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  • Nosebleeds
    the face may help Try to stay calm the more the excitement to more the blood pressure the more the bleeding For chronic nose bleeds Use lots of saline nose spray and an antibiotic ointment such as Neosporin Ointment in a 15 gram tube This has a pointed tip you can insert into the nose the soft part then squeeze the nose from the outside to spread it around Do this 2 or 3 times a day In most cases of bleeding the nose is infected and the antibiotic ointment helps If you are taking aspirin or aspirin substitutes including non steroidal anti inflammatory medication this may cause you to bleed Dry climates are a frequent cause of bleeding in this case use lots of saline nose spray Most important keep the bedroom moist at night Hang a wet towel put water in a bowl have a plant that takes lots of water If you need to pick your nose for crusts your nose is too dry use an enhanced nasal moisturizing spray and or gel whatever works best for you Absolutely avoid any preparations with additives or preservatives these usually cause more problems than they solve Nosebleeds are seldom

    Original URL path: http://www.ent-consult.com/nosebleeds.html (2016-02-01)
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  • Nasal Saline Sprays - The Additives May Be the Problem
    use of the drops The drops become effectively addictive and worse the nose is always stuffy anytime the drug is not active in the nose Next it was discovered that you could get rhinitis medicamentosum just form the Benzalkonium alone as well as saline with Benzalkonium So it wasn t the nasal medication oxymetazoline that was responsible but the Benzalkonium The oxymetazoline did shrink the nose nicely but the benzalkonim caused a rebound congestion These additive problems are so important that the Dannemiller Memorial Educational Foundation gives special training to doctors on this subject This training emphasizes that if you are allergic or have an infection the additives can be more irritating than when you are normal Recent articles on the negative effects of Benzalkonium include Berg Mucosa exposed to benzalkonium chloride showed squamus cell metaplasia the normal cells changed to undesirable cells Benzalkonium chloride appears to be potentially toxic to the mucosa Steinsvag benzalkonium chloride has toxic effects on human respiratory mucosa and human neutrophils It destroyed mucosa and inhibited human neutrophil action Benzalkonium chloride induces mucosal swelling which explains why the presence of this preservative in a decongestant spray aggravates rhinitis medicamentosa Hoffman An irreversible cessation of ciliary movement was observed in ciliary cells exposed to nasal sprays containing Benzalkonium chloride As benzalkonium chloride can cause complete standstill of ciliary beat frequency in vitro in human nasal mucosa we recommend that this preservative should not be used anymore in topical nasal medications An Additive Free And Better Saline Solution You can find solutions enhanced nasal sinus moisturizing formula s which contain the same constituents as Boek s Locke Ringer s Solution including Soda Bicarbonate Potassium and Calcium Chloride and Salt It doesn t contain any of the additives or preservatives now known to be harmful to the nose sinuses By using a product free of irritating additives in a more friendly mix patients can benefit by use of moisturizing solutions Warm Saline Saline solutions can also be used for pulsatile irrigation of the nasal passages and sinuses Every doctor tells you to irrigate with warm saline Warm solution helps bring more circulation to the area and besides it feels good Yet some solutions with additives allow use only at room temperature Hypertonic Saline Hypertonic saline has been studied recently There is evidence that it can dry out swollen tissues By pulling liquid out of the tissue this can thin the mucus according to some authors It acts like sea water Excessive hypertonic solution has been shown to impair movement of cilia Many of the commercial preparations also contain additives that can irritate Not everyone can use such a strong product in the nose In one study to determine the use of hypertonic saline for acute common cold no difference was found between this and regular saline However many patients complained of the burning from the hypertonic saline and wouldn t use it again Pediatric Use Many children might have prevented chronic nasal sinus problems by regular use of

