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Are nasal saline rinses (sinus rinses) harmful?

Do doctors typically recommend them? If so, when should they be used? Regularly or only when sick?
38 yr old, Male
38 yr old, Male
asked Mar 25, 2010 at 05:11PM in Allergies
2 Answers
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    answered Mar 26, 2010 at 04:31AM
    Lets first clarify, a nasal saline rinse is for the nasal cavity (nose). It does not rinse the sinus cavities (there are four pairs in an adult: frontal, maxoid, ethmoid, and sphenoid.)

    The 4 sinuses include:
    Frontal sinuses, which are located over the eyes in the brow area. Frontal sinuses can cause forehead pain when inflamed.
    Maxillary sinuses, located inside each cheekbone. Maxillary sinuses are linked to pain in your upper jaw, teeth, and cheeks
    Ethmoid sinuses, located just behind the bridge of the nose and between the eyes. If your ethmoids are inflamed, you may feel it in your eyelids, the tissues around your eyes, and between your eyes
    Sphenoid sinuses, located behind the ethmoids in the upper region of the nose. Sphenoid sinuses that are infected can trigger earaches, neck pain, and deep achiness at the top of your head.

    A saline wrinse can introduce moisture into the nasal cavity and some of the moisture may (an I mean may) find its way to the sinus ducts (tubes that drconnect and drain the sinuses). Water (saline in the case) can liquify mucous and allow it to flow easier. You are NOT flushing out you sinuses, even though you may feel a little relief.

    What can happen is, if the saline has bavcteria in it, it is now introduced to a nice warm, dark, moist area where it can grow.....low-and-behold.......a nice sinus infection.

    So, I didn't reguarly reccommend nasal rinses.
    • Gerry - how would the saline have bacteria in it? From using a non-sterile container, you mean?
      Gina Pera commented Mar 30, 2010 at 08:39PM
    • Correct. Once introduced to the nasal cavity, it can introduce bacteria (some community acquired). It grows and then re-introduced to the nasal cavity via next spray and can travel to sinuses, lungs upon inhalation. Heaven forbid, someone else use the saline spray.

      Gerry
      Gerry Lane commented Mar 31, 2010 at 04:10AM
    • Correct. Once introduced to the nasal cavity, it can introduce bacteria (some community acquired). It grows and then re-introduced to the nasal cavity via next spray and can travel to sinuses, lungs upon inhalation. Heaven forbid, someone else use the saline spray.

      Gerry
      Gerry Lane commented Mar 31, 2010 at 04:10AM
    • Ah thanks. Interesting.
      Gina Pera commented Mar 31, 2010 at 09:12AM
    • Too much info? Family members do share medications.
      Gerry Lane commented Mar 31, 2010 at 09:17AM
    • Too much info? Family members do share medications.
      Gerry Lane commented Mar 31, 2010 at 09:17AM
    • No no! Not TMI. Sometimes I do use a nasal saline spray (when the weather is dry or my nose is particularly stuffy from seasonal pollen), and always rinse it afterwards.

      Moreover, my biologist husband declined to use sea salt for his irrigation venture, not wanting to let loose marine organisms in his nasal cavities. :-)
      Gina Pera commented Mar 31, 2010 at 10:15AM
  • 1
    Votes
    answered Mar 30, 2010 at 08:47PM
    Gerry's answer piqued my curiosity, as my husband has found the nasal irrigation helpful for mild bouts of sinus/allergic rhinitis but I've long been skeptical of making nasal rinses a frequent habit.

    I found this series of studies by a physician at the University of Wisconsin's School of Medicine and Public Health:
    http://www.fammed.wisc.edu/research/past-projects/nasal-irrigation

    The school also posts this press release on the topic:
    http://www.uwhealth.org/news/nasal-irrigation-helps-control-sinus-problems/20447

    What puzzles me is recommending this as a regular strategy. It would seem disruptive to the nasal/sinus environment, and it doesn't seem to address any underlying issue -- chronic allergies (perhaps to food, which should be eliminated), poor air quality (too dry perhaps), etc.
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