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Snoring Stops Here

Snoring Stops Here

 Murray Grossan, MD.
 About the author: Dr. Grossan is an otolaryngologist and head and neck surgeon with the Tower Ear, Nose and Throat Clinic at Cedars-Sinai Medical Center in Los  Angeles and the founder of the Web based Grossan Sinus & Health Institute (http://www.grossaninstitute.com). He is author of Free Yourself from Sinus and Allergy  Problems Permanently.

The purpose of this program is to reduce snoring in order to prevent it becoming a serious cause of illness.

Snoring can lead to hypertension and Acid Reflux. It can lead to Diabetes and overweight and even heart disease. Snoring with next day fatigue can lead to auto, train and industrial accidents. At least 1/3 of auto and industrial accidents are due to next day fatigue

Snoring is contagious. The partner get it too!d

The following program has been used on many patients of Tower ENT in Los Angeles and is based on dozens of scientific studies, some of which are added here.

The Snoring Program is Essentially:

  • Clear the nasal blockage with Hydro Pulse Nasal Irrigation
  • Clear the swollen throat blockage by Hydro Pulse Throat Irrigation
  • Correct weak throat muscles that cause or contribute to the snoring with throat exercises.
  • Open the nasal valve for better breathing in sleep
  • Sleep on left side if possible – here the tongue falls forward.

Directions

  1. Attach the nasal tip to the Hydro Pulse. Add 500 ml of warm water and one packet of Breathe.ease XL. Irrigate approximately 200 ml on each nostril. Do this 2x a day until nose is entirely clear. No need to continue once nose is clear.
  2. Attach the throat irrigator tip to the Hydro Pulse. Fill the basin with 500 ml of water. Salt is optional. Lay the tip gently on the right tongue, parallel to the length of the tongue, and direct the stream to just behind the last tooth. Lean into the sink. The pulsing stream will massage the right tonsil area as well as other areas of the throat. After about 250 ml, flip the tip over, move to the left tongue, direct the stream to just behind the left last tooth. Best to do this 2x a day.
  3. Get stronger throat muscles by voice exercises 5 minutes 3x a day.

The exercises for stronger throat muscles should be done for 5 minutes 3x a day. If you do them more often, that works even better.

The Throat Exercises   (Oropharyngeal Exercises)

These throat exercises reduce snoring. Think of doing these as doing weight lifting to get rid of flab that hangs from a weak arm

 Throat Exercises:

  1. Place tongue hard against upper teeth and pronounce the vowels loudly many times. A, E, I, O, and U. for a minute
  2. Now force tongue against middle of hard plate and say the vowels loudly for a minute
  3. Now do this with tongue pressed against back of hard plate for a minute
  4. Push the tip of the tongue against the hard palate: slide the tongue backward for a minute
  5. Lift the entire tongue against the palate repeatedly for a minute
  6. Force the back of the tongue against the floor of the mouth while keeping the tip of the tongue against the lower incisor teeth – for a minute
  7. Elevate the soft plate and uvula while saying the vowels for a minute
  8. Blow up a balloon as forcefully as possible about 3x a day

Do these exercises 3 times a day for five minutes.

Vibrating the throat muscles is also helpful. Hum “oooommm.”  Feel the throat vibrate. Hum the “Star Spangled Banner.”

Gently lift the tip of your nose up. Does that improve your breathing at night? If so, use ½ inch medical grade tape to hold it up in sleep. Start from under the nose, run it up over the top of the nose in the midline, and secure the tape between the eyes.

Snoring Is Contagious:

When the partner is kept awake from the snoring sound, next morning there is fatigue from poor sleep. They will eat extra cookies for energy, gradually develop fat deposits in the throat, lead to snoring, and the more they snore, the less sleep, the more cookies.

How to Lose Weight

It is very difficult to lose weight when you snore and lose sleep. In the morning, you may be tired, but must get to work. So, you eat extra cookies all day to keep the energy going. Once you quit snoring, and awaken refreshed with energy, it is much easier to lose weight.

Prevent Accidents:

The car that crosses the median divider and crashes into the bus. The train operator who didn’t slow down on the curve. The driver who smashed directly into the car that was legally stopped. The truck driver who didn’t break going down the hill.  Many of these accidents are related to drivers/ operators who had fatigue due to poor sleep.