    Original URL path: http://www.ent-consult.com/salineadditives.html (2016-02-01)
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  • Cough- Asthma or Allergy
    normal ciliary action we cough For example the coal miner doesn t cough But when he inhales a large piece of coal that is too big for his cilia to handle he coughs to get rid of it When the patient has the flu the cilia are poisoned by the toxins and they fail then cough takes over Many studies have shown that clearing the sinus infection can reduce the cough of allergy or asthma Antibiotics of course are important Unfortunately the number of drug resistant bacteria is on the increase so other techniques have to be considered Deep breathing raising the elbows as you inhale is good Hot tea with lemon and honey is helpful Hot compresses applied over the nose below and above the eyes are helpful Medications containing guiafenesin are recommended Sometimes making a low pitched sound which penetrates deep behind the eyes can be beneficial Pulsatile irrigation is especially helpful since it actually helps the body help itself it invigorates the nasal and sinus cilia so they can protect the body against irritants and contagions This method is safe safer than blowing your nose There is some evidence that pulsatile nasal irrigation is helpful to restore

    Original URL path: http://www.ent-consult.com/cough.html (2016-02-01)
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  • Chicken Soup for Allergies and Asthma
    in healing You don t need medical technology to check if you are hydrated just keep drinking until your urine turns light yellow to clear My patients favorite prescription is breakfast in bed This can be an effective cure for even persistent difficult to treat morning sneezing and coughing The sneezing and coughing are often caused by a sensitivity of the body to cold before activity so a warm breakfast under blankets really gets to the root of the problem Perhaps the most important example of helping the body s natural defenses is the 3000 year old yogic practice of sniffing salt water This is helpful for fighting and preventing sinus infections although we have vastly improved on this technique by developing pulsatile nasal irrigation The pulsating action has been shown in clinical studies to improve the function of the nasal cilia your body s most important defense against nasal infections Anyone even a 5 year old can perform this treatment at home quickly and easily Be sure to use a pulsatile irrigatin device one which is purpose built to deliver the correct pressure for safe irrigation Ear Nose and Throat specialists see patients all the time who have been medicated for weeks with the latest antibiotics without benefit yet who show obvious improvement with pulsatile irrigation These natural procedures are a help not only to the occaisonal infection but also to longer term asthma and allergy sufferers Asthma and allergy specialists recognize the importance of clearing sinus infections in their patients The less sinus drainage the less the asthma Pulsatile nasal irrigation enables patients to stop their drainage themselves In some cases antibiotics have been effective and have indeed saved lives but adding the chicken soup and hot tea helps restore the body s natural defenses by improviing the

    Original URL path: http://www.ent-consult.com/abstract.html (2016-02-01)
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  • Cystic Fibrosis and Sinusitis
    etiology of this condition was recognized and gene therapy is now being actively pursued The CF patient fails to have normal mucus clearance Thick tenacious mucus keeps bacteria from being cleared and prevents antibiotics from being effective Clearance of mucus from the chest therefore is a paramount treatment objective Various physical therapy methods include chest percussion forceful exhalation various dilators postural drainage The flutter device uses sound vibration to help reduce the thickness of the mucus Inhalation of drugs that break down the structure of the mucus are in use A similar thick fluid causes sinus infections Nasal polyps are common This is a type of bag of water where the liquid is maintained within the cell so that the cell expands and blocks the nose A mucocele can develop often in the frontal sinus This is a similar bag of water within a membrane that expands and puts pressure on the sinus wall Headaches in the frontal sinus area above the eyes is a common sign Pulsatile irrigation is useful in several ways First it can remove thick secretions from the nose and sinus This is important because removal of thick secretions helps to restore regular methods of body

