Rinsing The Nose With Sinusitis - Which Drug Is More Effective? Research Results

2024 Author: Josephine Shorter | [email protected]. Last modified: 2024-01-07 17:49

Rinsing the nose with sinusitis

Content:

• How to wash your nose with sinusitis?
• How to properly rinse your nose?

Sinusitis is a disease in which there is an inflammatory process in the paranasal sinuses. Doctors use various methods of treating sinusitis, but for each of them, a nasal lavage is prescribed.

When carrying out these activities, drugs may be involved that have anti-inflammatory and antibacterial properties.

How to wash your nose with sinusitis?

If the first symptoms of sinusitis are found, the patient should consult a doctor. After taking a history of the disease, the specialist in most cases prescribes a nasal lavage. Thanks to this procedure, all purulent accumulations will be removed from the maxillary sinuses. Many patients who followed the prescriptions of their physicians and regularly performed a nasal lavage at home avoided painful puncture. A puncture of the maxillary sinuses is prescribed to patients in extreme cases, when none of the more sparing therapeutic methods brings the desired effect.

Currently, in many medical institutions, including polyclinics, physiotherapy rooms are equipped, in which patients with a diagnosis of sinusitis are rinsed out of the nose. If the patient does not have free time to visit a medical institution, he can independently, at home, carry out the washing procedure. To do this, it is necessary to purchase certain highly effective drugs.

The Scientific and Clinical Center of Otolaryngology of the Russian Federation, located on the territory of Moscow, conducted a number of studies in 2011, the main purpose of which was to compare the existing methods of washing the nose for sinusitis. Highly qualified specialists also tested various medications, with the help of which they managed to achieve the most stable result for patients, after freeing the maxillary sinuses from the accumulation of purulent masses.

The following drugs took part in this scientific experiment:

• Aqua Maris;
• Humer;
• Aqualor software.

In addition to identifying the most effective medication, the following nasal rinsing methods were included in the comparison:

• Dolphin;
• according to Proetz.

For these experiments, Russian citizens were invited, whose age was in the range of 18-60 years. 150 participants were diagnosed with the same condition, chronic rhinitis. After carrying out all the experiments in the media, as well as on specialized Internet resources, the results were published.

Comparative studies of modern methods have shown the following:

• the method of washing the maxillary sinuses "Dolphin" took a well-deserved place of the leader. In 69%, this method has proven to be effective;
• the method "according to Proetz" lags slightly behind the leader. The effect of this method of rinsing the nose was obtained in 56%. At the same time, many patients, participants in the experiment, noted that small accumulations of purulent masses remained in the posterior parts of the nasal cavity. Experts who supervised these scientific studies explain such results by the need to take a horizontal position when washing patients.

When testing medicines, scientists have identified the following results:

• Humer was 43% effective;
• Aqualor was able to show the result only 41%;
• Aqua Maris was able to help patients in 18%.

As for the drug Aqua Maris, its main focus should be taken into account when using it: moisturizing the nasal mucosa. That is why the washing procedure, using this medication, turned out to be so ineffective.

When conducting studies that dealt with nasal breathing, the following results were obtained:

• method "according to Proetz" - the patients who participated in the experiment began to breathe through the nose with practically no symptoms of chronic rhinitis;
• the Dolphin method proved to be effective in 96%. The patients showed clear improvements in nasal breathing.

This study also involved medications that could not show the expected effect:

• Humer - 69%;
• Aqualor soft - 62%;
• Aqua Maris - 55%.

Studies aimed at determining the nature of the resulting fluid (after the procedure for rinsing the nose) showed the following results:

• the "Dolphin" method - turned out to be the most effective medical preparation, which was able to remove 73% of mucus and crusts from the maxillary sinuses;
• method "according to Proetz" - in 66% proved to be effective;
• the drug "Humer" - helped patients in 52%;
• the drug "Aquamaris" - showed its properties in 50%;
• drug "Aqualor soft" - helped 43% of the subjects.