 

Journal References:

Special thanks to Steven L Parks M.D.  whose  book, Sleep Interrupted gives excellent snoring tips. For further insight on snoring, do get his book.

 Benglsson C. Impact of nasal obstruction on sleep quality. Eur Arch Otorhin. 2014. May 5

 Collop, N. (2007). The effect of obstructive sleep apnea on chronic medical disorders. Cleveland Clinic Journal of Medicine , 74(1), 72–78

 Davidson, T. M. (2003). The Great Leap Forward: the anatomic basis for the acquisition of speech and obstructive sleep apnea. Sleep Medicine ,4(3), 185–194.

 Fairbanks, D., Mickelson, S., & Woodson, BT. (2003). Snoring and Obstructive Sleep Apnea . Philadelphia: Lippincott Williams & Wilkins.

 Gold, A. R., Dipalo, F., Gold, M. S., & O’Hearn, D. (2003). The symptoms and signs of upper airway resistance syndrome: a link to the functional somatic syndromes. Chest , 123(1), 87–95.

  Gami, A. S., Howard, D. E., Olson, E. J., & Somers, V. K. (2005). Day-night pattern of sudden death in obstructive sleep apnea. The New England Journal of Medicine , 352(12), 1206–1214.

  Gami, A. S., Howard, D. E., Olson, E. J., & Somers, V. K. (2005). Day-night pattern of sudden death in obstructive sleep apnea. The New England Journal of Medicine , 352(12), 1206–1214.

 Guilleminault, C., Stoohs, R., Clerk, A., Cetel, M., & Maistros, P. (1993). A cause of excessive daytime sleepiness. The upper airway resistance syndrome. Chest , 104(3), 781–787.

  Lewin, D. S., Rosen, R. C., England, S. J., & Dahl, R. E. (2002). Preliminary evidence of behavioral and cognitive sequelae of obstructive sleep apnea in children. Sleep Medicine , 3(1), 5–13.

 Lorenzi-Filo, Geraldo. Effects of Oropharyngeral Exercises on Snoring. Chest 2015

  Shamsuzzaman, A. S., Gersh, B. J., & Somers, V. K. (2003). Obstructive sleep apnea: implications for cardiac and vascular disease. Journal of the AMA, 290(14), 1906–1914.

For more information, visit:
www.grossaninstitute.com
www.ent-consult.com

 

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Six Myths of Tinnitus

Six Myths of Tinnitus

 Murray Grossan, MD.
 About the author: Dr. Grossan is an otolaryngologist and head and neck surgeon with the Tower Ear, Nose and Throat Clinic at Cedars-Sinai Medical Center in Los  Angeles and the founder of the Web based Grossan Sinus & Health Institute (http://www.grossaninstitute.com). He is author of Free Yourself from Sinus and Allergy  Problems Permanently.

Today we demand scientific data, objective evidence, and mathematical analysis of experimental findings. But when you have a condition called Tinnitus where there is little objective evidence, we end up with non-objective concepts – myths.

Myth one: Stress causes tinnitus.

Stress does not cause tinnitus

Certainly stress can aggravate and make any condition worse, including tinnitus, but it is not a cause or originator of tinnitus. A stress reaction to tinnitus is common because we are born with a fight/flight reaction when we hear danger sounds. Until we identify that tinnitus is not a threatening tiger, the stress center continues to produce fight/flight response.

Why is this important? Among the ten million persons who have symptomatic tinnitus, the myth that it is caused by stress prevents patients from seeking diagnosis and therapy.

Often the onset is dismissed as a symptom of job or financial stress and therapy is therefore delayed.  Or, the patient feels that she bears a personal responsibility for causing her tinnitus.

Myth Two: There is not treatment for Tinnitus

Another myth about tinnitus is that there is no treatment for it. The American Academy of Otolaryngology has published Clinical Practice Guideline:Tinnituts   www.entnet.org with specific therapies that includes

Sleep Improvement

Stress Reduction

Masking/Distraction

Cognitive therapy

See: http://oto.sagepub.com/content/151/2_suppl/S1.full.pdf+html

Any single one of the therapies discussed by the guidelines can be of benefit to the tinnitus patient. There are many clinics and clinicians that administer therapies of value such as Tinnitus Retraining and Neuronomics.

