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Tag: Nasal Spray

Woman holding nasal spray towards nostrils.

Saline Nasal Spray Helps Control Nosebleeds

Epistaxis, popularly known as nosebleed, is a common problem affecting many people. While majority of cases can be easily treated, some can cause significant problems or can even be life-threatening if associated with serious disorders.

Nosebleeds usually occur during cold or dry months and are often associated with various types of cold, hay fever and allergic symptoms that may irritate the delicate nasal tissues.

In most instances, bleeding occurs when the lining of the nose or nasal mucosa becomes dry and irritated causing the blood vessels along the surface of the nasal lining to break or rupture.

Common medications used to control or prevent nosebleeds include decongestants and antihistamines. However, excessive, or prolonged use of these drugs may further aggravate the dryness and increase risk for more nosebleeds.  Keeping the nasal tissues hydrated or moist with the use of saline nasal spray is frequently offered as a simple intervention which may be as effective as drug therapy in controlling nosebleeds. Apart from addressing the underlying condition or factor that causes epistaxis, using saline nasal spray traditionally becomes a practical part of medical management to prevent recurrence of nosebleed. Saline nasal spray becomes handy in humidifying the nasal environment and in moisturizing the nasal mucosa thus preventing future episodes of bleeding.

The 2020 Clinical Practice Guidelines (CPG) for Nosebleed published in the American Academy of Otolaryngology- Head and Neck Surgery authored by Dr. David Tunkel and his team outlined some supportive measures such as nasal saline spray in keeping the nose humid to prevent dry crusts and to facilitate healing.

The authors underscored that nasal saline spray or gel which can help moisturize the tissues inside the nose can reduce or prevent nosebleeds together with the elimination of contributing factors such as digital trauma (nose picking), vigorous nose blowing and proper nasal hygiene.

To prevent additional nosebleeds in patients taking anticoagulants or antiplatelet drugs, who are at increased risk of recurrent epistaxis, the CPG recommended saline lubrication as well as control of comorbidities.

The result of a North American study which was published online in the Journal of American Medical Association (JAMA) in 2016, demonstrated that salt-based spray is as effective as medicated spray in controlling nosebleeds among patients with Hereditary Hemorrhagic Telangiectasia (HHT), also known as Osler-Weber-Rendu Disease). In Hereditary Hemorrhagic telangiectasia, a condition characterized by abnormal blood vessel formation, patients suffer from frequent episodes of nosebleeds that may occur once a week or several times a day in some patients.

This double-blind, placebo-controlled randomized clinical trial which included 121 patients afflicted with HHT used either a saline spray or sprayed one of three drugs, bevacizumab, a drug for cancer and macular degeneration, a hormone, Estriol and tranexamic acid, a drug that promotes clotting.

The US-based study lead by Dr. Kevin Whitehead, an Associate professor of Cardiovascular Medicine at the University of Utah School of Medicine, said in the news release that none of the drugs proved any better than the saline spray at preventing nosebleed. No drug treatment was significantly different from placebo for epistaxis duration. Participants in the US-based study who are afflicted with HHT revealed that they had significant improvement in Epistaxis Severity Score even if they were solely using the saline spray.

Resources:

1. Clinical Practice Guideline: Nosebleed (Epistaxis)

2. Effect of Topical Intranasal Therapy on Epistaxis Frequency in Patients With Hereditary Hemorrhagic Telangiectasia

Dealing with Post-nasal Drip

Did you ever take notice of times when you had a runny nose that was accompanied by a tickle in the back of your throat which triggered you to cough or clear your throat? That is probably post-nasal drip following an allergy, upper airway infection (i.e., common cold), inhalation of irritants in the air (i.e., fumes or dust) or even an exposure to a cold and dry weather.

