Gentamicin delivered Tuesday!
Question:
I did muddy the water here asking about "snuffing" while clipping part of sue’s message about gentamicin irrigation. So t clarify, it seems that "snuffing" while irrigating is not a good idea because of the pressure. So today I just poured the extra irrigation water into my palm and "snuffed" right after irrigating. It still gets the saline water to the back of your throat where you might be able to clear out some mucous. Sue, I understand that you "snuff" a little at the end of the gentamicin to hold it in your nose so you can lay down for ten minutes or so, letting is settle into your sinuses. Thanks for your input and help on this. Patiently waiting for fedex to deliver my gentamicin….. Cheryl D.
Response:
Hello…. Perhaps we all have a different definition of "snuffing". …I consider it a gentle breathing in of the water that is coming out of the pik’s tip, (which is pushed up against my nostril) — I don’t even block the other nostril, so air is slowly sucked in too. ….. I can’t see how this can create a pressure within the nose. All one is really doing is pulling the air out of the sinus area, (Ie: via the throat and into the lungs) and replacing it by the saline solution and air from the open nostril. I have found this method really helps to clean things out. Especially, the material that is already sitting in the back end of the sinus cavity, ready to flow down the throat. …Jon
Response:
I don’t think with the genta you would be spreading the infection. If you know how to do it like before and had good results then you may try it again. I wrote my other reply in another post in this thread. Do you have the 1 month supply? Let us know how it’s working for you. Good luck. caday…@tds.net (cheryl d) wrote: >Sue- again, thanks for your suggestions, it was just what I needed. I >will be doing the nasal irrigation with the gentamicin. >One thing I have always wondered about when using the waterpic/nasal >irrigator – is it ok to "snuff" while doing it so the water can get >back to my post-nasal drip area, and hopefully spit some of the >infected mucous out? >I did this with my last three sinus infections (all in the last 8 >weeks…..) and was able to get some very yellow, thick-looking gunk >out by spitting. But then I wondered if I was spreading the infection >to my other sinuses by "snuffing". >Any thoughts on this? -cheryl d
Sue M.
Response:
I found with the tiny bit of gentamycin I used at a time (20ml), if I snuffled a little it would hold it in place longer in my nostrils, otherwise it would just fall out. I could hold it (with positive pressure?) for 10-20 seconds that way, long enuf to make good contact. There didn’t seem to be any *more* pressure. The pharmacist never heard of using the waterpic with the gentamicin and said they recommend a bulb irrigator. I couldn’t imagine how to use that and esp keep it as clean. But that could be an option. entcons…@aol.com (ENTconsult)wrote: >I ask all my patients not to sniff while irrigating. This raises the pressure >of the fluid and is therefore undesireable. We purposely put the off and >on >switch in the handle so you can stop irrigating, sniff, swallow or whatever >and >then resure irrigation. >It is especially undersireable to sniff while irrigating if you are using >medication such as Gentamycin. >Murray Grossan, M.D.
Sue M.
Response:
suemil…@aol.comnospam (Sue milham) wrote in message <news:20030201011314.10214.00000041@mb-fc.aol.com>…
With the waterpic you have to tip the machine > towards the outflow to get the last bit out and the 20ml is such a small > amount it has to be tipped with one hand while the other is holding the tip (it is simple on my compact machine). I found that if I snuffed it up while it was delivering, I could get that little amount up further.
