Search   
HOME TREATMENTS ARTICLES RESOURCES PATENTS MEDIA CENTER ABOUT US BLOG HELP ME

FAQ/Nasal Irrigation



Antibiotic Application through Nasal Irrigation
Sent: Tuesday, December 17, 2002
Question:
I have seen antibiotics applied to the skin in some circumstances and I sometimes apply antibiotic powder to canker sores to prevent secondary bacterial infections.
Do you think it is possible to apply antibiotics to the sinuses through nasal and sinus irrigation? Why can't we just add liquid or powder antibiotics to the saline solution? Is there any way to get the saline solution into the sinuses through irrigation or can you only irrigate the nasal passages?
Thank you for your very helpful web site.
Dr. Roby Answers:
It was tried years ago with liquid Cleocin. I saw it in a research paper. So, I tried it in a nose spray. I thought I was going to die! My nose burned as though I had squirted acid into it. Further research led me to conclude that our nasal mucus membrane is very sensitive. VERY sensitive. So, even a very weak antibiotic solution seems to set up a terrible allergic reaction. Besides, the infection is inside the sinus cavity. It has flared up because the tiny drain hole of the cavity has swollen shut...ergo...how are we going to get the antibiotic up inside the blocked caity?
Answer: we're not. Even when antibiotics were placed inside the cavity using endoscopic instruments and pumps, the infection was not eradicated.
Great idea! I had the same one! But...we were wrong.


How much pressure can be safely used during nasal irrigation?
Friday, October 04, 2002
Question:
How much pressure can be safely used during nasal irrigation? I have been trying nasal irrigation, using a solution of water, salt and baking soda. My problem is I can't seem to get the solution to come across my nasal passage from one side to the other. I don't want to use too much pressure, but am using a simple bulb syringe and get to a point where I have my nose plugged and cannot get past a certain point. I do have a deveated septum, but would expect to be able to move fluids across my nasal passage.
Dr. Roby Answers:
NEVER force it. If a gentle squeeze won't move it, forget it...you have an obstruction. See your ENT.


 

4407 Bee Caves Road · Suite 122 · Austin,TX 78746 , 512-338-4336 · 800-842-6349
© 2006 Russell Roby M.D., J.D., A.C.A.A.I., F.C.L.M.

All materials on this website are copyrighted by Russell Roby, J.D., M.D., except where noted otherwise.

Privacy Notice || Medical Disclaimer
Web Design: Web Directions Inc || Web Hosting: Web Directions Host.