sinus irrigations for ears

Question:

>Like many who post in this and other medical NGs I don’t choose to >credential myself. You’ll have to decide on your own if I know what I am >talking about. Dr. Grossan is peddling his product on this NG, almost >bragging about his credentials. …snip…

When I had sinus surgery, the ENT, one of the top in NYC (Dr. Choo from the NYEEI) insisted that I irrigate to keep my sinuses healthy. He was right. (It was my bad judgment not to disinfect the apparatus thoroughly which cause one subsequent major infection, which irrigating with gentamycin cleared up.)  He also insisted I begin treatment with allergy shots and stay on a steroid spray for at least 6 months post-sugery. When irrigation is used in conjunction with other methods, it is very effective. I no longer suffer with any sinus symptoms. If I feel a cold or flu coming on I irrigate. I have not had a full-blown cold or flu in 5 years, even while living with someone who has. Nadine BS MT (ASCP) (not ashamed to post my credentials)

Response:

how much gentamycin do i need to put on my irrigation Regards/ Jerome – Hide quoted text — Show quoted text -> When I had sinus surgery, the ENT, one of the top in NYC (Dr. Choo from the > NYEEI) insisted that I irrigate to keep my sinuses healthy. He was right. (It > was my bad judgment not to disinfect the apparatus thoroughly which cause one > subsequent major infection, which irrigating with gentamycin cleared up.)  He > also insisted I begin treatment with allergy shots and stay on a steroid spray > for at least 6 months post-sugery. > When irrigation is used in conjunction with other methods, it is very > effective. I no longer suffer with any sinus symptoms. If I feel a cold or flu > coming on I irrigate. I have not had a full-blown cold or flu in 5 years, even > while living with someone who has. > Nadine > BS MT (ASCP) > (not ashamed to post my credentials)

Response:

I have read that you need to be careful to not let the sinus irrigations to go into the ears because it could carry bacteria from the nose into the ears. I have also read that you can tilt your head to let the irrigation saline drip onto your eustachian tube in order to help clear up infections. Anyone able to clear this up? Thanks. — remove "noe" to reply

Response:

You don’t want sinus fluid going into your ears. That’s why the Hydro Pulse pressure is kept low. Murray Grossan, M.D. http://www.ent-consult.com http:/www.hydromedonline.com/presentingthehydropulse

Response:

He’s full of B.S. – Hide quoted text — Show quoted text -ENTconsult wrote: > You don’t want sinus fluid going into your ears. That’s why the Hydro Pulse > pressure is kept low. > Murray Grossan, M.D. > http://www.ent-consult.com > http:/www.hydromedonline.com/presentingthehydropulse

Response:

On Sun, 27 Apr 2003 05:13:53 GMT, "Kent H." <kh6…@attbi.com> wrote: >> You don’t want sinus fluid going into your ears. That’s why the Hydro Pulse >> pressure is kept low. >> Murray Grossan, M.D. >> http://www.ent-consult.com >> http:/www.hydromedonline.com/presentingthehydropulse >He’s full of B.S.

He does, however, post under his own name and usually offers reasons for his recommendations.

Response:

Like many who post in this and other medical NGs I don’t choose to credential myself. You’ll have to decide on your own if I know what I am talking about. Dr. Grossan is peddling his product on this NG, almost bragging about his credentials. He has been peddling his nasal douching for almost fifty years. The vast majority of otolaryngologists don’t buy into that. Those that do do so when they need the money. It probably isn’t a good idea to irrigate the nose in a routine ongoing fashion. At some point you will probably infect yourself, by squirting something contaminated into either the eustachian tubal orifice or one of the sinus ostia. My posts are directed only at enlightening the afflicted who ask questions, nothing else. Dr. Grossan is attempting to enlighten his pocket book. To your well being. Kent – Hide quoted text — Show quoted text -"Kent H." wrote: > He’s full of B.S. > ENTconsult wrote: > > You don’t want sinus fluid going into your ears. That’s why the Hydro Pulse > > pressure is kept low. > > Murray Grossan, M.D. > > http://www.ent-consult.com > > http:/www.hydromedonline.com/presentingthehydropulse

Response:

The reason for controlling the pressure of nasal irrigation s that I see patients all the time with liquid in the ear that comes from sniffing saline too forcibly. At a certain pressure liquid from the nasopharynx will go up the eustachian tube, it will by pass the valves. Hard sniffing and blowing gives sufficient pressure to do this in the patients I see. The Yoga method is to learn the rapid in and out sniffing with very low pressure. Murray Grossan, M.D. http://www.ent-consult.com http://www.hydromedonline.com/presentingthehydropulse/

Response:

"Kent H." <kh6…@attbi.com> wrote in message

news:3EAC9886.A231D7AE@attbi.com…  >It probably isn’t a good idea to irrigate the nose in a routine ongoing fashion. At some point you will probably infect yourself, by squirting something contaminated into either the eustachian tubal orifice or one of the sinus ostia.< This really worries me, as I credit the fact that I irrigate up to five times a day as the main reason why I am keeping my nose RELATIVELY clean and have not required antibiotics for over sixteen months.  My surgeon shared your fears and had me using  25% glucose in glycerol drops, which worked, but were a bit aggressive.   I floated the treatment on this group a couple of years ago, with little response, and stopped using it when another specialist merely commented that the mixture was "a bit strong." While the "Hydro Pulse pressure is kept low", I am worried that continued pressure could bypass natural valves, and the restoration of cilia is probably not relevant to my nose, which has been scraped and cauterised. I got jumped on by the Grossan protection  association when I mentioned this before, but setting up the Hydro Pulse on your way out to work is just another hurdle.   My system of using a syringe takes  a couple of minutes and is fully portable. I will continue to irrigate in this fashion, as I believe that my sinuses would not drain without this help, but would welcome any alternative methods or theories. Regards                David.

Response:

On Mon, 28 Apr 2003 02:58:21 GMT, "Kent H." <kh6…@attbi.com> wrote: >Like many who post in this and other medical NGs I don’t choose to >credential myself. You’ll have to decide on your own if I know what I am >talking about.

Fair enough.   But credentials are one resource for the layman, augmenting the rats-nest of websites and self-experimentation. > Dr. Grossan is peddling his product on this NG, almost >bragging about his credentials. He has been peddling his nasal douching >for almost fifty years. The vast majority of otolaryngologists don’t buy >into that. Those that do do so when they need the money.

I’ve been irrigating for about four years, starting when my GP mentioned the Grossan attachment as something worth looking into.  It feels good and  seems to keep my recurrent sinus problems under control.   I’m well aware that I could be purchasing this short term comfort at the expense of my long-term well-being, but so far, haven’t seen evidence of this. Can you cite some authoritative medical opinions, studies, etc., on the downside of nasal irrigation? You mention that some otolaryngologists recommend irrigation when they need the money.  I’m puzzled by this.  Granted, Dr. G must be making a bundle from his various products (and, if they work, more power to him), but for an M.D.  who is not into the manufacturing/retailing side, where’s the money in irrigation?  The water-pic attachment costs between $12 and $18.  Cost of salt and baking soda is nada. > It probably >isn’t a good idea to irrigate the nose in a routine ongoing fashion. At >some point you will probably infect yourself, by squirting something >contaminated into either the eustachian tubal orifice or one of the >sinus ostia.

Here’s where the informed lay person has to balance things.  Keeping the pressure low and the irrigation machinery (be it waterpic, hyropulse, neti pot, etc.) clean seems to minimize this problem.  The alternatives, such as antihistamines or surgery, also have potential downsides. Can you cite any studies that detail incidents of self-infections via irrigation?  If so, did these incidents occur despite proper use of the equipment? >My posts are directed only at enlightening the afflicted who ask >questions, nothing else. Dr. Grossan is attempting to enlighten his >pocket book.

How much is pride in his inventions, how much is financial?  Over the last four years, I’ve bought most of his products, and the sum total is less than I spend on one session with my dentist and hygienist.  Of course, 240,000 other people have also bought the stuff, and the net result is probably a very good life for Dr G.  But it still seems cheap on a per capita basis. – Hide quoted text — Show quoted text ->To your well being. >Kent

Response:

Filed under: Nasal irrigation

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