Sue- again, thanks for your suggestions, it was just what I needed. I will be doing the nasal irrigation with the gentamicin. One thing I have always wondered about when using the waterpic/nasal irrigator – is it ok to "snuff" while doing it so the water can get back to my post-nasal drip area, and hopefully spit some of the infected mucous out? I did this with my last three sinus infections (all in the last 8 weeks…..) and was able to get some very yellow, thick-looking gunk out by spitting. But then I wondered if I was spreading the infection to my other sinuses by "snuffing". Any thoughts on this? -cheryl d
Response:
Hi Cheryl… I "snuff" regularly while I am irrigating. ..It helps get that liquid in there to help flush out the bad stuff. I just breathe in slowly, then spit out through my mouth. I think the worst thing that can be done comes about after the irrigation is finished where some feel they have to blow that remaining liquid out at whatever the cost .. And the faster and harder they can do it, the better. I’m no expert, but I bet if one loves to make their sinus condition worse…. This is the best method. …Jon
Response:
I ask all my patients not to sniff while irrigating. This raises the pressure of the fluid and is therefore undesireable. We purposely put the off and on switch in the handle so you can stop irrigating, sniff, swallow or whatever and then resure irrigation. It is especially undersireable to sniff while irrigating if you are using medication such as Gentamycin. Murray Grossan, M.D. http://www.ent-consult.com http://www.TinnitusRelief.net http://www.emedicine.com/ent/topic516.htm
Response:
I went to my family doctor Thursday, told her I was just too sick to wait until Feb 20 to see the ENT. I took her the information about SinusSpray, who make the gentamicin irrigation and she said she had heard good things about it and ordered it for me. I still plan to see the ent, but I am so sick and exhausted I just couldn’t go on. I’m so thrilled to not have to go through yet another round of antibiotics, which don’t seem to help and are really hard on my body. Thanks to everyone here for their advice, and thanks to Dr. Grossan for creating the grossan nasal irrigator tip; it has kept my chronic sinus infection at bay for the last ten years, and now might help me overcome it. For those who have used the gentamicin, a few questions: 1) From what I have read, you can make up 400 ml saline solution, use half to irrigate, then add the 20 ml of gentamicin to the remaining 200 ml saline solution and irrigate? (I understand I should try to hold in the last amount of genta solution and lie quietly with my head back for 10 minutes to let it soak in) 2) I have a bilateral infection of my ethmoid/maxillary sinuses, which are pretty well blocked as for outflow. I thought it would be a good idea to use a spray nasal decongestant (which I never use) about a half-hour before irrigating – is this a good idea? 3) Can I use my Flonase after irrigating with the gentamicin? Many thanks – cheryl d
Response:
Good for you in taking action, Cheryl. I hope the gentamicin will relieve your discomfort. If you got the irrigation solution in the month’s supply (four 500 ml bottles) then a capful is 20ml (it is already mixed with saline solution). So you just irrigate with plain saline first, let it drain out or gently blow out the debris and then put in the capful of gentimicin solution one at a time for each nostril separately. With the waterpic you have to tip the machine towards the outflow to get the last bit out and the 20ml is such a small amount it has to be tipped with one hand while the other is holding the tip (it is simple on my compact machine). I found that if I snuffed it up while it was delivering, I could get that little amount up further. I couldn’t lie down because it went down my throat, but I sat fairly still and tried not to blow it out too soon. If you got the spray, then that is a different delivery system. The thing I did like is that the pharmacist at Sinucare is that he is very patient and helpful and you can call him and ask any questions you may have. My Ent wanted me to use the Rhinocort AQ about an hour before I irrigated, but I couldn’t always remember. The previous nasal steroid I had been using didn’t clear my congestion anymore, but the Rhinocort did after a few days on it. Otherwise he had told me that I could use an Afrin type decongestant as you suggest, but you wouldn’t want to make a regular practice of it (no more than 3 days). Perhaps a change in your nasal steroid could help with the decongestion too? I always ask for a sample so I’m not wasting my $ needlessly. You might wait to use your steroid spray afterwards til most of the liquid has drained out. Let me know if I can be of further help. Good luck. caday…@tds.net (cheryl d) wrote: – Hide quoted text — Show quoted text ->I went to my family doctor Thursday, told her I was just too sick to >wait until Feb 20 to see the ENT. I took her the information about >SinusSpray, who make the gentamicin irrigation and she said she had >heard good things about it and ordered it for me. I still plan to see >the ent, but I am so sick and exhausted I just couldn’t go on. >I’m so thrilled to not have to go through yet another round of >antibiotics, which don’t seem to help and are really hard on my body. >Thanks to everyone here for their advice, and thanks to Dr. Grossan >for creating the grossan nasal irrigator tip; it has kept my chronic >sinus infection at bay for the last ten years, and now might help me >overcome it. >For those who have used the gentamicin, a few questions: >1) From what I have read, you can make up 400 ml saline solution, use >half to irrigate, then add the 20 ml of gentamicin to the remaining >200 ml saline solution and irrigate? (I understand I should try to >hold in the last amount of genta solution and lie quietly with my head >back for 10 minutes to let it soak in) >2) I have a bilateral infection of my ethmoid/maxillary sinuses, which >are pretty well blocked as for outflow. I thought it would be a good >idea to use a spray nasal decongestant (which I never use) about a >half-hour before irrigating – is this a good idea? >3) Can I use my Flonase after irrigating with the gentamicin? >Many thanks – cheryl d
Sue M.
Response:
Filed under: Nasal irrigation
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