Regardless of the cause, the problem with post-nasal drip is the steady trickle of mucus from the back of the nose that irritates the throat, a nagging cough or other symptoms. While post-nasal drip as a symptom of an upper airway condition is very common, there are several things that a person can do to deal with post-nasal drip. These include home remedies and over-the-counter medications:

     • A humidifier may help moisturize airways and improve symptoms

     • Being hydrated is beneficial in thinning the mucus

     • Sleeping propped up on pillows will keep the mucus from collecting at the back of the throat

     • Nasal wash or irrigation is effective in clearing away excess mucus

     • Decongestant and antihistamine medications help in controlling the swelling and production of mucus

In most cases, post-nasal drip is uncomfortable but is generally not dangerous. However, experiencing the following symptoms should prompt someone to consult a doctor:

     • Unexplained fever

     • Bloody mucus

     • Wheezing or shortness of breath

     • Foul smelling drainage

     • Persistent symptoms despite treatment

For allergies, it is also good to consider the environmental factors by dusting and vacuuming often at home. Covering mattresses and pillowcases and using air filter can help reduce exposure to allergy triggers.

Nasal washing using a nasal spray or irrigation solution helps in keeping the nasal passages clean. It also helps prevent attendant complications by flushing away irritants that cause allergy such as dirt, dust, pollens and infectious agents like bacteria and viruses. Nasal saline spray or irrigation has been reported to relieve symptoms of allergic rhinitis and improve the quality of life.

Though this condition may linger for weeks or months, most of the causes can be quickly identified and generally improve with appropriate treatment.


References:

Treatments for post-nasal drip.

Rabago D, Zgierska A. Saline nasal irrigation for upper respiratory conditions. Am Fam Physician. 

Flo Baby Saline Nasal Spray

Flo Baby Saline Nasal Spray

Clear and clean noses let your baby breathe, sleep and feed well! Your baby’s delicate nose needs effective yet gentle cleaning. Flo Baby’s unique formula, delivered in micromist form, ensures that your child’s sensitive nose is cleansed safely and gently. Flo Baby’s special bottle is designed to be sprayed at any angle, at the position of comfort of your baby.

Gentle to the baby’s nose

FLO Baby Saline Nasal Spray provides a preservative-free, non-medicated, and sterile solution that can be used safely as often as needed to keep the baby’s nose clear. Flo Baby contains no irritating chemical components and is formulated to closely mimic the body’s own natural fluids making it gentle and will not hurt babies’ delicate nasal tissues.

Sprays at any angle

The spray bottle employs a special system that allows spraying at any angle even upside down and may be used on your baby in the most comfortable position.

No ‘suck-back’ spray bottle

The spray bottle is designed with a no ‘suck-back’ feature to prevent microbial contamination, keeping the solution clean and safe for babies. Every time the bottle is pressed, the no ‘suck-back’ feature prevents outside air, bacteria, or mucus to enter and contaminate the device.

Soft micromist spray

The micromist feature ensures that the solution is delivered in fine particles allowing even distribution in the nasal passages and increasing the moisturizing action of the solution to the nasal cavity.

If symptoms persist, consult your doctor

Gentle Nasal Washing Helps Babies Breathe Better

It is important that the nasal airways of babies are clean and clear of mucus, allergens and other irritants.

Babies are obligate nose breathers and breathe exclusively through their nose on their first few months from birth. By breathing through their nose, babies can feed, swallow and breathe at the same time.

Since babies have tiny nasal passages, even the smallest amount of mucus may cause nasal congestion that can make their breathing sound stuffy and blocked up. When the babies’ tiny airways are blocked with mucus, feeding and sleeping may be disrupted.

The thick and excess mucus blocking the babies’ nose is usually due to hay fever, allergies, cold or other viral infection. The thickened mucus can be thinned by nasal sprays containing isotonic saline solution which resembles the body’s own natural fluids. Saline nasal sprays also help activate the natural cleansing mechanisms inside the nasal passages which clear away mucus and other irritants.

Nasal saline spray for babies may be used as often as needed to provide the following benefits:

     • Cleaning and clearing away excess mucus help increase air flow and make babies breathe easier.
     • Clear and unclogged nose eases breathing and help babies sleep better.
     • Babies get to feed easier bringing convenience to the mothers.
     • Washing away mucus plugs which could be breeding areas for germs helps in preventing infection.
     • Nasal saline spray for babies also provides a handy means of removing snot from the baby’s nose. This is safer than using a nasal applicator or a suction bulb which may be difficult to administer especially on an upset, jiggly baby.

