A doctor told me..

Question:

re the hypertonic solution: A clinical trial of hypertonic saline nasal spray in subjects with the common cold or rhinosinusitis. Adam P. Arch Fam Med, 7(1):39-43 1998 Jan-Feb Hypertonic saline does not improve nasal symptoms or illness duration in patients with the common cold or rhinosinusitis. Thirty two percent of users noted burning and wouldn’t use the product again. Murray Grossan, M.D. http://www.ent-consult.com

Response:

Therefore, tell them how much salt to use. the best instruction on making your own salline are here at the FAQ. You should make your own solution because most of the products contain preservatives and antifungal agents which can irritate. For example  these are some of the ingredients: Benzalkonium chloride                      Thimersal MonoBasic Sodium Phosphate           DiBasic Sodium Phosphate Phenylcarbinol                                Benzyl Alcohol Edetate Disodium                            Providone Disodium ETA                                Iodine Sodium Silicoaluminate Thimersal is recommended by the American Academy of Pediatrics to be withdwarn, otherwise can get mercury poisoning. Benzalkonium is known to burn MonoBasic Sodium Phosphate           DiBasic Sodium Phosphate   must be used at room temperature to avoid chemical percipitation into chemical compounds whose toxicity is not proven ( unfortunately this is in the VERY small print The flip side is that when you use Breathe.ease you have to change the solution every week because there are no preservatives.  Likewise when you make your own saline. Isotonic saline is made one teaspoon of salt – kosher or pickling – to pint of water with 1/4 teaspoon of baking soda or soda bicarbonate. At FAQ are instructions to make your own Breathe. ease. too. Murray Grossan, M.D. http://www.ent-consult.com

Response:

In article <mer56.18112$3t2.752…@newsread1.prod.itd.earthlink.net>, Betty <p…@swc-write.com> wrote: > Don’t know what hypertonic etc. is, but a thoughtful person sent me an > e-mail telling me I had too much salt in it,

Hypo=less than Iso=the same as Hyper=more than A hypertonic salt solution is one that has more salts per unit of fluid than your normal body fluids. An isotonic solution has the same salt concentration as your body fluids, and a hypotonic solution has less.     Larry

Response:

Don’t know what hypertonic etc. is, but a thoughtful person sent me an e-mail telling me I had too much salt in it, which I gathered anyhow when I woke up this morning dripping blood. He also told me how much to use. If you are a doctor, maybe you can learn from this. If you tell a patient to use saline solution, the patient may just be smart enough to make his/her own with salt and water rather than spending lots of bucks at the store. Therefore, tell them how much salt to use. Betty S ENTconsult <entcons…@aol.com> wrote in message

news:20010104205612.14047.00001383@ng-mi1.aol.com… – Hide quoted text — Show quoted text -> sounds like you are using a hypertonic solution. These do smart and may > adversely affect the cilia. Try to make your solution isotonic.  Also > hypertonic is especially painful if your membranes are irritated. > Murray Grossan, M.D. > http://www.ent-consult.com

Response:

to use a saline solution spray three times a day. So I put a lot of salt in warm water in a nasal spray bottle. Boy does that stuff smart! Is this normal? Betty S

Response:

You are not supposed to "use a lot of salt". You should mix 1/2 tsp. to a pint of water. Some add to that 1/4 tsp. of sodium bicarbonate. This is a normal saline solution. If you mix it stronger it irritates. The normal solution is the same concentration as in your body. It neither absorbs as with plain water nor irritates as with a too strong solution.

Response:

sounds like you are using a hypertonic solution. These do smart and may adversely affect the cilia. Try to make your solution isotonic.  Also hypertonic is especially painful if your membranes are irritated. Murray Grossan, M.D. http://www.ent-consult.com

Response:

Filed under: Rhinosinusitis

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