Sinonasal disease, which includes chronic rhinosinusitis, allergic rhinitis, and viral upper respiratory infections, is a significant cause of morbidity. Medical therapy has been the basis for treating these sinonasal diseases. Medications include short and long-term antibiotic therapy, topical and systemic steroids, topical and oral decongestants, oral antihistamines, and mucolytics. Surgery, is another therapeutic option, however, it is generally relegated to disease that is refractory to medical treatment.
Saline Nasal Irrigation (SNI) is known to be an adjunctive therapy for upper respiratory conditions which bathes the nasal cavity with saline solution. It is a simple, inexpensive procedure that has been used to treat upper respiratory conditions especially of the nasal cavity and the sinuses. SNI really is as simple as running a gentle saline solution through the nasal passages and sinuses. The procedure involves flushing the nasal cavity with saline solution which improves mucociliary clearance by moisturizing the nasal cavity and removing encrusted material. For the purpose of nasal irrigation, a high number of irrigation systems and methods are offered. These include the use of saline sprays, drops, syringes and squeeze-bottles. Current medical literature indicates that large volume saline nasal irrigation, delivered with low positive pressure provides superior symptom relief to patients with sinus disease and nasal allergies.
Nasowash is a non-medicated, sterile, preservative free saline irrigation kit for nasal and sinus washing.
Nasowash Starter Kit contains
- 1 nasowash squeeze bottle; a 200 ml sterile squeeze bottle used for nasal washing
- 10 nasowash sachets; each sachet consisting of 7.8 g of pre-mixed dry powder; containing
- Sodium Chloride 4.0 g,
- Small amounts of Sodium Bicarbonate and Xylitol.
When mixed with lukewarm water, each 7.8 g sachet will produce 200 ml of saline wash for use. This solution is an alkaline buffered hypertonic (2%) saline with xylitol.
The solution is an alkaline buffered hypertonic saline solution with xylitol.
This alkaline buffered hypertonic saline has an advantage of effectively drawing out the mucus out of the sinuses by improving the ciliary activity and in turn, overall mucocialiary clearance. This especially helps relieving post nasal drip as well as sinus pressure.
An additive like xylitol makes the nasal membranes slippery, helping to guard against the pathogens inside the nasal cavity. Xylitol also helps to inhibit the bacteria frequently associated with sinus infections. Xylitol is non-toxic and safe to be used.
Indications for Use
Nasal Irrigation may be used for a variety of nasal and sinus conditions. Their use is mainly included in the management of:
• Viral upper respiratory infections
• Allergic rhinitis
• Atrophic rhinitis
• Fungal rhinosinusitis
• Nasal congestion
• Post-operative conditions (especially after Functional Endoscopic Sinus Surgery i.e. FESS).
Saline nasal irrigation is recommended for overall nasal hygiene.
Although there are very few absolute contraindications for SNI, patients with incompletely healed facial trauma, those suffering from conditions associated with an increased risk for aspiration (such as neuromuscular disorders).
Saline nasal irrigation can be done once or twice a day. However, the dosage and duration of use may vary depending on the condition for which it is used.
Saline nasal irrigation can be done anytime of the day. However, it is recommended that nasal washing is done at least one hour before going to bed.