What is the origin of this “just learn to live with it“ myth?  Part of it originates in the days when various therapies were being promoted for tinnitus cure. The doctor seeing their patients spend money on these “cures “ and getting little or no benefit, decided it was best to save the patient’s money and discourage spending it on unproven cures.  Medications recommended to increase circulation to the inner ear were of little benefit, since tinnitus is not due to poor circulation to the inner ear.

Another origin of the no treatment is available for tinnitus myth is the placebo effect. Unless special care is taken, and the tinnitus is measured, placebo errors can allow for enthusiastic cures to be announced, followed by disappointments.

Doctors are well aware of the placebo effect. When I did a study of EMG for biofeedback therapy for tinnitus, my office was directed to play a role of avoiding niceties or pleasantries. No test patient was greeted with beaming smile, or “so nice to see you today Mrs. Sloan,” and I avoided personal contact too. Patients were escorted to the treatment room, given instructions to lower the EMG dial reading, and afterward quietly rescheduled. Small wonder a patient commented on how cold my office personnel were! However, I was confident on reporting benefit in lowering stress factors involved in tinnitus and was able to show changes in volume and symptoms.

Myth 3:   Tinnitus can’t be measured.

There are several measurements of tinnitus that are suitable for research and therapy.

Tinnitus can be matched as to sound and volume.  This is usually performed by an audiologist using the audiometer sounds.

Further measurements are Tinnitus Inhibition. If a masking sound is introduced, and the patient’s tinnitus is no longer heard, we measure how long that inhibition lasts after the masking sound is stopped.

Various patient questionnaires are standard, used in tinnitus clinics, and are valuable for measuring tinnitus effects. These are no fewer objectives than other standard commonly used psychology tests and each of these have significant journal publications and studies that verify their value. The standard measurements include:

Tinnitus Severity Index

Tinnitus Reaction Questionnaire  

Tinnitus Handicap Inventory

Times Functional Index

 Each of these has been used for years, have had multiple journal publications to verify their use and are accepted for literature and research.

When the audiologist matches the exact sound that patient is hearing, it is valuable to then provide matching sounds for masking, inhibition or accommodation.

Various web sites offer tinnitus sounds for downloading. See www.drgrossantinnitus.com

Myth 4:  Tinnitus is best treated by a Neurologist

Tinnitus due to Meniere’s disease, cochlear hydrops, impacted cerumen, migraine/migraine equivalent; Schwannoma, etc are best investigated and treated by otolaryngologists.

Myth 5:   Best treatment for Tinnitus is Xanax or other benzodiazepam

It is true: Xanax and similar benzodiazepams do reduce symptoms. They also reduce symptoms of a painful tooth or a fractured tibia, but is that the best therapy?  The dentist repairs the tooth; the orthopedist repairs the fracture; the otolaryngologist should follow the Academy protocol.

Myth 6: Every patient with tinnitus should first get an MRI.

The yield for MRI where there isn’t an obvious indication is minimal. Certainly, in a unilateral tinnitus with hearing loss, MRI is indicated. But MRI for tinnitus in a machinist with symmetric hearing loss is not.

The majority of tinnitus is from noise trauma and MRI here rarely gives a useful yield.

Conclusion:

Joseph Campbell has explained many of the ancient and current myths and how they reflect our emotional needs. But the myths surrounding Tinnitus are causing harm because doctors are not offering patients therapy that is available and patients are not seeking these therapies.

The guidelines of the Academy are clear, and patients who suffer from tinnitus are benefitted when doctors are familiar with them and use them to treat their patients. Best, therapy is when the patient is treated as a whole person that includes the factors known to be of benefit.

Otherwise we will see more cases like the tragic 44-year-old woman in the Netherlands, who chose to be euthanized because of her tinnitus.

For more information, visit:
www.grossaninstitute.com
www.ent-consult.com

 

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Best Treatment for a Cold

Best Treatment for a Cold

 Murray Grossan, MD.
 About the author: Dr. Grossan is an otolaryngologist and head and neck surgeon with the Tower Ear, Nose and Throat Clinic at Cedars-Sinai Medical Center in Los  Angeles and the founder of the Web based Grossan Sinus & Health Institute (http://www.grossaninstitute.com). He is author of Free Yourself from Sinus and Allergy  Problems Permanently.

