Health

Ask Health Experts and Get Answers to Your Health Question ASAP

Ask an Expert,
Get an Answer ASAP!

Health
This answer was rated:

SEEKING ENT SPECIALIST or expert with ENT-knowledge, ASAP. I

SEEKING ENT SPECIALIST or expert...
SEEKING ENT SPECIALIST or expert with ENT-knowledge, ASAP.
I already have a chronic bilateral ethmoid infection and definitely don't want to make it worse. I have been using the NeilMed Sinus rinse 3 times weekly for the past couple of years and now need to know if, using the saline rinse can possibly push "bad" bacteria back into my ethmoid sinuses or if the saline actually just circulates through the nasal passage and doesn't get into the ethmoid and other sinuses.
I had a dental exam and conversation with a dentist yesterday, who, I later realized, may not have been healthy at the time. And, since my mouth and nostrils were uncovered, I'm now concerned that I may have gotten some new "bugs" in there.
MY MAIN QUESTION AGAIN: Would doing a NeilMed sinus rinse irrigation flush those potential bugs out of my nose or would that potentially make it worse by pushing possible bad bacteria back into my already affected ethmoid sinuses? Thank you for your prompt response.
Jon
Show More
Show Less
Ask Your Own Health Question
Answered in 6 minutes by:
7/30/2013
Dr. Hasan
Dr. Hasan, Doctor
Category: Health
Satisfied Customers: 8,648
Experience: MBBS, FCPS, with experience in all fields of medicine and surgery
Verified

HI, Thanks for your question. My name is***** and I am here to help you today. I will be happy to help you with your follow-up questions also. I am going to address your primary concern but later you can ask anything you want. Using saline rinse in nose is not going to give you any harm. It is beneficial in every aspect because there are small hairs in nose and they are meant to push the nasal secretions back in throat. They require moisture for their proper working, saline provide that moisture. After operating patients with ethmoid problems, i recommend then to use saline rinse. So in your case i would suggest that you should use it. It's not going to give you any harm and it washes the infection rather than propelling it in ethmoid. I hope this helps you, please ask if you have any question because our discussion always remains open so you can always ask more till you are satisfied, You can click the smiley to rate the answer. You can come back here to ask anything even after you have rated the answer. I will be glad to help you always.

Dr. Hasan
Dr. Hasan, Doctor
Category: Health
Satisfied Customers: 8,648
Experience: MBBS, FCPS, with experience in all fields of medicine and surgery
Verified
Dr. Hasan and 87 other Health Specialists are ready to help you
Ask your own question now
Customer reply replied 4 years ago

Dr. Hasan, My apologies for the delay in rating you. I thought that I had already done so last week and haven't been back on the site or looked at my JA related email since. I do have another question or two regarding your answer but I went ahead and rated you first. I will send the reply tomorrow or Friday. Thanks,

Jon

Jon you are most welcome. Your satisfaction is our goal, yes sure please feel free to ask anything you want. You will always get good and practical answer. If you ask new question, you can add " for dr Hasan only" in the beginning. Regards.
Ask Your Own Health Question
Customer reply replied 4 years ago

Hi again Dr. Hasan, I have some new ENT-bacteria questions-- that are related to the previous questions that I asked you back in July. But, I will rate you again for these if you are qualified to answer.

You didn't mention your medical specialty, On that note, please let me know what your specialty is, and if you have a strong background in ENT and infectious disease. If not, I will have another M.D. respond. Thanks.

I now realize that I was asking you the "wrong" questions then.

I should have been asking you, "How long can I use a new bottle of steam distilled water for a NeilMed sinus rinse before changing to another new one?"

Actually, that question is answered by Dr. Mehta (the NeilMed sinus rinse "creator") on his website that I saw today-- He clearly states:

In order to ensure its purity, we recommend that you use distilled water within three days of breaking its seal (the same goes for previously boiled water). Once opened, bottled water is exposed to bacteria. Keep it in a cool dry place between uses, away from sunlight and heat sources, to inhibit the growth of bacteria...

Yet, although I very carefully cleaned the NeilMed bottle and cap and also kept the distilled water bottle as clean as possible when opening and closing, I very stupidly used the same large one gallon bottle of unrefrigerated, room temperature, steam distilled water for NeilMed sinus rinses until the bottle was completely empty-- which, using the 8oz NeilMed sinus rinse 3x/wk, would be for approx 4-5 WEEKS!

