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Saline nasal washes

Salt water washes; Nasal irrigation; Nasal lavage; Sinusitis - nasal wash

A saline nasal wash helps flush pollen, dust, and other debris from your nasal passages. It also helps remove excess mucus (snot) and adds moisture. Your nasal passages are open spaces behind your nose. Air passes through your nasal passages before entering your lungs.

Nasal washes can help relieve nasal allergy symptoms and help prevent sinus infections (sinusitis).

How to use Saline Nasal Washes

You can buy a device such as a neti pot, squeeze bottle, or rubber nasal bulb at your drug store. You can also buy saline solution made specifically for nasal rinses. Or, you can make your own rinse by mixing:

  • 1 teaspoons (tsp) or 5 grams (g) canning or pickling salt (no iodine)
  • A pinch of baking soda
  • 2 cups (0.5 liters) warm distilled, filtered, or boiled water

To use the wash:

  • Fill the device with half the saline solution.
  • Keeping your head over a sink or in the shower, tilt your head sideways to the left. Breathe through your open mouth.
  • Gently pour or squeeze the solution into your right nostril. The water should come out the left nostril.
  • You can adjust the tilt of your head to keep the solution from going into your throat or into your ears.
  • Repeat on the other side.
  • Gently blow your nose to remove remaining water and mucus.

Important Tips

You should:

  • Be sure you only use distilled, boiled, or filtered water. While rare, some tap water may contain small germs that can cause infection.
  • Always clean the neti pot or nasal bulb with distilled, boiled, or filtered water after every use and let it dry.
  • Use the nasal wash before using other medicines, such as a nasal spray. This will help your nasal passages better absorb the medicine.
  • It may take a few attempts to learn the technique of washing your nasal passages. You also may feel a slight burn at first, which should go away. If needed, use a little less salt in your saline solution.
  • Do not use if your nasal passages are completely blocked.

When to Call the Doctor

Be sure to call your health care provider if you notice:

  • Nosebleeds
  • Fever
  • Pain
  • Headaches

References

DeMuri GP, Wald ER. Sinusitis. In: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020:chap 62.

Rabago D, Hayer S, Zgierska A. Nasal irrigation for upper respiratory conditions. In: Rakel D, ed. Integrative Medicine. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 113.

  • What in the world is a neti pot?

    Animation

  •  

    What in the world is a neti pot? - Animation

    What in the world is a neti pot? I'm Dr. Alan Greene and I want to show you this simple device that has been used in a natural way to help deal with nasal congestion, sinus congestion, and allergies. Here's an example of the pot. They come in different brands and generic. What you do is you fill it with luke warm water and empty some packets of saline in there so it's a medicated rinse, saline rinse. Then you will want to get over a sink, bend over the sink and stick the pot into your nostril so that you get sort of a seal. And then of all things, you turn your head to the side until one nostril is right above the other while breathing through your mouth. Don't inhale. Don't snort. And what will happen is that it will wash through your sinuses and around and start dripping out the other nostril into the sink. When you're done, exhale and you have rinsed the inside of your nasal passages. Repeat on the other side as necessary.

  • What in the world is a neti pot?

    Animation

  •  

    What in the world is a neti pot? - Animation

    What in the world is a neti pot? I'm Dr. Alan Greene and I want to show you this simple device that has been used in a natural way to help deal with nasal congestion, sinus congestion, and allergies. Here's an example of the pot. They come in different brands and generic. What you do is you fill it with luke warm water and empty some packets of saline in there so it's a medicated rinse, saline rinse. Then you will want to get over a sink, bend over the sink and stick the pot into your nostril so that you get sort of a seal. And then of all things, you turn your head to the side until one nostril is right above the other while breathing through your mouth. Don't inhale. Don't snort. And what will happen is that it will wash through your sinuses and around and start dripping out the other nostril into the sink. When you're done, exhale and you have rinsed the inside of your nasal passages. Repeat on the other side as necessary.

    Self Care

     
     

    Review Date: 11/4/2021

    Reviewed By: Linda J. Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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