.
Response:
You should irrigate if there is an advantage to you. For the average person, if the nose is working well, the cilia are moving, you aren’t going to get significant benefit. However, using the irrigator during the common cold season – if you are susceptable – does reduce colds because you remove ICAM-1 which is the entrance for the common cold virus. Of if you have allergy, during the pollen season daily irrigation reduces the IgE level. An interesting side on this. for years my patients swore that daily irrigation reduced their incidence of common cold and I shrugged it off and ignored them. It wasn’t until someone else presented this that I paid dattention. Next time I will listen to my patients. Murray Grossan, M.D. http://www.ent-consult.com
Response:
Filed under: Chronic sinusitis
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