Thanks for being an actual doctor and explaining how to use this crazy contraption. I’ve been doing this totally wrong from the start but now I feel better after finally doing it right.
Everything was spot on. Thank you. Only question: is it safe to wash it out with faucet water? I thought no faucet water should be used therein, even for cleaning the pot, other than boiled.
Was having a problem with ear feeling full and clogged after the rinse, the tip in this video about saying "kaaayyyy" to block the liquid going into the eustachian tube is hugely helpful.
Oh my word! Thank you sooo much for this video! An ENT doc showing how to correctly do a saline wash is just what all doctors should order. And when people have an explanation of why, they're more likely to follow the directions. Thank you so sooo much!
Dr Bosso just told me about this video! Dr. Jim Palmer, as you joked today I too know a great sinus surgeon ;) Thank you for being a great surgeon and a compassionate doctor. Can't believe it's been 8 years this month since I started this journey at Penn. Good seeing you today as always :) Wishing you and your family the happiest of holidays!
Did it for the first time this morning after my sinus surgery yesterday. It wasn’t nearly as bad as I thought it would be. Rather than heating up in a microwave, I took a wonton soup container into the shower with me, filled it with warm water, and put the bottle in it to heat it up. I waited until the end of my shower and did it - the bottle was the perfect temperature. I wasn’t able to do half in one squeeze but maybe my technique just needs to improve.
BEST demonstration video! I’ve been up for hours looking for a tutorial. I initially read the entire instructional pamphlet. But sometimes I just got to see it. The first time my nose burned for an hour. I either didn’t shake up the solution correctly or the water was too cold. The next day, it felt like the water got into my ear tube and also into my frontal sinus. I may have layed down to sleep too soon after the rinse. Next time, I’ll follow your tips …bend forward more & say “kkkkaaayyyy” while rinsing to hopefully prevent water entering the Eustachian tube. Thank you so much for taking the time to make this video and sharing your knowledge with us. God bless you!
Thank you so much I went to Dr. Cilentó for the first time yesterday January 17th 2023 I will be having the deviated surgery done February 9 so thank you for this video I appreciate you everyone in that office was just fantastic and very accommodating
Thank you for the clear and useful instructions doc! Very nice tip on the "kaa" sound cuz my hear hurts when I do a sinus rinse. I also reported all the effing spammers on comment section!
You have given me something to consider with how I use my sinus irrigation machines, preferred over that of using a bottle. I had been using it mainly in an upright position, pointing the device upwards rather than at the back with my head bent over. That probably explains why much of the liquid I used to irrigate went down into my throat, to be coughed back up. Even after sinus surgery I still need to regularly use sinus irrigation, but I knew that anyway. At least the FESS done bilaterally on my maxillary sinuses has helped with their drainage.
Oh i wish i had seen this video first. I tilted mine a bit and i also feel like I swallowed a tiny bit. I gently blew my nose afterwards but my ear felt like it opened up? Next time I'm doing it the way you did. Thanks for the explanation and demonstration as well.
ahhhhhhhhh FINALLY THANK YOU. I KNEW I WAS DOING IT WRONG SOMEHOW. also i thought i was doing it too fast but apparently not. was just scared to drown the first 5 times
THANK YOU for this video! I realize how wrong I was doing it, and now I have weird sinus irritation. If the rinse is irritating my sinuses up between my eyes, am I doing something wrong?
My problem sinus is the sphenoid. To irrigate these bad boys I load up the nose (I actually suck water up thru the neti pot spout) and pinch off the nostrils. I keep the soft palate closed and lay on my back, and tilt my head back somewhat. At this point I can actually breath thru my mouth. I gently tap my head on the floor and rock my head side to side. My nose is pinched off during all this. After about a minute I stand, drain and blow out the loosened stuff gently. Reload and repeat until the neti is empty. I get 4 or 5 rinses per pot.
..The openings of the sphenoid, ethmoid and frontal sinuses are located at the top of the nasal cavity. Irrigation can only reach these openings when the head is positioned upside down. This can be achieved by instilling the irrigation solution from a syringe, with the head in supine position and then tilted backward into nearly an upside down position, over the edge of a bed or over an exercise ball. When the person sits up, the liquid is drained into a bowl, aided by a vigorous outbreath through the nose. A 60-mL syringe allows for five instillations of c. 12 mL each in a few minutes. (Wilhelmina J. Rietsema, MD)
@@VMTNKKR it depends on whether you experience blockage in the higher (like between your eyes and up) or not. If you do have upper blockage traditional tilted head won't reach it.