And, I had been doing that for at least two years (resulting in 300 apparently "contaminated" NeilMed sinus rinses) prior to my ENT appt this past June. Since then, I have only rinsed 1x/wk and changed to a new distilled water bottle after approximately TWO WEEKS! (Still terrible, bacteria-wise.)

Anyway, I'm now very upset, depressed, and worried, that instead of being of benefit, every time that I used the NeilMed sinus rinse I squirted 8oz of bacteria-laden saline throughout my nasal and sinus passages-- especially into my already chronically infected bilateral ethmoids.

My sinus-related symptoms have not seemed to become worse during that time. And, on my repeat annual sinus CT in June, it was "unchanged" since the original three years earlier. And, again, although the distilled water bottle was not refrigerated, I was very careful to keep the contents and cap very clean while quickly opening and closing it (immediately.)

On that note, is it possible that, while the "contaminated" NeilMed sinus rinses were not of any benefit, I also somehow didn't make things worse, sinus-wise (regarding my bilateral posterior ethmoiditis or other sinuses)?

And, obviously, from now on, any time that I do use the NeilMed sinus rinse, I'm going to use a fresh bottle of distilled water. But, now I'm afraid to use it at all-- especially if it can potentially do a lot more harm than good.

Again, if you are qualified to answer these ENT-infectious disease questions please let me know, ASAP. And, also please let me know, ASAP if you are not-- so that I can quickly let a more qualified expert answer them. Thanks again for you very prompt response either way.

Sincerely,

Jon

Jon thanks a lot for getting back to me. Yes i am an ENT specialist working in a university medical hospital so i am totally qualified to answer your question. I have special training in sinus surgeries so again a favourable point from your perspective. Coming to your question, you have not done any harm by using that sinus rinse. Although yes it is true that leaving the saline for more than 3 days promotes the overgrowth of bacteria but fortunately our nose has special system for controlling these bacteria. Imagine that we keep breathing air full of bacteria all the day but never get bacterial infection, why it is so? Our nose has special antibodies that process these bacteria. So even if you were using contaminated saline, you were still providing moisture required for nasal ciliary function and the bacteria were being processed by the nose. You should be careful next time. Let me tell you how to make a good nasal rinse which you can make daily. Take one litre of tap water, boil it, let it cool, add one table spoon of salt and one table spoon of baking soda in it. Mix them and rinse your nose daily with this. You can make new solution daily, it will take just few minutes. I wish you all the best for a good health, please ask if you have any question because our discussion always remains open so you can always ask more till you are satisfied, You can click the smiley to rate the answer. You can come back here to ask anything even after you have rated the answer. I will be glad to help you always.
Dr. Hasan
Dr. Hasan, Doctor
Category: Health
Satisfied Customers: 8,648
Experience: MBBS, FCPS, with experience in all fields of medicine and surgery
Verified
Dr. Hasan and 87 other Health Specialists are ready to help you
Ask your own question now
Customer reply replied 4 years ago

Hi Dr. Hasan,

Thanks for the prompt response. I rated, paid, and tipped you for that.

I now have other ENT questions to ask you-- that may be of concern for me (but hopefully not.) , but, I will open a new thread for those and ask for you specifically. Hopefully, you will be online sometime later today. Thanks again.

Jon

sure Jon, anytime . Please remember to start the question with "for dr Hasan" only. I am here to grok you always. Regards
Ask Your Own Health Question
Ask Dr. Hasan Your Own Question
Dr. Hasan
Dr. Hasan
Dr. Hasan, Doctor
Category: Health
Satisfied Customers: 8,648
8,648 Satisfied Customers
Experience: MBBS, FCPS, with experience in all fields of medicine and surgery

Dr. Hasan is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!!

Janet VPhoenix, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor (MD)

5,660 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Nurse Milli, RN

Nurse Milli, RN

Nurse (RN)

4,051 satisfied customers

20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.

Dr. Ketch

Dr. Ketch

Doctor

102 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Doctor (MD)

5,083 satisfied customers

Practice Director

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor (MD)

19,641 satisfied customers

MBBS, MS (General Surgery), Fellowship in Sports Medicine

Dr. Chip

Dr. Chip

Doctor (MD)

13,902 satisfied customers

Over 20 yrs of Family Practice

Dr. Mark

Dr. Mark

Doctor (MD)