There are available sterile, preservative-free nasal saline sprays that gently deliver the solution in micromist and can be administered quickly at any angle, even upside down.  The nasal saline sprays are handy and easy to carry anywhere especially during travel.

For best advice, a doctor should be consulted.

References:


Hermelingmeier, K. E., Weber, R. K., Hellmich, M., Heubach, C. P., & Mösges, R. (2012). Nasal Irrigation as an Adjunctive Treatment in Allergic Rhinitis: A Systematic Review and Meta-analysis. American Journal of Rhinology & Allergy.


Gallant JN, Basem JI, Turner JH, Shannon CN, Virgin FW. Nasal saline irrigation in pediatric rhinosinusitis: A systematic review. Int J Pediatr Otorhinolaryngol.29605346.


Ragab, A., Farahat, T., Al-Hendawy, G., Samaka, R., Ragab, S., & El-Ghobashy, A. (2015). Nasal saline irrigation with or without systemic antibiotics in treatment of children with acute rhinosinusitis. International Journal of Pediatric Otorhinolaryngology.

Go-to Remedies to Relieve Baby’s Blocked Nose

Babies have tiny nostrils and in their first few months, they can only breathe through their noses. Nasal congestion is a frequently cumbersome problem among babies who experience the common cold and who are exposed to air pollutants and allergens and are suffering from viral and bacterial respiratory infections.

Even older babies cannot completely breathe well through their mouths. A blocked or stuffy nose in infants and toddlers may cause disruption in sleep and feeding. This could be worrisome for mothers and this could also impact the whole family.

Here are some easy- to- do tips to help maintain healthy nasal airways and promote natural nasal immune defense in babies and toddlers:

     1. Keep the baby’s room properly ventilated. Ensure that the environment where the baby stays is always kept clean and dust-free. Wash the baby’s blanket, linen and toys regularly.


     2. Use mild colognes, lotions and fragrances for the baby. Mothers and other members of the household taking care of the baby must avoid wearing strong smelling perfumes, colognes and deodorants that can trigger allergic reactions in babies.


     3. To avoid nasal dryness, blocked or congested nose, try a chemical-free and preservative-free nasal saline spray. A nasal saline spray provides a cleansing action and can help wash away excess mucus, germs and other irritants in the baby’s nose.


     4. In choosing a nasal saline preparation for the baby, it is important to consider a gentle isotonic formulation that closely resembles or mimics the body’s own fluids and is not harmful to the delicate nasal tissues.


     5. For easy dosing and administration, opt for saline sprays that can be conveniently sprayed at any angle, even upside down. This allows parents to place the baby in the most comfortable position making the administration of nasal saline spray quick and convenient.


     6. Administer the nasal saline spray 10-15 minutes before the baby’s feeding or sleeping time so that the baby can sleep well.

If the baby has fever or persisting symptoms, it is best to consult a doctor.

Reference:

Roberts G, Xatzipsalti M, Borrego LM, et al. Paediatric rhinitis: position paper of the European Academy of Allergy and Clinical Immunology. Allergy.

Spray or Irrigation: Choosing the Right Remedy to Relieve Nose and Sinus Congestion

Washing the inside of the nose with saline is a well-regarded measure widely prescribed by doctors to relieve symptoms of cold and allergic rhinitis. As part of regular hygiene, nasal washing could also help in keeping the nasal passages clean and preventing illness by flushing away irritants such as dirt, dust, and infectious agents like bacteria and viruses.

Nasal washing is commonly done either with a saline spray or large volume saline irrigation, each with its own set of benefits suited for the right condition.