Scientists, after the end of all tests and experiments, made the following conclusion:

• in a medical institution, the Proetz method turned out to be the most effective;
• at home, great results were achieved with the use of the Dolphin technique.

Rinsing the nose with sinusitis "Dolphin"

Dolphin is a medicinal product that contains mineral and plant components.

This drug has the following properties:

• has an antiseptic effect;
• possesses bactericidal properties;
• activates the production of mucus;
• restores the mucous membrane of the nasal cavity;
• normalizes the functioning of the epithelium (ciliated);
• stimulates the production of antimicrobial substances;
• increases local immunity and, accordingly, stimulates the protective properties of the body;
• normalizes the water-salt balance in the nose, etc.

Dolphin is usually prescribed for 12 weeks. Patients need to rinse their nose 2-3 times a day at home.

There are the following indications for the use of this drug:

• injury to the nasal cavity;
• trauma to the paranasal sinuses;
• rhinitis (allergic, acute and chronic);
• rhinitis that occurs during pregnancy;
• sinusitis (acute and chronic);
• sinusitis (acute and chronic);
• frontal sinusitis (acute and chronic);
• adenoids;
• dry nose syndrome.

The drug "Dolphin" is sold in pharmacies as a complex for rinsing the nose, which consists of:

• from an elastic bottle (with a capacity of 240 ml);
• special dispenser cover;
• sachets containing the drug directly (30 pieces).

Using the recommendations given in the instructions for this medication, it is necessary to perform the following actions when rinsing the nose:

1. Dissolve one sachet of the Dolphin medicine in boiled water (35-36 ° C).
2. Pour the resulting solution into an elastic bottle and close the dispenser cap tightly.
3. Carefully insert the dispenser into the nasal cavity and fix it against the walls of the nostril. This is done so that the drug does not leak out when injected.
4. When rinsing, the patient should bend over the bathtub or sink.
5. With a smooth but confident movement, it is necessary to begin the introduction of the solution into the nasal cavity. It is not necessary to inject liquid too quickly, as the mucous membrane can be injured.
6. After half of the solution is injected into one nostril, the dispenser is removed and moved to the other nasal passage. The drug is also administered gently and smoothly.
7. The final stage of rinsing the nose will include the following steps: squeeze the bottle firmly with your fingers and insert it into the nasal passage. After that, the fingers should be unclenched in order to completely remove the injected fluid with an admixture of pus and mucus from the nasal sinuses.

Before using the drug "Dolphin", you need to consult your doctor for any contraindications.

Do not use this medication in the following cases:

• children under 4 years of age;
• the presence of curvature of the nasal septum;
• the presence of diseases: otitis media, tumors, allergies, nosebleeds, etc.;
• with a stuffy nose.

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Rinsing the nose with sinusitis furacilin

When performing a nasal rinse, doctors often prescribe certain medications. Most often, furacilin is used, which is currently sold in any dosage form: solution, tablets, ointments, etc.

This drug has practically no side effects. It should not be used by people who have a tendency to:

• allergic dermatitis;
• bleeding;
• hypersensitivity to the components of the drug.

In most cases, furacilin is prescribed to patients who have been diagnosed with sinusitis. The drug is used when flushing the maxillary sinuses, from which it is possible to remove pus, mucus and crusts. Some experts recommend using drugs with antimicrobial properties in parallel with furacilin.

In order to correctly carry out the procedure for washing the nasal sinuses, patients need to act in a certain sequence:

1. Prepare a solution. This will require a container, boiled water (warm), in the amount of 1 liter, a syringe and furacilin tablets. Dissolve 1 tablet of this drug in warm water.
2. Fill the syringe with furacilin solution.
3. Thoroughly clear mucus from the nose.
4. Lean over the bathtub or sink and turn your head so that liquid, when injected into the sinus, cannot enter the middle ear.
5. It is necessary to inject the solution one by one into each nostril. This should be done carefully so as not to injure the nasal mucosa. If the procedure is performed correctly, then the solution injected into one nostril will pour out through the other.
6. After the end of the procedure, the patient must take a horizontal position. A pillow should be placed under the head to prevent fluid from entering the middle ear cavity.