You are sniffling, sneezing, dripping.  Is it allergy or a cold?

In Winter the temperature goes down. The cold temperature slows your nasal/bronchial cilia. When the cilia slow down, this allows bacteria and virus to multiply and is why you get sick in the winter.

If it’s Spring, you probably have an allergy.

Your best prevention is to remain on your yacht and avoid contact with sniffers, sneezers, coughers and blowers. See if your insurance covers the yacht.

Smiling helps prevent a cold. Studies show that there are fewer colds among persons who smile.  Smiling activates immune factors.  On the other hand, depression reduces immune factors and you are more liable to get sick.

Hot tea, lemon and honey help reduce allergy symptoms. That is because with allergy-and a cold-you don’t do well with temperature changes. Best therapy is breakfast in bed. If you take hot tea before you get out of bed you avoid the AM sneezing that may last all day.

Undoubtedly you have seen these ads for zinc products for relief from colds. The Cochrane Library recently studied the effects of zinc products to reduce cold symptoms. There is evidence that taking zinc tablets within 24 hours of getting a cold may reduce some of the symptoms and shorten the duration..

Vitamins: Vitamins do not prevent a cold and do not cure a cold. Yes, I know, your aunt Sadie swears that she takes HUGE doses of Vitamin C and never gets a cold. Please tell your aunt to look up the latest information that taking vitamins when you don’t need them can be harmful.

Grandma’s chicken soup?  There actually are chemicals in chicken soup and in tea, lemon and honey that do reduce the cold and flu symptoms. Dr Jordan Josephson devotes pages in his sinus book to his grandmother’s chicken soup. In addition, taking the tea lemon and honey as soon as you feel a cold coming on, and going right to bed, is the best preventer and remedy.  Hot green tea is best, with or without caffeine. This also provides immune factors that reduce allergy.  Note: We are speaking of EIGHT GLASSES of hot tea lemon and honey.  Try to drink enough fluids so that the urine turns light. Watch a comedy from Netflix.

For my patients who get very sick when they do get a cold, I have them use irrigation to wash the ICAM-1 from the nose.  ICAM-1 is the natural product in your nose that is the portal of entry for the cold virus. When everyone in the office is sneezing and hacking, daily use of pulsatile nasal irrigation to remove the entry of the virus into your nose helps prevent a cold. This is particularly beneficial to persons with a history of frequent winter colds that result in absence from school or work.

Flying during the cold season is difficult. Sometimes you get to sit next to persons unfamiliar with simple hygiene. My patients benefit by carrying tea bags on the plane so they can get lots of tea to drink in order to keep the good nasal cilia moving to paddle the bacteria or virus out of the nose. I also recommend using nasal gel.   This gel will coat the nasal membranes in order to prevent contact with the nasal membranes by the virus. For example, Breathe Ease XL nasal gel can be applied into the nose the morning of the flight and then used every 3 hours during the flight. This combination of tea to keep cilia moving and nasal gel to cover the membranes is effective in preventing illness while flying.

Do your best to get good sleep during the cold/flu season, as well as during the spring allergy seasons.

Most important, be sure you know how to make Grandma’s Chicken Soup.

Which is better? Soup or Tea?  Frankly, both are good so you can use both.

If you get bad colds or get quite ill with colds, consider:

  • Pulsatile irrigation to remove the entryway for the virus.
  • Tea/chicken soup to keep cilia moving
  • Smiling to improve your immune factors
  • Nasal Gel to prevent viral contact and entry
  • Good sleep for better disease fighting

Unfortunately, both your allergy and common cold can lead to a sinus infection.  This happens when you blow the nose too hard, or when the nasal cilia are exhausted and no longer sweep the bacteria out of the nose and sinuses.  Prevent this by using pulsatile irrigation to restore the nasal cilia.

If you are getting many colds that end up as a sinus infection, often this is due to an underlying allergy and needs an allergy workup.

Never blow your nose too hard. Be gentle, otherwise you may end up as a patient!

