Sinus and Post Nasal Drip
Post nasal drip is an unscientific term that refers to the sensation of thick phlegm in the throat, which can become infected. It is annoying because normally the throat is moistened by the nasal secretions and throat mucous glands. This is part of the mucous - nasal cilia system that defends us from disease. When the amount of liquid secreted by the nose and sinus is reduced, and the cilia of the nose and sinus slow down, the fluid thickens and you become aware of its presence. Since the thick phlegm associated with post nasal drip is unpleasant and often infected because it is "just laying there" and not moving, our bodies naturally try to get rid of it, to the annoyance of our partners. Whether post nasal drip is caused by pollution, chemical exposure, or severe infection, the treatment requires that the cilia mucous system be brought back to normal.
A moisturizing spray is good for post nasal drip but avoid moisturizing sprays with additives or preservatives such as benzalkonium which has been clinically reported to aggravate sinus conditions and contributes to rebound nasal congestion. Easy to mix home made saline preparations free of harmful preservatives are much more economical and safe to use. These allow you to moisturize and clean your nose frequently, right away when you are exposed to diesel bus fumes, smoke, or dust. Breathe�Ease� nasal moisturizer that contains no irritating additives, including Benzalkonium, comes in a convenient 3-way spray bottle for cleaning out particles and/or moisturizing, and is very inexpensive per use. Thus, this moisturizer can be used as often as desired, and because it is free of irritating additives, there is no sting, so kids will use it.
Whatever helps to move the cilia helps post nasal drip. Many clinical studies report pulsatile lavage helps to restore ciliary function and is up to 100X more effective at removing bacteria. The Hydro Pulse delivers a very gentle and soothing pulsing rinse at 20 pulses per second to help revitalize and restore cilairy function. Pulsatile Nasal Irrigation performed daily for 2 weeks is often sufficient because the pulsation encourages good ciliary movement. Stagnant mucous is also removed along with bacteria. Often the key is to simply drink enough water to liquefy the secretions.
What about coffee? There is nothing wrong with coffee, its just that tea is what is known to stimulate cilia movement and reduce post nasal drip. Also chicken soup. Ice drinks slow the cilia, and so do most antihistamines. Sometimes patients are taking a large number of various medications and these combine to make the nose dry. Here, pulsatile irrigation is probably the best treatment for post nasal drip.
Sinus problems are the number one reason cited by patients for visiting their physician. No wonder with environmental pollutants and allergy sensitivity increasing everyday. Today we know that most sinus disease is caused when the cilia - the very tiny "hairs" in the nose and chest stop beating. These wonderful machines act like oars, moving 16 strokes each second to propel bacteria, dirt, and cancer causing poisons out of the nose and chest, before they have a chance to enter the body. Many cancers form where there are few cilia, emphasizing their importance. The treatment of choice for sinus disease is to have the body return the cilia to their normal function, beating 16 times per second.
Know what the BEST treatment is for early morning sneezing? If you start sneezing on awakening, it is because the nose is trying to get rid of the particles that accumulated there at night. If the nasal cilia are working properly, they beat at 16 beats a second and get rid of these particles and then you don't need the sneezing. The best treatment in breakfast in bed! You see, by drinking hot tea before you get out of bed, the body gets warmed up, the cilia speed up and the sneezing, hacking is avoided.
In the nose and chest are millions of tiny "oars" or cilia. They act in coordination to move out the dust and bacteria from the nose to the back of the throat where it can be swallowed and disposed of in the stomach. In the chest, the cilia beat to move the germs and dust out of the chest, up the windpipe to the throat where it is swallowed. When this system works you don't get sinus disease. When the system fails in the chest you get a cough, the cough takes over to get rid of the dirt and germs in the bronchial passages.
Protection from infection is achieved by the presence of lysozymes, immunoglobulins and phagocytes in the mucus solution. Movement of the bacteria by mucus flow reduces opportunity for penetration of the cell. Dilution of bacterial products makes them less toxic. Mast cells and globulins are carried in the mucous layer. If the cilia don't move the blanket, then the cells and defense can't be delivered where they are needed. Thus, the mucociliary defense system consists of cells that transport mucous and cells that secrete mucous. Both are essential to health. Remarkably, the ciliary movement is coordinated so that an effective wave propels the mucus in a specific direction.
Sinus cilia beat toward the natural sinus opening. Nasal cilia beat backward . Nasal mucus propels into the nasopharynx and is swallowed for disposal into the stomach. In the child this course directs the mucus with its bacteria, debris and foreign matter over the adenoids where lymphocytic defenses can act. The deep crypts and rugae of the adenoids create a larger surface area for greater effect in order to defend the body.
With a virus infection, the cilia are slowed down by the virus chemicals. This allows bacteria that normally would be swept away by the cilia to enter the body. Therefore, anything you can do to encourage good cilia movement is helpful. Hot chicken soup works! Hot tea is good. Compresses to the sinus/nasal area helps. Breathe�Ease� is a formulation that has been shown to aid cilia better than regular saline. It has an advantage over saline in that there are no preservatives such as benzalkonium and the mixture is buffered to avoid any burning sensation. The refillable spray bottle it comes with can be used for spray, drops or to irrigate or wash. Without the burning, this solution can be used regularly by kids.