So I have a sinus bath container and I am in Australia. I thought you bend over the sink and squeeze the contents in one nostril and it comes out the other side. I’m having problems as it’s not so effective now. Am I doing something wrong. I bought a new one and still having issues. Do you believe I should breath in the liquid?
I’m trying to use this to clear up a thick post nasal drip that is too thick to really drip or come out. I saw another doctor demonstrate it by tilting his head back and snorting it up nose, down throat, and out mouth. I tend to feel like I’m drowning and cough it up though. I do cough up some of the phlegm though. Should I just keep trying it like shown here?
yes, its the only thing that works for me. like teeth cleaning need to do every day to keep it clear, to stop blockagee building just like brush teeth to keep plaque away
rmpbklyn it seems to only clean my nose. I don’t have anything in the nose, it’s towards back of sinus cavity where throat starts. I guess I’ll keep trying it. Every time I’ve done it though, I feel like I have a bad flu/cold for 2-3 days after
@@Pat_S make sure your chest is parele to the floor don't just bend the head down, i do in tub. also must have salt or saline wash. make sure the bottle flow s out , eg squeeze , then take out of nose let it rest so you squez again otherwise keep in nostral you are collecitn the bacteria into bottle.
Simply saline looks to be a nasal spray.. i dont think the flow would be sufficient for this. If you mean putting the simply saline liquid into the nasal bottle to skip having to salt and boil/buy and salt the water, it mighty work?? I can only assume what you mean and im not a doc, please be careful!
I tried it 2 times and was feeling very scared I do not think when i sprayed it in the left it came back through the opposite right nostril it came right back down the left nostril; Could it still help me that way?
It's probably because your turbinates are too swollen (from infections or allergies) and water is able to go in because of pressure from squeeze bottle but water falling down does not have the same pressure of squeeze bottle so it can't come down. I had the same thing happen and had to wait a few hours till swellings go down and water randomly come out.
My doctor told me to watch this and I’m just finding out after all these years that I was doing it wrong… which caused me to have 5 nasal surgeries probably for nothing
keep trying everyday i do, it keeps it clear, you probably have so much buildup (similar when go to dentist and there is tartar) one cleaning is not enough
Thanks for being an actual doctor and explaining how to use this crazy contraption. I’ve been doing this totally wrong from the start but now I feel better after finally doing it right.
Everything was spot on. Thank you. Only question: is it safe to wash it out with faucet water? I thought no faucet water should be used therein, even for cleaning the pot, other than boiled.
Must be distilled water.
Doctor Palmer literally saved my life❤️
how?
My life too
Was having a problem with ear feeling full and clogged after the rinse, the tip in this video about saying "kaaayyyy" to block the liquid going into the eustachian tube is hugely helpful.
Oh my word! Thank you sooo much for this video! An ENT doc showing how to correctly do a saline wash is just what all doctors should order. And when people have an explanation of why, they're more likely to follow the directions. Thank you so sooo much!
Excellent tutorial! Thanks doctors.
Thank you so much Dr Palmer for your expertise
Dr Bosso just told me about this video! Dr. Jim Palmer, as you joked today I too know a great sinus surgeon ;) Thank you for being a great surgeon and a compassionate doctor. Can't believe it's been 8 years this month since I started this journey at Penn. Good seeing you today as always :) Wishing you and your family the happiest of holidays!
Very good. Thanks for the complete instructions!
Your technic work's two hundred percent,thank you very much dr
Excellent demo! Thank you!
Thanks for this! I’m finally doing it right and the difference it’s big!
I just posted on a Facebook post. You're views may increase vastly over the next day. Thanks, Dr. Palmer!
Great job! Best one on the topic!
Dr.adappa is doing my revision surgery soon. Thanks for the video.
Did it for the first time this morning after my sinus surgery yesterday. It wasn’t nearly as bad as I thought it would be. Rather than heating up in a microwave, I took a wonton soup container into the shower with me, filled it with warm water, and put the bottle in it to heat it up. I waited until the end of my shower and did it - the bottle was the perfect temperature. I wasn’t able to do half in one squeeze but maybe my technique just needs to improve.