For more information, visit:
www.grossaninstitute.com
www.ent-consult.com

 

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Winter Nosebleeds (Epistaxis)

Winter Nosebleeds (Epistaxis)

 Murray Grossan, MD.
 About the author: Dr. Grossan is an otolaryngologist and head and neck surgeon with the Tower Ear, Nose and Throat Clinic at Cedars-Sinai Medical Center in Los  Angeles and the founder of the Web based Grossan Sinus & Health Institute (http://www.grossaninstitute.com). He is author of Free Yourself from Sinus and Allergy  Problems Permanently.

Winter is coming with nasal dryness and bloody noses. Let’s avoid them this year.

People live in the desert and don’t get dry nose and epistaxis (nosebleed) Why do we get them in Wisconsin? Chicago?

Because in the desert the body is adapted to the dry condition, just as we adapt to humid conditions.

But in Chicago we have extreme changes of temperature, plus rapid changes from very cold to very hot and dry. The poor nose can’t keep up.

If you do get a nosebleed, here are some suggestions that I give to my patients:

How to stop a nose bleed.

  1. A Don’t panic. The more the panic the higher the blood pressure the more the bleeding.
  2. B Forget about the dress, its already bloody and anxiety and trying to keep further blood from it raises the blood pressure and more bleeding
  3. C Apply outer pressure from the outside. Use your finger to press the soft part of your nose to the midline.
  4. Ice to lip, and back of neck is good. Sit up.
  5. Pressure from the inside is good – gauze, tissue, applied inside and slight pressure from the outside helps
  6. If you have nose drops such as Neosynephrine or Afrin, put this on cotton and apply it into the nose over where you think the bleeding is coming from
  7. Stay calm. Stay off the phone. Anyone you call will tell you horror stories about their Aunt’s terrible nose bleed and make you nervous.
  8. Sitting up is better than lying down. If you lay down you raise the pressure to the nose.
  9. If bleeding persists, go to the ER.
  10. If bleeding is controlled, stay quiet all day. Don’t go skateboarding.

Remember it is very rare for anyone to bleed to death from a nosebleed.  Neither I nor my 4 associates have had such a case, though we have had hundreds of bad nosebleeds.

To prevent nosebleeds, in winter keep a pan of water in the room. Have plants in the room that take a lot of water. If you are traveling, hang wet towels in the bedroom.

NeilMed NasoGel is useful. This introduces a product that moisturizes at two levels – the nasal level and the cellular level. This special moisture allows natural products that defend the body against dryness and infection to come to your aid. Comes in two variations, drip free gel spray and gel tube.  It is over the counter, no prescription is needed.

It is water soluble, so no problem with it lodging permanently in the lungs like water insoluble products.

If you are susceptible to nosebleeds, regular use of the gel twice a day helps prevents epistaxis. Recommended to use after the bleeding has stopped.

Bactroban ointment is primarily an antibiotic that requires a prescription and doesn’t have a nasal tip, so there is waste. Helps clear up infections associated with nosebleeds and may be prescribed by your doctor after the bleeding has stopped.

Neosporin ointment is also useful, but more persons are showing sensitivity to this product, and it is not designed for nasal use.

NeilMed NasoGel is specifically designed for nasal use.

In addition to Winter Dryness there are dozens of other causes of epistaxis that physicians must consider. These include hypertension, effects of drugs and herbs – including Ginko Biloba.

Persons on Coumadin and other blood thinners should be diligent about keeping the bedroom moist and the nose moist too. Stick to pans of water or plants with lots of water rather than a vaporizor.  Vaporizer may moisten the air too much and bring on an increase in mites as well as destroy the wallpaper.

Vitamin C and bioflavinoids all help strengthen the blood vessels as does Rutin.

Nosebleed with sinus infection may speak for a certain kind of bacteria that requires an antibiotic or just may be from the nose being so raw.

Recreational nasal drugs significantly cause nosebleeds. Cocaine will cause the blood vessels to clamp shut, cuts off circulation and leads to ulceration and nasal bleeding.

Certain industrial products lead to thinning of the membranes and subsequent epistaxis.  Various paint solvents and thinners are some of these. Skydrol is one I am familiar with because it is used as a solvent inside of airplanes during manufacture. If you experience burning when exposed to chemicals, consider washing the nose by lavage after exposure to remove the products.