    Original URL path: http://www.ent-consult.com/cystic_fibrosis.html (2016-02-01)
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  • Wall Street Journal Reports on Nasal Irrigation to Avoid Surgery
    all treatment That s because healthy cilia are the key to sinus health What happens is that many of the nasal sinus problems are a result of slow cilia function The cilia are tiny oars that move the mucus out of the nose If the cilia slow down the mucous in your nose becomes stagnant and like a stagnant stream grows scum Once the cilia speed up and the mucus of the nose moves properly then the bacteria are flushed away and not allowed to enter the body Healthy cilia are absolutely the key to sinus health If you can restore healthy function to your cilia then you won t need surgery Pulsatile nasal irrigation works to stimulate damaged or diseased cilia back to healthy function clean and moisten the mucous membranes for a better environment for the cilia and provide other benefits Dozens of articles show that this treatment is clinically proven The real proof though is the many patients of mine that have avoided going under the knife Sinus surgery submucus resection removal of turbinates and the like is serious business and to be avoided as long as a good natural alternative exists See my article on empty nose syndrome for just one kind of unfortunate complication Always follow your doctor s advice but don t be afraid to ask him or her if they are familiar with pulsatile irrigation as an alternative The health of the sinus and nasal cilia also affect other chronic conditions some less serious where surgery is not recommended Post Nasal Drip is caused simply by slow cilia that allows the mucus to thicken this causes you to taste and feel it Pulsatile irrigation works very well here too In some kinds of nasal allergies regular pulsatile irrigation works by keeping the cilia

    Original URL path: http://www.ent-consult.com/wallstreetavoidsurgery.html (2016-02-01)
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  • Should I Get Nasal Turbinate Surgery?
    This means that you make an incision and lift up the turbinate skin called mucosa Then you remove the bone so that the turbinate assumes a new position close to the side walls This technique usually preserves the cilia and all functions In yet another procedure the turbinate is scored either with acid or a laser Parallel lines are drawn with spaces in between Unfortunately with this method you lose good cilia A laser can be directed under the mucosa so it only affects the tissue under the turbinate covering I have seen patients loose some ciliary function with this method The physicians in our medical group use a radio frequency current to coagulate the material under the mucosa This therapy is precisely directed and does not damage nearby tissue as do other methods which generate heat It seems to be the best approach It is an office procedure and is painless This is the same system we use for snoring surgery or Somnoplasty done in our office Sleeping and Turbinates The turbinates are important for the sleep mechanism When you sleep you are supposed to turn some 50 times a night This prevents you from getting pressure sores What happens is that you sleep on the right side with the right turbinate down After a time this right turbinate fills up with fluid and expands so that it pushes against the septum in the mid line and this makes you turn on the left side until that side fills up and turns you again This is why when you sleep cramped where you can t turn you get achey muscles and bed sores Turbinates and The Common Cold Many factors contribute to getting colds some rather surprising It is generally believed that the viruses spread more easily during winter

    Original URL path: http://www.ent-consult.com/turbinatesurgery.html (2016-02-01)
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  • Sinus CT Scan
    10 minutes the digital image is taken and can be shown to the patient Not only does he save two additional days of going to an X ray office and then returning another day for viewing his films but this means he doesn t have to fill out another set of forms at the X ray office No Time Wasted in Treatment Most important however is that one of our 5 specialists gets a 3 D picture of the sinus or ear at the very first visit so we can plan our treatment accordingly No time is wasted waiting for X rays Today this is especially important because we know that even a badly diseased sinus can be healed if the natural drain is opened and the cilia that drain the sinus cavity are restored This means that many sinus problems can be relieved by pulsatile irrigation and may not need a lengthy course of drugs Or the CT may show a severe anatomical problem that may require surgically correcting the problem In all these cases treatment is started immediately based on these findings and the patient can start therapy at his first visit instead of waiting days till the outside films are ready Our patients are quite pleased that the technology of the Xoran Mini CT scanner permits a minimum amount of radiation almost 1 10 that of the older table analog scanners Because the patient can sit comfortably and is not enclosed or tied down it is no more difficult for a patient to have a sinus CT than to have a dental X ray This technology has paid off in many ways For example consider a patient that says she has bad sinus disease but her CT scan shows that her sinuses are perfectly clear The correct

    Original URL path: http://www.ent-consult.com/ct_sinus.html (2016-02-01)
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