Saline spray: the convenience of a handy and ready-to-use nasal wash

Saline sprays provide a convenient and practical method of washing and clearing nasal passages. Spraying saline solution into the nose loosens thick mucus secretions and help in mucus drainage and removal. It also restores vital moisture to the nasal tissues and provide relief for dry, crusted, irritated and inflamed nasal membranes caused by the following:

     • Cold, runny nose, allergies
     • Dry air from air-conditioners, cold weather or airplane flights
     • Dust, pollutants
     • Overuse of nasal decongestants
     • Use of steroid nasal spray
     • Postnasal drip
     • Nosebleed
     • Rebound sinus reaction from drugs and smog

Saline sprays are readily available as handy devices convenient for use at home, at work or even during travel. Patients must also be advised to apply the nasal spray away from crowds to avoid spreading any infectious material which may drain out of the nose.  

Sinonasal Irrigation: a deep and thorough nasal wash

Sinonasal irrigation is a method of introducing a large volume of solution into the nose and sinuses to achieve a deeper and more thorough wash. The approach is best done using a positive and low pressure to safely direct the fluid into the nose and other areas in the sinus cavities beyond the reach of typical nasal sprays. This clears away any irritating and infectious material as the fluid drains out from the other nostril.

Sinonasal irrigation is indicated for conditions with a heavier burden of mucus, irritating agents and infectious microbes. It is also particularly useful for patients before and after diagnostic or surgical procedures involving the nose and sinuses. Sinonasal irrigation clears away debris like encrusted mucus or blood that may be hindering the procedure or wound healing.

Sinonasal irrigation kits usually come with an irrigating bottle and packets of mineral salts ready for mixing with water to create a balanced solution suitable for the delicate nasal tissues.

Should I spray or irrigate? 

Both saline spray and irrigation operate on the principle of hydrating and cleansing the sinonasal passages. The points of difference mainly lie on the convenience of use and depth of reach in the sinonasal passages. Saline sprays have the convenience of being handy and ready-to-use. Meanwhile, large volume sinonasal irrigation allows for a deeper and more thorough wash of the sinonasal passages. These two methods may however be used together allowing for a regular and on-demand nasal washing.

Consult your doctor to determine the treatment plan best suited for your condition.

Reference:

Principi N, Esposito S. Nasal Irrigation: An Imprecisely Defined Medical Procedure. Int J Environ Res Public Health.

Saline Nasal Spray for Clean and Clear Nasal Airways

We can’t see them but suspended in the air that we breathe are impurities like dust, dirt, pollen or even infection-causing bacteria and viruses. Although our nose is naturally equipped to filter out these impurities, there are many instances wherein the filtering capabilities of our nose are overwhelmed when our environment becomes increasingly polluted and crowded.

Rinsing the nose with water would be an easy thing to do, however our nasal passages are very sensitive. The solution needed should be friendly to the delicate nasal tissues like a saline solution. Isotonic or physiologic saline nasal solutions duplicate the natural characteristics of normal body fluids and are gentle for cleansing the salt-sensitive tissues of the nose. 

Nasal saline solution cleanses and moisturizes the nasal passages which helps the body increase its resistance to respiratory tract infections and even provides a natural remedy in relieving symptoms of various ailments affecting the nose such as the common cold and nasal allergies.

When prepared as a handy nasal spray, saline nasal solution becomes a carry-anywhere and ready-to-use cleansing solution for the nose and delivers multiple benefits:

     • Saline solutions that come in a handy nasal spray provide a convenient means of washing, cleaning and clearing the nasal passages of irritants like dust and pollens, crusted mucus and microorganisms such as viruses.
     • Regular cleansing of the nasal tissues with saline solution promotes health of the cilia, the hair-like structures that trap and sweep away foreign invaders in the nasal airway and help curb inflammation.
     • Nasal saline washes help keep the nasal tissues moist and hydrated or help restore moisture to dry or congested nasal passages.
     • Isotonic saline nasal sprays help thin and loosen nasal secretions and crusted mucus.
     • Using saline nasal sprays can help provide relief of nasal congestion associated with dry, irritated or inflamed nasal passages, low humidity, heat, cold dry air (i.e., in air-conditioned room, air travel).

The best part is that you don’t need to go through the inconvenience of mixing your own salt solution to get all these benefits. Isotonic saline nasal sprays are readily and widely available over the counter in your neighborhood drugstores and pharmacies. If you have persisting or worsening symptoms, it is still best to consult your doctor.