Use of the various Cortisone sprays – Nasarel, Flonase, etc over time may cause thinning of the membranes and lead to epistaxis. I have my patients alternate with the Breathe.ease XL Nasal Moisturizer gel to “restore” the membranes so they can continue with the spray that works for them.

What if you have seen the doctor, been treated and still are having nose bleed? Probably you need an antibiotic to clear the infection that is usually associated with a nasal bleeding.  But also check: are you taking an herb that leads to bleeding like Gincko Biloba or Ephedra?

In one of my difficult epistaxis patients, I and my nurse had repeatedly asked him if he was taking ANY medication. Finally on the third visit his wife volunteered that he was taking Gingo! He shouted, “But that’s not a medicine, that’s an herb”

With extreme dryness, hard crusts may form that lead to nose picking and a resultant epistaxis. Copious use of Breathe.ease Nasal Spray helps clear this up – this liquid not only softens the crusts, but helps restore the cilia that defend the nose.

Allergy does not cause nose bleed unless you blow your nose too hard.

Winter or summer, certain medications can lead to nosebleed – such as aspirin products.  Some antihistamines can dry the nose excessively and there are numerous drugs for heart and other conditions that have a nasal drying effect.  Before stopping the medication, see if you can maintain moisture adequately, especially water in the bedroom.

There are still nosebleeds that require a doctor’s inspection and evaluation so if these simple measures don’t work, see your doctor.

There is an area called Hesselbach’s Triangle on the nasal septum, near the front, where blood vessels can expand and become fragile. If a single vessel is the culprit, the doctor may wish to anesthetize the area and then cauterize it with an acid or electric current.  Since it is anesthetized, it won’t hurt.

The important thing is to rest, relax and help your poor nose to heal.

For more information, visit:
www.grossaninstitute.com
www.ent-consult.com

 

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Prevent Children’s Sinusitis

Prevent Children’s Sinusitis

 Murray Grossan, MD.
 About the author: Dr. Grossan is an otolaryngologist and head and neck surgeon with the Tower Ear, Nose and Throat Clinic at Cedars-Sinai Medical Center in Los  Angeles and the founder of the Web based Grossan Sinus & Health Institute (http://www.grossaninstitute.com). He is author of Free Yourself from Sinus and Allergy  Problems Permanently.

The American Academy of Otolaryngology – (ear nose and throat) in conjunction with the American Academy of Allergy is urging parents to take steps to prevent their kids from growing up with chronic sinusitis.  Children are born with sinus cavities and they can be infected at any age.

Often sinus problems start in childhood.  Number one cause may be the child blowing the nose too hard.

Parents are urged to teach their kids:

Blow the nose GENTLY or not at all. Heavy blowing spreads the bacteria to uninfected areas including the ears and irritates the delicate nasal membranes so they can’t function to protect against disease.

THE TWELVE RULES:

Here are 12 rules to teach the kids to avoid them growing up as a sinus patient – rules from the Tower ENT Group at Cedar Sinai Medical in Los Angeles.

  1. If you see a green drainage from one side of the nose only, think of a foreign body – a raisin or a nut. Best to have this removed by an ENT specialist.
  2. Insist your child blow his / her nose GENTLY
  3. Follow your doctor’s instructions regarding medications. Never stop the antibiotic before the recommended dose. This is how we develop drug resistant bacteria.
  4. Make sure your child is up on his immunizations.
  5. Try to avoid the child getting chilled.
  6. Don’t overheat the bedrooms.
  7. Child’s bedroom should preferably be as bare as possible. No moth flakes, insecticides, or dust makers. Any rugs should be washable every six weeks.
  8. Pets should be kept out of the bedroom as well as out of the bed.
  9. Moisturize the bedroom in cold or dry weather. Best method is to use pans of water for evaporation.
  10. Avoid nasal sprays with Benzalkonium or Thimerosal as these may irritate the nose.
  11. Avoid smoking in the child’s presence
  12. If there is considerable dust, use a Hepa filter. Do not use an ionizer or a deodorizer.