When you feel a sinus infection coming on, rest, hot soup and tea, hot compresses applied to the sinus area: above the eyes for the frontal sinuses, between the eyes for the ethmoid sinuses, and below the eyes for the maxillary sinuses.
If this is not effective, there is an attachment to most standard WaterPik type devices (pulsating sinus irrigation) which can be used to restore nasal cilia, remove nasal pus, and thin the secretions. The attachment reduces the pressure to just the right pressure of 5 PSI - the water stream is about an inch high. The saline goes in one side of the nose and out the other. This is a natural way of healing the sinus condition. Even children as young as 5 years find this a pleasant treatment.
Some people get symptoms after exposure to downtown smog or dust at work. The use of the irrigator is advised much like washing the hands to remove dirt. By irrigating in this manner, the nose doesn't have to do the work. It is especially useful for Firefighters to use after the smoke of a fire.
Cilia are generally activated by increasing temperature up to 40 C, so hot compresses over the sinus area are beneficial. However above 40 C cilia are inactivated and hence the deleterious effects of hot steam nasal inhalation. Long term dry steam inhalation, (sauna), is suspected of being harmful.
For people with serious sinus disease, this pulsating device has proven extremely useful . For example, patients with Cystic Fibrosis have very poor ciliary action and so develop serious sinus disease. The pulsating saline irrigator can remove the pus and act like a normal cilia.
A good medication for nasal congestion is Sudafed Long Acting, 120 milligrams every 12 hours.
The term mucocliliary clearance refers to the system of the cilia and the blanket of mucus. This is a table of medicines and factors that increase clearance which is good, and medicines that slow mucociliary clearance, which is bad.
In World War 1, those who initially survived chlorine gas attacks sustained severely reduced MCC. This led to absence of MCC as a defense mechanism, and these victims died of respiratory infection.
Industrial toxins include chlorine, sulfur dioxide, cupric compounds, and many others.
Pathologic effects of dust exposure may include MCC disorder, and disturbance of regional immunity and the acid-base balance of tissues. These are reported by to be in direct proportion to the length of exposure to excessive dirt and dust.
The Kuwait oil fires released polyelie aromatic hydrocarbons and nickel and vanadium into the atmosphere. Results of this contamination are now being studied with indications of effects on MCC. and an increase in respiratory infections.
Formalin vapor and solutions below 0.25 % will inhibit MCC and cause symptoms. Chromium and chromates are known to be ciliotoxic and harmful to workers in mining and industry. In addition, certain areas of Saudi Arabia have chromium in the sand with an associated high incidence of sinus disease and chest disease. Workers in plating and sanding industries should wear protective inhalers and use pulsating saline irrigation to remove these chemicals and help restore the nasal ciliary action.
Smoking does not give consistent results, even in the laboratory. One interesting phenomenon is the patient who has swollen nasal membranes after he stops smoking. Some patients return to smoking to overcome the congestion and blockage. What may be the mechanism here is that the smoke acted as an irritant to the cilia, inducing movement. With the cessation of smoking, the stimulus is reduced and the cilia stop, leading to the feeling of obstruction.. In these patients I find decreased MCC and they respond to measures to restore normal MCC.
Much has been written about a common industrial complaint which also involves litigation, that of multiple chemical sensitivity syndrome. After a single powerful exposure, the individual in now sensitive to products not previously offensive. After the insecticide was sprayed in her office, now perfume, soap powder and small amounts of dust clog her nose and make her cough. In my experience, some of these cases are characterized by the first offender acting as a strong ciliotoxic substance, now the cilia are no longer defending the body and removing the dust and other particles so that the dust just lays there, multiplies and reaches a symptom producing level. I see this after a Skydrol or a Chlorine Gas inhalation.
Sinus Headaches and Sinus Pain Are Not Always What They Seem
It is common for patients to complain of sinus headaches. They point to the area over the eyes (where the frontal sinuses are) or the area under the eyes (where the maxillary sinuses are located) and ask for sinus relief. Actually, the sinuses are rarely painful due to infection. Even when you are blowing handkerchiefs of yellow pus, there is rarely pain. But, when there is a painful muscle in the back of the neck, the pain is radiated to the sinus area. The treatment is to get the neck well . It is advisable to check the posture at work and reading - office typist chairs are good, soft couch chairs are bad, and lighting can be important too. Light from the ceiling or shoulder is good, glare from in front is bad. In addition, it is advisable to do neck stretching, gently turn to see who is behind you. And head leaning onto the shoulder. This is best done in the shower, with the shower stream hard and comfortably hot for 3 minutes. Copyright �2002 content.
The information provided by Health Solutions Medical Products Corp. is not intended to replace the medical advice of your doctor or health-care provider. Please consult your health-care provider for advice about a specific medical condition. � 2002 Health Solutions Medical Products Corp. All rights reserved.