Saline Nasal Washes for Sinusitis (2024)

Overview

Most of the time it is best to do your saltwater (saline) nasal wash before you use your other nasal medicines. The wash will help your sinuses absorb the medicine.

Saltwater washes (saline lavage or irrigation) help keep the nasal passages open by washing out thick or dried mucus and allergens. They can also help the tiny hairs that line the sinuses work better to keep the sinuses healthy. This can help stop an infection from spreading to the other sinuses and reduce post-nasal drip. It also can make the nose feel more comfortable by keeping the mucous membranes moist.

    You can buy saline nose drops at a pharmacy. It's not recommended that you make your own saline solution. But if you do choose to make your own, follow these directions:
    1. Make your saltwater solution.
      1. Add 2 cups (500 mL) distilled water to a clean container.

        If you use tap water, boil it first to sterilize it. Let it cool until it's lukewarm.

      2. Add 1 tsp (5 mL) non-iodized salt to the water.
      3. Add 1 tsp (5 mL) baking soda.
    2. Wash your sinuses.
      1. Warm the solution a little, if you want.

        But make sure it's not hot.

      2. Fill a large medical syringe, squeeze bottle, or nasal cleansing pot (such as a neti pot) with the saline solution.
      3. Insert the tip into your nostril, lean over the sink, and squeeze gently.
        • Aim the stream of saline solution toward the back of your head, not toward the top.
        • The saline wash should go in one nostril and out the other side. Sometimes it comes out the mouth.
      4. Repeat on the other side.
    3. Blow your nose gently after the saline wash unless your doctor has told you not to blow your nose.

The saline wash may cause a burning feeling in your nose the first few times you use it. Most people get used to the wash after a few times.

  • Repeat several times every day.
  • Clean the syringe or bottle after each use.
  • You can store homemade saline solution at room temperature for 3 days.

Credits

Adaptation Date: 8/16/2023

Adapted By: Alberta Health Services

Adaptation Reviewed By: Alberta Health Services

Adaptation Date: 8/16/2023

Adapted By: Alberta Health Services

Adaptation Reviewed By: Alberta Health Services

Saline Nasal Washes for Sinusitis (2024)

FAQs

Saline Nasal Washes for Sinusitis? ›

The American Academy of Allergy, Asthma & Immunology recommends the following saline sinus rinse recipe: Mix 3 teaspoons of iodide-free salt with 1 teaspoon of baking soda and store in a small airtight container. Add 1 teaspoon of the mixture to 8 ounces of lukewarm distilled or boiled water and perform a sinus rinse.

Is saline flush good for sinus infection? ›

It can also help relieve nasal symptoms of sinus infections, allergies, colds and flu. Plain water can irritate your nose. The saline allows the water to pass through delicate nasal membranes with little or no burning or irritation.

Does saline nasal help sinusitis? ›

Saltwater washes (saline lavage or irrigation) help keep the nasal passages open by washing out thick or dried mucus and allergens. They can also help the tiny hairs that line the sinuses work better to keep the sinuses healthy.

How often can I flush my sinuses with saline? ›

Irrigate your nose with saline 1 to 2 times per day. If you have been told to use nasal medication, you should always use your saline solution first. The nasal medication is much more effective when sprayed onto clean nasal membranes, and the spray will reach deeper into the nose.

Can saline rinse get stuck in sinuses? ›

Water from the neti pot can get stuck in your sinuses if you don't tilt your head correctly. You can tilt your head properly, ensuring it's at a 45-degree angle, so the saline rinse doesn't get stuck or flow into your mouth.

What not to do with a sinus infection? ›

DO avoid allergy triggers.
  • DON'T use over-the-counter nose sprays. They can make symptoms worse.
  • DON'T travel in an airplane during an acute attack. Pressure changes can make symptoms much worse. Check with your health care provider first if you must fly.

What are the side effects of a sinus rinse? ›

Side effects of sinus rinsing

The most common issues resulting from a nasal rinse are a burning or stinging sensation in the nose and mild irritation in the nasal passages. To make your nasal rinse more comfortable, make sure to use a saline solution instead of plain water, which can aggravate the inside of your nose.

How to clean a deep inside nose? ›

Using a squeeze bottle, bulb syringe, or neti pot, pour or squeeze the saline solution slowly into the upper nostril. Allow the solution to pour out your other nostril and into the drain. Breathe through your mouth, not your nose, at this time. Repeat on the opposite side.

What actually clears sinuses? ›

Try a decongestant

"Especially if you have a really bad cold and you're really congested, a nasal decongestant spray can help open up the sinuses," says Dr. Takashima. "You might even take this opportunity to do a nasal rinse and really clear out the contaminants leading to problems in your nose."

Do doctors recommend sinus rinse? ›

As long as you're taking care to clean containers properly and use boiled or distilled water, nasal irrigation is a safe daily ritual. Nasal irrigation can often provide relief when dealing with an irritating stuffy or runny nose.

Can you use neilmed sinus rinse every day? ›

Many doctors recommend rinsing 3-4 times daily or for special circ*mstances, even rinsing up to 6 times a day is safe. Please follow your physician's advice.

Can I use bottled water for sinus rinse? ›

Abstract. Background: Nasal saline irrigations are a valuable, widely used adjunct for the management of chronic rhinosinusitis. Due to potential concerns regarding infection, patients are commonly recommended to use distilled, bottled, or boiled tap water when mixing these solutions.

Can you overuse saline nasal wash? ›

DON'T overuse it.

Use a nasal rinse as needed, whether it be a few days or once a week. When your allergies are bad, you can use a neti pot or nasal rinse one to two times per day. Be aware, though, that using nasal rinses too often can irritate your nasal passages.

Can you overdo spraying saline in your sinuses? ›

Although saline nasal sprays are safe for daily, ongoing use, they can cause a runny nose if you use too much at one time.

How do I completely flush my sinuses? ›

They can then follow these steps to perform a sinus flush:
  1. Lean over a washbasin and tilt the head to one side. ...
  2. Breathing through the mouth, insert the spout into the upper nostril. ...
  3. Clear the nostril and repeat the process on the other side.
Feb 24, 2020

Can you flush out a sinus infection? ›

Nasal irrigation is a safe and easy way to rinse your sinuses. It can help relieve symptoms related to a sinus infection, allergies, a cold or other upper respiratory conditions. Neti pots, rinse bottles and pre-filled containers are all excellent options if you want to try nasal irrigation.

How do doctors flush your sinuses? ›

The ENT inserts a tiny tube with a small balloon on the en into your nose. The balloon is placed at the source of the blockage and then inflated to help open the passageway, allowing your sinuses to drain properly. With the blocked area expanded and reshaped, the balloon can be deflated andr emoved.

What nasal spray is good for sinus infection? ›

These nasal sprays help prevent and treat swelling. Examples include fluticasone (Flonase Allergy Relief, Flonase Sensimist Allergy Relief, others), budesonide (Rhinocort Allergy), mometasone and beclomethasone (Beconase AQ, Qnasl, others). Decongestants. These medicines are available with and without a prescription.

What happens if you use tap water for sinus rinse? ›

Conclusion: Despite standardized instructions for the preparation of saline irrigation solutions, many patients use untreated tap water. The extremely rare, but typically fatal, risk of meningoencephalitis from Naegleria fowlerii makes this a potential health hazard.

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