Water, salt, baking soda mixture to treat sinusitis

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Discussion Overview

The discussion revolves around the use of a mixture of water, salt, and baking soda for treating sinusitis, specifically focusing on the rationale behind the ingredients and safety concerns related to nasal rinsing practices.

Discussion Character

  • Exploratory
  • Technical explanation
  • Debate/contested

Main Points Raised

  • One participant recalls a personal experience with sinusitis treatment involving a mixture of salt and baking soda in water, questioning the purpose of these ingredients.
  • Another participant mentions that baking soda is sometimes added to buffer the solution, although they note a lack of proof that this improves the experience.
  • A third participant emphasizes the importance of using safe water types for nasal rinsing, citing FDA guidelines on avoiding tap water due to infection risks.
  • Several participants raise questions about the safety of drinking tap water versus using it for nasal rinsing, with one suggesting that the body's anatomy is not suited for such use, which could lead to infections.
  • A later reply references the risk of Naegleria fowleri, a harmful organism associated with nasal irrigation, highlighting potential dangers.

Areas of Agreement / Disagreement

Participants express varying views on the safety and efficacy of using a salt and baking soda mixture for nasal rinsing, with some agreeing on the importance of using safe water while others question the rationale behind certain practices. The discussion remains unresolved regarding the best practices and safety measures.

Contextual Notes

There are limitations regarding the assumptions about the effectiveness of the salt and baking soda mixture, as well as the varying definitions of safe water for nasal rinsing. The discussion does not resolve these issues.

bluemoonKY
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When I was 17, I had sinusitis. I went to an ear, nose, and throat doctor for treatment. The doctor prescribed for me that I mix salt and baking soda in a bowl of water. Then I was to use a plastic contraption like a squirt gun to squirt the water/salt/baking soda mixture up my nose and spit it out through my mouth. I can see how water could be squirted up the nose to loosen mucus in my nose to clear my nasal passages. What was the purpose of the salt and the baking soda in the water?
 
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Just a quick reminder not to use tap water in neti pots:

http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm316375.htm
FDA said:
However, the Food and Drug Administration (FDA) has concerns about the risk of infection tied to the improper use of neti pots and other nasal rinsing devices. The agency is informing consumers, manufacturers and health care professionals about safe practices for using all nasal rinsing devices, which include bulb syringes, squeeze bottles, and battery-operated pulsed water devices.

FDA said:
What types of water are safe to use in nasal rinsing devices?

  • Distilled or sterile water, which you can buy in stores. The label will state “distilled” or “sterile.”
  • Boiled and cooled tap water—boiled for 3-5 minutes, then cooled until it is lukewarm. Previously boiled water can be stored in a clean, closed container for use within 24 hours.
  • Water passed through a filter with an absolute pore size of 1 micron or smaller, which traps potentially infectious organisms. CDC has information on selecting these filters, which you can buy from some hardware and discount stores, or online.
 
Why is it safe to drink tap water but it's not safe to snort it through your nose and spit it out?
 
bluemoonKY said:
Why is it safe to drink tap water but it's not safe to snort it through your nose and spit it out?
Simple answer is that your body was not meant for such a function. Your sinuses and back nasal passages don't have the protection and can be easily infected.
 
Greg Bernhardt, that sounds plausible enough. It just didn't occur to me at first.
 
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