6,234 satisfied customers

U.S. Physician/Surgeon in Neurosurgery

< Previous | Next >

Related Health Questions
I've just gotten back on the deposit shot and now I've been
Hello... I've just gotten back on the deposit shot and now I've been spotting for about 16 days.. it went away for about a day and a half then I started spotting again last night...I also take blood p… read more
Onlinedoc
Onlinedoc
Ayurveda and General Physician
B.A.M.S
2,786 satisfied customers
That sensation of urine popping out like its stuck after
That sensation of urine popping out like its stuck after slight hesitation hasn't stopped since last night,usually after sitting on hard surfaces,it usually goes back to normal after one time?… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,641 satisfied customers
I have a solid pain every morning after i eat on the left
I have a solid pain every morning after i eat on the left side between my hip and mo bottom rib. I also feel achy and feverish, but no fever. Gone on for 5 days now … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,641 satisfied customers
My ggt level is 80. I have been drinking for months. If I
My ggt level is 80. I have been drinking for months. If I abstain from liquor, will the ggt levels go down? … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,641 satisfied customers
I have acid reflux for 20 years on and off. I'm always
I have acid reflux for 20 years on and off . I'm always afraid of diseases .i spoke to U about this before but now I read that acid reflux can also cause a disease call fibrosis something where a scar… read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,035 satisfied customers
I've been taking .5 mg Klonopin for 1 week straight and last
I've been taking .5 mg Klonopin for 1 week straight and last one taken was 2 days ago … read more
Onlinedoc
Onlinedoc
Ayurveda and General Physician
B.A.M.S
2,786 satisfied customers
Had a Hep C test. Result is .14. What does this mean? Is
Had a Hep C test. Result is .14. What does this mean? Is that positive? … read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
741 satisfied customers
Recently had a tubal a week ago yesterday. Was at e.r. last
Recently had a tubal a week ago yesterday. Was at e.r. last night. All results came back stating it was due to the surgery. My thing is is the swelling and bruising is getting worse along with the kno… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,804 satisfied customers
A had a heat rash a month ago and now has progressed to
Hi a had a heat rash a month ago and now has progressed to lesions on arms and legs. So itchy sometimes I feel I am under attack. Lesions will not heal. Now got athletes foot and jock itch. Please hel… read more
Vakul Aren
Vakul Aren
Consultant Physician
Post graduation (Liverpool, U.K.)
3,904 satisfied customers
My temp is at 96.2 I'm dizzy and stomach hurts. I've have
I've have had a headache for 2 days today I woke up stuffy nose abdominal pain and dizziness so I took my temp is 96.2 Fahrenheit have not vomited but feel like it … read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
6,804 satisfied customers
Something moving on left by my navil. No symptoms at all. No
Something moving on left by my navil JA: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)? Customer: No symptoms at all. JA: Anything else in your medical history you… read more
Onlinedoc
Onlinedoc
Ayurveda and General Physician
B.A.M.S
2,786 satisfied customers
Hii. I got red spots on forskin and also it's dry all the
I got red spots on forskin and also it's dry all the time and itchy. So when i pull back my forskin and it's hurts some time … read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
235 satisfied customers
Been on ear drops for three days. pain is gone but ear is
been on ear drops for three days. pain is gone but ear is still swollen can't hear. how long before swelling goes away so I can hear again?… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,641 satisfied customers
My physical therapist ended my treatment today because she
My physical therapist ended my treatment today because she said i gave all the same answers as I did a month ago as in moderate difficulty in doing things?my neck is really stiff from that work incide… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,641 satisfied customers
IT FEELS LIKE I CONSTANTLY HAVE A AIR POCKET IN MY THROAT.
IT FEELS LIKE I CONSTANTLY HAVE A AIR POCKET IN MY THROAT. KIND OF FEELS LIKE YOU HAVE TO BURP BUT THE AIR IS STAYING IN YOUR THROAT. I HAVE HAD THIS FEELING FOR 2 DAYS NOW. VERY UNCOMFORTABLE.… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor (MD)
Post-Doctoral Degree
19,641 satisfied customers
A numbness almost tingling sensation under my left breast, I
A numbness almost tingling sensation under my left breast, I am a 26 year old male … read more
Doctor John MD
Doctor John MD
Urgent Care and Sports Medicine Doctor
Doctoral Degree
491 satisfied customers
I've been dealing with migraine the past couple days. Today,
I've been dealing with migraine the past couple days. Today, I noticed my temp is 94. Wondering why or if anything I can do to get it up? … read more
Dr Ted Manos
Dr Ted Manos
Self Employed
MD
741 satisfied customers
My daughter was given a shot of Depomedrol 80 About ten days
My daughter was given a shot of Depomedrol 80 About ten days ago for a sinus infection. She is 18 so she went in by herself while I sat outside with my younger children. I probably would have suggeste… read more
Dr. Scott
Dr. Scott
Doctor
880 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x