Rinsing the nose with furacilin solution should be performed 4 times a day for a week. Before each procedure, you need to prepare a fresh solution, the remnants of which should be discarded after use.

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How to properly rinse your nose?

To achieve the maximum effect when carrying out the procedure for rinsing the nose, while not injuring the mucous membrane, it is necessary to follow the recommendations of specialists exactly. The introduction of medicines should be carried out only in the nasal cavities cleared of mucus, pus and crusts. Only in this case can we count on the full manifestation of the medicinal properties of the administered drugs.

When preparing a liquid for rinsing the nose, all proportions must be observed exactly in order to exclude irritation and burns of the mucous membrane from a too concentrated solution. Currently, specialists are prescribing various medications for washing, which have proven effective in treating sinusitis.

This procedure can be performed in a physiotherapy room, or at home in the following cases:

• after a puncture;
• with partial patency of the nasal canals.

Before you start rinsing your nose yourself, you need to make sure that all instruments are sterile:

• syringes;
• syringes;
• small teapots;
• sinus catheters;
• nasal showers.

You should use only those medicines that were recommended by the attending physician - otorhinolaryngologist. The procedure for rinsing the nose at home takes 10-15 minutes on average. In the event that a patient with a diagnosis of sinusitis, after several procedures, does not notice improvements, he should urgently consult his attending physician.

1st method (the easiest) to rinse the nose - flow

With this method, you can use a regular syringe. The preparation of the solution can be carried out both with the use of medicines and herbal preparations.

The patient needs to do the following:

• bend over the sink or bathtub. After that, you need to turn your head to the side so that the less blocked nostril is one level higher;
• it is advisable to start the procedure for rinsing the nose with the nostril that is least blocked;
• the syringe tip must be inserted into one nostril smoothly and not deeply in order to exclude the possibility of mechanical damage to the mucous membrane;
• liquid under a slight pressure is injected into the sinus and flows out of the other nostril. During the introduction of fluid, the patient should make certain sounds, for example, a lingering "and";
• after the performed procedure with one nostril, repeat all actions with the other nasal passage;
• at the end of the rinsing, it is advisable to blow your nose thoroughly in order to eliminate the remains of the solution, particles of mucus and pus from the maxillary sinuses.

After the procedure, it is better to stay at home for a while and not go outside, as you can catch a bad cold. The patient is advised to go to bed and spend an hour in a horizontal position (a pillow should be placed under the head).

2nd way of washing the nose - "cuckoo"

This technique is used in medical institutions. Typically, such washing is prescribed for sinusitis, in parallel with drug therapy.

In the physiotherapy room, the patient is carefully drained of pus and mucus from the maxillary sinuses:

• the specialist carefully inserts a special device called an aspirator-suction into one nostril of the patient;
• as a result, negative pressure is created in the patient's nasal cavity;
• there is a circulation of fluid in the nasal passages in an accelerated rhythm;
• while filling the nasal sinuses with fluid, the patient should say the word "cuckoo".
• During this procedure, the patient lies on a couch in a physiotherapy room. His head should be tilted back a little. Before washing, the patient is instilled into the nasal sinuses with special solutions that have the property of narrowing the vessels. If the patient has a too advanced form of the disease, then during the flushing, the opposite nostril should be clamped for a while. Thanks to this, the entire solution will spread evenly through the internal channels of the sinus.

The author of the article: Lazarev Oleg Vladimirovich | ENT

Education: In 2009, he received a diploma in the specialty "General Medicine" at the Petrozavodsk State University. After completing an internship at the Murmansk Regional Clinical Hospital, he received a diploma in Otorhinolaryngology (2010)