Thank you so much. My doctor recommended I watch your video to show how I have to do the 'rinse'. Well I am off to try it...
BEST demonstration video!
I’ve been up for hours looking for a tutorial. I initially read the entire instructional pamphlet. But sometimes I just got to see it.
The first time my nose burned for an hour. I either didn’t shake up the solution correctly or the water was too cold.
The next day, it felt like the water got into my ear tube and also into my frontal sinus. I may have layed down to sleep too soon after the rinse.
Next time, I’ll follow your tips …bend forward more & say “kkkkaaayyyy” while rinsing to hopefully prevent water entering the Eustachian tube.
Thank you so much for taking the time to make this video and sharing your knowledge with us. God bless you!
Thank you so much. I couldn't find any proper instructions elsewhere
Thank you so much I went to Dr. Cilentó for the first time yesterday January 17th 2023 I will be having the deviated surgery done February 9 so thank you for this video I appreciate you everyone in that office was just fantastic and very accommodating
Doing it wrong this entire time. Not tilting my head. Glad I found your video
This was the best video I’ve seen
Nice video. I forgot my GP taught me how to use it, I watched this video and I know what to do now!
Thank you, Sir.
Thanks for the how to.
I didnt know about the Kay word to say. Thanks Dr. Great tips👌
Thank you for showing us this. I was doing wrong the whole time.
Thank you for this important video.
Great demonstration doctor 👍👍👍
Thank you! Just had sinus surgery and was very confused on how to do this properly.
Thank you for the clear and useful instructions doc! Very nice tip on the "kaa" sound cuz my hear hurts when I do a sinus rinse. I also reported all the effing spammers on comment section!
also try kite and hike words.
Amazing
Thank you
This helped alot
❤❤❤ thank you sooooo much it is working better.
Pretty Good explanation and demonstrations
Thank you, well explained..
You have given me something to consider with how I use my sinus irrigation machines, preferred over that of using a bottle.
I had been using it mainly in an upright position, pointing the device upwards rather than at the back with my head bent over.
That probably explains why much of the liquid I used to irrigate went down into my throat, to be coughed back up.
Even after sinus surgery I still need to regularly use sinus irrigation, but I knew that anyway. At least the FESS done bilaterally on my maxillary sinuses has helped with their drainage.
Amazing your ENT doctors did not true the time to explain it.
So glad this video tutorial was posted.
Oh i wish i had seen this video first. I tilted mine a bit and i also feel like I swallowed a tiny bit. I gently blew my nose afterwards but my ear felt like it opened up? Next time I'm doing it the way you did. Thanks for the explanation and demonstration as well.
Same here felt water pressure by my ear
ahhhhhhhhh FINALLY THANK YOU. I KNEW I WAS DOING IT WRONG SOMEHOW. also i thought i was doing it too fast but apparently not. was just scared to drown the first 5 times
THANK YOU for this video! I realize how wrong I was doing it, and now I have weird sinus irritation. If the rinse is irritating my sinuses up between my eyes, am I doing something wrong?
thanks
Good information 👌
omg I love him
My problem sinus is the sphenoid. To irrigate these bad boys I load up the nose (I actually suck water up thru the neti pot spout) and pinch off the nostrils. I keep the soft palate closed and lay on my back, and tilt my head back somewhat. At this point I can actually breath thru my mouth. I gently tap my head on the floor and rock my head side to side. My nose is pinched off during all this. After about a minute I stand, drain and blow out the loosened stuff gently. Reload and repeat until the neti is empty. I get 4 or 5 rinses per pot.
After you have any side effects
Is room temperature generally around 70°F?
..The openings of the sphenoid, ethmoid and frontal sinuses are located at the top of the nasal cavity. Irrigation can only reach these openings when the head is positioned upside down. This can be achieved by instilling the irrigation solution from a syringe, with the head in supine position and then tilted backward into nearly an upside down position, over the edge of a bed or over an exercise ball. When the person sits up, the liquid is drained into a bowl, aided by a vigorous outbreath through the nose. A 60-mL syringe allows for five instillations of c. 12 mL each in a few minutes. (Wilhelmina J. Rietsema, MD)
i dont understand. so what he said is wrong?
@@VMTNKKR it depends on whether you experience blockage in the higher (like between your eyes and up) or not. If you do have upper blockage traditional tilted head won't reach it.
