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  2. Nasal irrigation is performed by instilling saline into one nostril and allowing it to drain out of the other nostril, bathing the nasal cavity. Saline nasal irrigation can be performed with low positive pressure from a spray or squirt bottle, or with gravity-based pressure using a vessel with a nasal spout, such as a neti pot.
    www.aafp.org/pubs/afp/issues/2009/1115/p1117.html
    www.aafp.org/pubs/afp/issues/2009/1115/p1117.html
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    Dr. Anet Varghese

    Doctor of Medicine (MBBS) · 1 years of exp

    Nasal irrigation is an at-home treatment to rinse your sinuses. You can buy the ingredients for nasal irrigation over the counter at most pharmacies or drug stores. First, wash your hands with soap and water. Wash the container if you’re using a neti pot, a nasal rinse bottle or another container that doesn’t contain a prefilled solution. Irrigate over a sink to make cleanup easier. Prepare the nasal irrigation solution:If you’re using a container that was sold with saline powder, follow the instructions to prepare the solution. To make a homemade solution, mix one or two cups of distilled boiled water with ½ to ¼ teaspoon of non-iodized salt. Avoid iodized salt, including table salt. If you’re using boiled water, boil for five minutes. Get the container ready: Pour the saline solution into the container you’ll use to rinse your nose. If you’re using boiled water, wait until it’s lukewarm (not too hot, not too cold) before using it. Get positioned: Lean over the sink, looking down. Turn your head to one side so that one ear is toward the sink (as if you were listening for a sound coming from the drain) and the other is toward the ceiling. Fine-tune your position by thinking of how you want the water to flow. Imagine water flowing from the top nostril and spilling out of the bottom one. Irrigate: Breathe through your mouth. Place the container’s tip or spout inside your top nostril until it forms a gentle seal. Tilt the container or squeeze the bottle so that water flows through your top nostril into your bottom one. You’ll feel the water trickle as it flows downward and spills into the sink. Keep going until the solution is gone. Blow your nose. Breathe air forcefully through your nose to get rid of any remaining solution or mucus. You can blow your nose over the sink or into a tissue. Irrigate your other nostril by repeating these steps on the other side. You shouldn’t try nasal irrigation if you: Have an ear infection. Have pressure in one or both ears. Have a nostril that’s completely blocked. Have had surgery on your ears or sinuses.
     
  4. Clinical Practice Guideline: Nasal Irrigation for Chronic Rhinosinusitis in Adults

     
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  5. Saline Nasal Irrigation for Upper Respiratory Conditions - AAFP

  6. Studies of Nasal Irrigation Mechanism
  7. Nasal Irrigation as Treatment in Sinonasal Symptoms Relief: A …

  8. Nasal Irrigation: An Imprecisely Defined Medical Procedure

  9. Nasal irrigation - Wikipedia