Sinus Irrigation Medications that Heal Sinus Disease, Postnasal Drip and Asthma.

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Sinus Irrigation Medications that Heal Sinus Disease, Postnasal Drip and Asthma.

         50% of asthmatics have a related sinus, postnasal drip or chronic rhinitis condition. Studies show that when sinus infections are relieved, then the bacteria laden drainage from the nose stops and the related asthma improves.  Bronchitis symptoms are also caused by postnasal drip getting into the bronchial passages.  Bronchitis is often a precursor of asthma. Here we will describe sinus treatments that are effective.

         Related asthma refers to the fact that the chest and bronchi are embryo logically related to the nose and sinuses.  Whenever the nasal cilia are impaired, we find a similar problem in the linings of the bronchial passages.  This is referred to as the unified field theory.

Coughing with a cold:

         The reason a simple cold can end up with cough is that in the acute stage the cilia of the nose and chest are impaired. When the cilia of the chest no longer pulse to move bacteria and phlegm out of the chest, then cough takes over. It is like a coal miner doesn’t cough; but when he gets a large piece of coal in his bronchi that the cilia can’t move, then he coughs in order to expel that.  Coughing takes over when the cilia fail.  In postnasal drip it is not the dripping itself into the bronchi that makes the cough; the cilia of the bronchi are also moving poorly and so the mucus is thickening, hence the bronchial cough. A similar mechanism is bronchitis.

The fewer bacteria the better:

         If the nose is diseased, it is obvious that if you lower the bacterial count, that will allow natural healing to take place.  One way of doing this is with adequate antibiotic therapy. The problem today, is that so many bacteria have developed a resistance to our old standby antibiotics, that other means must be looked at.

         Regular simple stream irrigation may remove some phlegm. There are pots and squeeze bottles that provide a means of irrigation; however these have backflow and extreme care must be used to keep them sterile. In a study reported to the Academy of Rhinology, most irrigations bottles were contaminated in two weeks.  Dr Nsouli reported that patients got well when they ceased daily squeeze bottle irrigation.

Pressure of flow should be constant:

         What is significant is that these methods provide a varying pressure, and a short supply of saline.  When the pressure is too high, they can push bacteria into otherwise healthy ears or sinuses. When the pressure is uneven, you don’t get the suction effect that drains the sinuses. When the pressure is too low, the solution does little and this encourages backflow because of the swirling effect.

         Ideally, a solution that pulses at a rate ideal for restoring good cilia movement should be used. The rise and fall of the waves that compose pulsatile irrigation of is actually more effective for removing crusts and thick mucus.

Biofilm and cilia immotility

         No matter how necessary good cilia movement is for sinus health, some chronic infections may not respond easily.  Sometimes even a slight infection puts out enough toxins to keep the cilia from pulsing and removing bacteria. In some cases the bacteria have built up biofilm. Here the bacteria have erected a covering or shield that keeps antibiotics from affecting them.

         For this reason, doctors now add medications to the pulsatile irrigation to speed healing.

Xylitol for pulsatile irrigation:

         If a chronic low-grade infection is the cause of slow healing, this is especially injurious to the patient with asthma. The constant drip of mucus with bacteria lowers the overall resistance to disease.  One approach is to add Xylitol to the saline solution.

         Xylitol is a sugar that is used by diabetics because it is metabolized in the liver rather than by insulin. It is available in most health food stores for about five dollars a pound. Bacteria metabolize glucose, but they can’t metabolize Xylitol so that they grow hungry and weak and are more easily disposed of. A xylitol solution also make it difficult for the bacteria to stick to the membranes of the nose/sinuses. This also helps for biofilm by reducing the stickiness of bacteria.

Directions: Prepare one teaspoon of Breathe.ease XL. Add warm water to the 500 cc mark of the Hydro Pulse Basin.  Add two teaspoons of Xylitol sugar to the 500 cc of saline. Irrigate about half on each side.  Do this twice a day for several days and then switch to once a day when improved. Continue until the nose is clear. This makes a one percent solution of Xylitol in an enhanced saline solution. Some doctors may advise a stronger Xylitol solution.

Biofilm:

         In Biofilm the bacteria resist antibiotics because of the cover they have wrapped around themselves.  A product called surfactin is effective in helping the pulsatile irrigation get rid of these “colonies.”  Johnson’s baby shampoo is an excellent source of surfactin.

         Add one teaspoon of Johnson’s Baby Shampoo to the 500 cc Saline solution in the Hydro Pulse bowl.  Set the Hydro Pulse stream so that it is almost one inch high. Irrigate both nasal chambers. (see video)

Antibiotics:

         Although the Xylitol and shampoo are effective, there are situations where the infection remains resistant. Here, the doctor takes a culture, gets the results of the sensitivity tests, then selects the antibiotic that is indicated for this bacteria, and has the patient add it to the saline solution. This allows for a greater concentration of medication and it is delivered locally instead of throughout the body. This avoids the side effects of many of the antibiotics.