@@hey-diddlediddle how do u know where ur blockage is then?
Can you try this have any side effects please reply me 🙏🙏
So I have a sinus bath container and I am in Australia. I thought you bend over the sink and squeeze the contents in one nostril and it comes out the other side. I’m having problems as it’s not so effective now. Am I doing something wrong. I bought a new one and still having issues. Do you believe I should breath in the liquid?
❤️❤️
That "Kay" saved me a lot of headache :)
Can we irrigate frontal sinus from cyringe in upside-down position is it safe
Is a nasal rinse safe to do daily.
...dr Palmer/Adappa- do you men use a povidone iodine solution for nasal cleaning in your practices... if no- why no?... if so- HOW so?... thanks!👍🏻
My ent doctor recommended this to me. But when I do it water doesn't come out the other nostril
I did it wrong it when to my ears is it bad
my advice on why my head right side hurts? Is it because I inhaled through my nose during both nasal passage cleanses
don't inhale, breath out like he does saying kay, or do saaaaay for the entire time.
You can breathe thru your mouth as ive heard; definitely dont breathe thru your nose
I’m trying to use this to clear up a thick post nasal drip that is too thick to really drip or come out. I saw another doctor demonstrate it by tilting his head back and snorting it up nose, down throat, and out mouth. I tend to feel like I’m drowning and cough it up though. I do cough up some of the phlegm though. Should I just keep trying it like shown here?
yes, its the only thing that works for me. like teeth cleaning need to do every day to keep it clear, to stop blockagee building just like brush teeth to keep plaque away
rmpbklyn it seems to only clean my nose. I don’t have anything in the nose, it’s towards back of sinus cavity where throat starts. I guess I’ll keep trying it. Every time I’ve done it though, I feel like I have a bad flu/cold for 2-3 days after
@@Pat_S make sure your chest is parele to the floor don't just bend the head down, i do in tub. also must have salt or saline wash. make sure the bottle flow s out , eg squeeze , then take out of nose let it rest so you squez again otherwise keep in nostral you are collecitn the bacteria into bottle.
nycbklynrmp I will, thank you. Good tip doing it in the tub too.
Can you do this in upside down head position please reply me 🙏🙏
If you are using Simply Saline, do you follow the same steps?
Simply saline looks to be a nasal spray.. i dont think the flow would be sufficient for this. If you mean putting the simply saline liquid into the nasal bottle to skip having to salt and boil/buy and salt the water, it mighty work?? I can only assume what you mean and im not a doc, please be careful!
I tried it 2 times and was feeling very scared I do not think when i sprayed it in the left it came back through the opposite right nostril it came right back down the left nostril; Could it still help me that way?
No needs to flow out other nostril to be effective
Can you do this while in the middle of a cold?
Yes - especially
So how would I add steroids ? Like if I add couple of pumps of flonase spray to the mixture? Thanks
are u serious!?
No don’t do that
Netipot uses gravity and works better. These squeeze bottles are way harder to get right.
I followed instructions but water never comes out the opposite nostril.
It's probably because your turbinates are too swollen (from infections or allergies) and water is able to go in because of pressure from squeeze bottle but water falling down does not have the same pressure of squeeze bottle so it can't come down. I had the same thing happen and had to wait a few hours till swellings go down and water randomly come out.
Will this solution work with blocked nose???
Not in what I’ve read. I read that you need to be able to breathe through both nostrils.
Boiled water that has been allowed to cool to body temperature ‼️‼️
Can’t we just buy Saline instead of mixing it?
hi doctor, can i use bottle water?
add salt check with your ENT first
No..bottle water is not purified and can contain contaminants due to it coming from tap sources or natural reservoirs
My doctor told me to watch this and I’m just finding out after all these years that I was doing it wrong… which caused me to have 5 nasal surgeries probably for nothing
Excellent. There can be microorganisms living in the shower head.
i follow the procedure but water never come other side....left n right the same
keep trying everyday i do, it keeps it clear, you probably have so much buildup (similar when go to dentist and there is tartar) one cleaning is not enough
kaayyyyyyyyyyyyyyyyy
Doesn't work
Works fine if you do it correctly
I followed your method and now I have more nasal drip coming out . Yiur method does not work on me
The way neil med said works but yours is bad
I much rather a silly Dr than a Dr that barely talks and when they do its in medical term.
Makes me feel belittled.