Why Use Non-Iodized Salt in Neti Pots?

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Discussion Overview

The discussion centers around the use of non-iodized salt in saline solutions for nasal irrigation with neti pots. Participants explore the implications of using iodized versus non-iodized salt, the safety of various water sources, and the frequency of neti pot usage.

Discussion Character

  • Exploratory
  • Debate/contested
  • Technical explanation

Main Points Raised

  • Some participants question the necessity of using non-iodized salt, noting that they consume iodized salt in their diet without apparent issues.
  • There is speculation about the absorption differences between oral and nasal routes, with one participant suggesting that nasal absorption could have different effects.
  • Concerns are raised about the potential irritative effects of iodine on nasal membranes.
  • Participants mention the importance of using sterile water for saline solutions and caution against overuse of neti pots, citing the risk of removing protective mucus and introducing pathogens.
  • Some suggest alternatives like sea salt or Kosher salt, while others emphasize the need for plain table salt due to impurities in sea salt.
  • One participant references a medical recommendation for using bottled water for saline solutions, reflecting varying opinions on water safety.

Areas of Agreement / Disagreement

Participants express differing views on the necessity of non-iodized salt, the safety of various water sources, and the frequency of neti pot use. No consensus is reached regarding these points.

Contextual Notes

Some participants highlight the lack of clarity on the benefits of neti pots and the potential risks associated with using tap water, which may contain harmful organisms. There are also mentions of varying recommendations found online.

lisab
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Regarding saline solution to irrigate the sinuses (e.g., to be used in a neti pot): is it really necessary to use salt that does not contain iodine? Recipes all over the internet say to use non-iodized table salt, and I don’t understand why.

I prefer to make my own solutions; why waste money buying salt water? The salt in my diet has iodine in it, so the membranes in my digestive tract are exposed to it every day. Why do I need to protect my nasal membranes from it?

I use it twice a week at most, if that’s pertinent.
 
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I'm not sure about the iodine but remember that anything we take orally gets a first pass metabolism through the liver while things that get absorbed through the nasal mucosa can make a bee line for your brain. Just some speculation, maybe just use sea salt instead of the iodized stuff to err on the side of caution.

I remembered this thread because I got this in my email this morning;

http://new.dhh.louisiana.gov/index.cfm/newsroom/detail/2332
 
We have a thread on these amoebas. Somewhere.
 
Yanick said:
I'm not sure about the iodine but remember that anything we take orally gets a first pass metabolism through the liver while things that get absorbed through the nasal mucosa can make a bee line for your brain. Just some speculation, maybe just use sea salt instead of the iodized stuff to err on the side of caution.
Sea salt is full of impurities, I would use plain table salt.
 
Iodine can be irritating/drying to skin and mucus membranes. There's a lot of question whether neti pots are helpful or harmful, but at the least, use sterile water to make your saline solution and avoid doing it too often...mucus is also one of the first lines of defense against infection, so it's not good to remove too much of it. You can buy non-iodized salt right next to the iodized salt. If for some reason your local store doesn't sell it, Kosher salt is non-iodized too (why it's commonly used for canning...non-iodized salt gives less discoloration during canning). If you use Kosher salt, measure by weight, not volume, since the larger grains will alter the volume needed. Normal saline is 9 grams salt in 1L water.
 
lisab said:
Regarding saline solution to irrigate the sinuses (e.g., to be used in a neti pot): is it really necessary to use salt that does not contain iodine? Recipes all over the internet say to use non-iodized table salt, and I don’t understand why.

I prefer to make my own solutions; why waste money buying salt water? The salt in my diet has iodine in it, so the membranes in my digestive tract are exposed to it every day. Why do I need to protect my nasal membranes from it?

I use it twice a week at most, if that’s pertinent.


You probably shouldn't be using a neti pot very often, when you do you should only really use it during acute sinus infections. Like Moonbear pointed out, it isn't at all clear that it is actually beneficial. Coupled with the fact that tap water can contain organisms that could be potentially dangerous or life threatening when introduced to the nasal mucosa. Because the nasal mucosa lies in such close proximity to the CNS it creates a potential situation where organisms that would normally be easily killed off by the innate immune properties of your GI system, that could be introduced somewhere in your body that cannot handle it.

You should probably used bottled distilled water (don't drink it though) or medical saline. If you are going to use tap water, boiling it and using it plain (after its cooled down) would probably be best.
 

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