KEEP MOISTURE BELOW 50%

There are some common sense steps to prevent a life of sinus misery for your child.  It is very important to keep the moisture at no more than 50%.  If the moisture goes above 50% this encourages mold growth. Check for leaks that may grow mold. A regular light bulb turned on in a damp closet or basement is a mold deterrent.

COLORED DISCHARGE

Colored discharge from one nostril only suggests a foreign body. Needs to be removed.

Yellow green drainage that persists for more than a week suggests a sinus infection. Three of these episodes / year suggest a chronic sinus infection.

If your very young child has a persistent nasal / sinus infection, ask your doctor about performing Proetz sinus irrigation. This is an inexpensive treatment parents can do at home. Here the child is placed with his head lowered and dilute nose drops are placed in one nostril and suctioned from the other with a simple nasal aspirator till all the colored pus is removed.  Complete directions at NeilMed Pharmaceuticals.

For the child 5 or older who has persistent sinus drainage, ask your doctor about using pulsatile irrigation to remove the pus and thick mucus to allow the natural healing to take place.  Units such as the Hydro Pulse Nasal / Sinus Irrigator and NeilMed Sinugator are gentle enough for kids to use age 5 or older, and most kids (and adults) appreciate the relief they get.  Because the pressure is regulated exactly right, it is much safer than sniffing from the hand or syringes where the pressure can be too high.

IS IT ALLERGY?

Is it allergy? It is very important to follow your pediatrician’s instructions regarding the age at which foods are started. This helps avoid allergies. Your doctor’s advice re breast feeding is also an allergy preventer.

If your child is sneezing, eyes look puffy, but he is free of fever or fatigue, note the date on your calendar. Often you can tell what the allergy is due to by using the pollen calendars available on the net such as at www.pollen.com

Often the allergic child has what we call the Allergic Salute – the back of the hand and sleeve is continuously wiping the nose with a wide motion.

Your doctor may recommend one of the cortisone sprays. At this time these nasal sprays have been in use for decades. Or doctor may recommend one of the allergy medication sprays. Today there are sprays that combine a cortisone with an allergy medication.  Of course, any medication is best not taken if it isn’t necessary.

MORNING SNEEZING

Morning sneezing and hacking? Usually this is an effort of the allergic child to get warm. Prevent this by having warm drink in bed before getting out of bed. Usually a thermos does well.  Avoid stepping on an icy cold floor – that sudden temperature change causes sneezing.

By having that warm drink – breakfast in bed – often the full day of sneezing may be avoided.

If the child has asthma, it is even more critical to prevent and clear sinus problems.

THE ADENOIDS

Does your child have sinusitis or enlarged adenoids?  Adenoids are the tonsil- like tissue in back of the nose. With sinus infection they may enlarge and block nasal breathing. Or they may enlarge on their own usually accompanied by enlarged tonsils. Before you rush to have surgery for this condition, ask your doctor about measures to shrink the adenoids.  Clearing a sinus condition is the first step in getting adenoids back to normal size. Other methods include anti-inflammatory medications, often combined with antibiotics.

Using the Proetz sinus irrigation method to be sure to clear any sinus infection can be effective in clearing an enlarged adenoid.

You don’t need an X ray to determine if adenoids are a problem: the child snore, gets ear infections, is cranky, tired, has bad breath. Occasionally they are poor eaters.

In a recent report, some of the children diagnosed with attention deficit syndrome, were totally normal after adenoid surgery cleared their mouth breathing.

Your doctor may recommend fruit enzymes for sinus-adenoid problem.  Papain from papaya or Bromelain from pineapple, such as the product Clear ease™. These are called proteolytic enzymes because they reduce swollen tissue and thin the mucus.

One reason the Allergy and ENT groups want to call attention to sinus and other childhood ailments is so that the parents can appreciate that a child who is constantly mouth breathing and is snoring,  is not a healthy child.  He / she may not sleep well, have bad breath, and be constantly fatigued, cranky, or run down. Such a child deserves care so they can grow up and not be one of the 35 million persons who now have sinusitis.

Despite the daily barrage of advertisements, the best thing for your child’s cold is still chicken soup, tea with lemon – honey, and bed rest.  For best information, consult your doctor.

For more information, visit:
www.grossaninstitute.com
www.ent-consult.com

 

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