It's bad enough having an allergy with runny nose and sneezing. What
is worse is getting a sinus infection as a result of the allergy. Let's
discuss how to prevent this.
In Allergy - for example weed allergy
in the fall-blowing your nose too hard can weaken the immune system by
damaging the nasal membranes. Poor sleep, poor diet, anxiety, too many
drying medications can reduce the normal immune response. In allergy,
getting chilled, and too many iced drinks slow the good nasal cilia
response.
Nasal Cilia
Normally nasal cilia move bacteria out
of the nose and keep you healthy. In the early stages of a weed allergy
the nasal cilia speed up and the nose drips. Later, the cilia are
exhausted, and no longer move the bacteria out of the nose, thereby
allowing the bacteria to multiply.
A common cause of sinus disease
is the act of blowing the nose too hard. Excessive blowing irritates
the nose in the same manner as rubbing the eyes too hard-eye-rubbing
damages the delicate eye membranes, and blowing hard can damage nasal
membranes. When Big Jim blows hard and loud enough to hear him next
door, he is harming his tissues and spreading bacteria to healthy areas
of his sinuses and into his ears.
If weeds are your allergy, it is
best to remain on the ocean in your yacht. Or, stay indoors and avoid
the pollen. Important: If you are in a rainy area, the humidity above
50% increases dust mites and mold so keeping the humidity below 50% is
important. Even if weeds are your allergy, dust adds to your misery, as
does mold.
Various products can aid your allergy including
antihistamine pills such as Claritin and Zyrtec. Nasal sprays containing
antihistamine such as Astelin or Astepro help many allergics. If you
know your allergy calendar, you can start Nasochrom before the allergy
season for good relief. Nasochrom is available without a prescription
and has almost no side effects. Some persons do well with the cortisone
type nasal sprays such as Flonase or Veramist. For most persons, the
effects of the various cortisone nasal sprays are similar, so select by
price.
On the other hand, be aware that nasal sprays containing
benzalkonium inhibit cilia function. Long-term use of Afrin nasal spray
can cause rebound and addiction to this product.
Many of my
patients do well during allergy season by rinsing the nose with saline.
With pulsatile saline irrigation you get a known removal of pollen and
the wave pulsatile action restores cilia function.
Prevent the Sinus Infection:
Prevention of sinus infection is accomplished by keeping the cilia moving and washing away pollen and bacteria.
Primary
weapon is Tea Lemon and Honey. Tea contains xanthines including L
theonine that act to speed nasal and chest cilia. Lemon contains
antioxidants and thins the mucus, thereby allowing better cilia
movement. Honey kills bacteria and also thins mucus. About eight glasses
of tea, lemon and honey is best. This must be black or green tea, with
or without caffeine. One of the compounds in tea is called EGCG. This
blocks the receptor that makes the allergic response of histamine and
IgE.
Cilia speed up with rest and relaxation and freedom from anxiety. Use compresses to the sinus areas-
o between the eyes for the ethmoid sinuses
o below the eyes for the maxillary sinuses
o above the eyes for the frontal sinuses
This helps in two ways-increased circulation and resting the patient.
Remember
Chicken Soup- Jewish penicillin? That also has factors that speed nasal
cilia. Recall, your nose sometimes drips when you take chicken soup.
Humibid
is a Guaifensin product that increases cilia movement too. Various
proteolytic enzymes such as Papain and Bromelain will thin the mucus and
thereby speed cilia. Use a balanced amount of these enzymes that you
melt in your mouth. That way, you avoid the stomach acid that
inactivates these enzymes.
Adequate fluids help too. Sudafed and related products (pseudoephedrine) work well.
Humming
at a low pitched "oooommmm" is a vibratory sound that gets the tissue
vibrating, as well as the air itself and helps cilia move well. There is
a device called The Flutter Device. It is like a kazoo and when you
blow in it, you get a low pitched sound that vibrates not only the chest
cilia, but the nasal as well. There is an Australian musical instrument
called the DIDGERIDOOS that gives the deep resonate sound ideal for
moving chest and nasal cilia.
Jump rope and jumping jacks are also
effective for waking up slow cilia, but not many of my patients have
the energy for this after six weeks of sneezing.
The doctors all
advise adequate sleep and rest. Good advice. How to do this when your
nose is plugged and you are sneezing? Since good sleep is primary for
keeping up your immunity and avoiding a sinus infection, here are some
pointers that help:
Set your sleep clock. If you go to bed nightly
at the same time then you sleep clock can be set. Make going to sleep
as formal as possible with specific steps you repeat nightly such as:
Brush your teeth
Comb/brush your hair
Cream your hands/face
Try to have the same room temperature
and bedclothes. Some persons do better with a sleepy music or a TV show
such as the Shopping Channel for men or the Sports Channel for women.
You may want to discuss with your doctor about using Melatonin to help
set that sleep clock.
For that nighttime plugged nose, a Benzedrex inhaler often works well, as does a Benadryl capsule.
Pulsatile
irrigation refers to using a nasal/sinus irrigator device that pulses
at a rate to "harmonize" with normal cilia movement. This gently
delivers saline solution in the form of waves that, like the ocean, come
up and then retreat. Used during the allergy season, pulsatile
irrigation is effective in irrigating away dust and pollen, lowering the
body's IgE level in the blood, and reducing the need for drugs.
In
some persons, this might be enough relief and allow them to stop taking
medications. This method is ideal for those who prefer to avoid drugs
for their allergy, particularly if you are pregnant. If you use
pulsatile irrigation to remove the jasmine pollen that lands in your
nose, you are still allergic to the pollen, but your body can handle the
reduced amount of the pollen in your system with fewer symptoms when
your natural cilia movement is active in removing the pollen.
When Mucus is Colored
When
mucus is colored, this suggests bad bacteria are in your sinuses. A
common cause is using squeeze or pot irrigators that have "flowback,"
With flowback, bacteria from the nose flows back into the bottle or pot
and grow; then they are introduced back into the nose at the next
irrigation.
Pulsatile irrigation should be started to avoid a
sinus infection when mucus thickens and becomes colored. That is when
the cilia are "worn out. " The rate of the pulsatile wave action moves
the cilia, the wave irrigation action removes thick mucus that may
impede cilia movement and flow. An important factor is that pulsatile
irrigation removes bacteria and virus products, and is more effective
for biofilm removal.
Biofilm
Biofilm is recognized today as a chief reason why sinus disease is
so hard to cure. Here, the bacteria get together in colonies and form a
slime coating that makes it difficult for the antibiotic to penetrate.
That same coating is sticky so that ordinary rinsing doesn't do a good
job of dislodging this product. Pulsatile irrigation can be highly
beneficial where biofilm is the culprit because the pulsation helps to
dislodge the sticky memebrane and the wave action helps to move it out
of the nose.
Reducing bacterial load is extremely beneficial for
preventing sinus infection following an allergy. One approach is
prophylactic antibiotic. This can be administered via pulsatile
irrigation. However, any antibiotic has drawbacks of sensitizing the
patient, building up bacterial resistance and potential side effects of
the drug.
Reduce Bacterial Load
One answer to reducing
bacterial load without side effects is to use Xylitol in the pulsatile
solution. Xylitol is a sugar that is used to bake cookies for diabetic
patients. Because it is metabolized by the liver and not by insulin, it
is an ideal sweetener for diabetic patients. However, most bacteria
can't digest it. In essence, the bacteria gorge on the Xylitol which
they can't digest. Think of them as soldiers who are now too stoned or
drunk to defend themselves, and can be defeated by your natural defense
factors such as lysozyme. Now, these impaired bacteria can be easily
swept away.
By delivering Xylitol in the pulsatile irrigator, you
significantly lower the bacterial load so that your natural healing
takes place to get rid of remaining bacteria.
Xylitol has many
advantages. It is inexpensive-about five dollars a pound, it is sold in
most health food stores, it has no side effects on the patient, and
doesn't change bacterial resistance to antibiotics. Just as you can use
Xylitol daily to sweeten your tea, similarly you can use it daily for
nasal/sinus irrigation.
In my practice I have my patients make a 1% Xylitol/Saline solution.
Add
500 cc (about one pint) of bottled or distilled water to the irrigator
bowl. Add one teaspoon of salt or one packet of enhanced saline such as
Breathe.ease XL. Then add two teaspoons of Xylitol. This makes a 1%
solution of Xylitol.
Using this daily at the end of the allergy
attack can restore nasal cilia function, remove bacterial products, and
significantly lower bacterial load to prevent the sinus infection that
may otherwise follow the allergy.
It is always important to get
sufficient rest, use the cilia stimulation I have described, and improve
natural immunity with good gut bacteria such as probiotics, and keep a
sunny outlook.