How to Clean Your Nostrils

When your nose becomes congested, it can become difficult to breathe properly.
Luckily, you can breathe easy again by cleaning your nostrils with a nasal spray or
a nasal wash.
Method One of Two:
Using a Nasal Wash

1.

1
Buy a nasal wash kit with salt solution or make your own solution. Nasal
washes are good for relieving nasal symptoms if you have chronic nasal issues or
sinus problems. Washing the inside of your nose with a salt solution will reduce
swelling, improve airflow, and open up your sinus passages. It will also remove
mucus from your nose and help to relieve any stuffiness or congestion. Look for
 nasal wash kits at your local pharmacy or make your own salt solution using
household products.[1]

 To make your own saline solution, combine 1 quart distilled water, 1

teaspoon Kosher salt and ½ teaspoon baking soda in a clean glass jar. Stir
the solution and store at room temperature. Replace the solution after a
week with fresh water, salt, and baking soda.
 Do not use tap water. If you don't have distilled water you can sterilize tap
water by boiling it for at least one minute, then allowing it to cool back
down to room temperature. This will kill harmful contaminates.[2]

2.

2
Use a bulb syringe or a neti pot. In order to rinse your nose effectively with the
salt solution, you will need a bulb syringe or a neti pot, which is a tea pot with a
 long spout made for your nose.[3] You can find bulb syringes and neti pots at your
local drugstore or pharmacy.

 Wash your hands well before you do a nasal rinse to prevent the spread of
bacteria and germs. Then, fill the bulb syringe or neti pot with the saline
solution.

3.

3
Stand over the sink or over a bath tub. When you are using the nasal wash, you
will need to stand over an area that can collect any water or mucus that drips from
your nose or from the bulb syringe.[4]

 Place the bulb syringe in your left nostril and gently squirt the mixture into
your left nostril. Aim the stream toward the back of your head, not the top
of your head. Do not inhale through your nose as you squirt. The bulb
 syringe should be able to get the solution into your nose without any
inhalation on your part.
 If you are using a neti pot, place the spout in your left nostril and tip the
pot up so the solution enters your nose. If the solution does not flow out of
the neti pot, lift the pot so it is positioned a bit higher than your head but
do not turn your head over your shoulder. Try to keep your forehead above
your chin.

4.

4
Tilt your head forward with your chin to your chest. This will allow excess
solution to drain out of your nose into the sink or bath tub. You can hold a wash
cloth under your chin to help collect any excess solution. Do not swallow the
solution if it gets in your mouth. Spit it out into the sink or tub.[5]

 After you have cleared out your left nostril, you may should rotate your
head so you are facing the sink or tub and exhale sharply through both
 nostrils. This will help to remove any excess mucus or water. You can also
use a tissue to wipe off any excess mucus or water. However, do not press
down on one nostril while blowing through the other nostril, this can put
pressure on your inner ear canal.
 Repeat the same process with your right nostril using the bulb syringe or
the neti pot and the salt solution.

5.

5
Alternate nostrils several times until you run out of solution. There may be a
mild burning sensation in your nose when you use the nasal wash for the first
several times. This is a normal reaction to the salt in the solution and should
become less noticeable with repeated use of the nasal wash.[6]

 If the solution continues to irritate your nose, it may not be salty enough or
too salty. Taste the salt solution to determine if it too salty (you taste too
much salt) or not salty enough (you can barely taste the salt). Adjust the
solution so you can taste the salt but it is not an overpowering taste.
  If you develop a headache after using a nasal wash, your forehead may
have been lower than your chin, leading to some water draining into your
frontal sinus. After some time, the water should drain out on its own.

6.

6
Use the nasal wash at once a day in the morning or at night. If your symptoms
become more severe or you develop a severe infection, increase the dose to twice a
day.[7]

 It can be difficult for your children to use a nasal wash. Assist your child
when they are using the nasal wash and make sure they do not lie down
when using the nasal wash. The nasal wash is more effective when done
while sitting or standing.

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 Method Two of Two:
Using Nasal Spray

1.

1
Look for over-the-counter nasal spray at your local pharmacy. If you are
struggling with a stuffy, itchy, or runny nose due to hay fever or allergies to pollen,
mold, dust, or pets, nasal spray should help to relieve your symptoms. You should
not use nasal spray to treat symptoms of a flu or cold, as it will only provide
temporary relief. Go see your doctor about other, more effective medications if you
have nasal issues due to a flu or cold.[8]

 The most common type of over-the-counter nasal spray is Fluticasone

nasal spray, which is in a class of medications called corticosteroids.
Corticosteroids improve your nasal issues by preventing the release of
 natural substances that can cause allergy symptoms. They should only be
used for chronic allergies.
 You can also use a nasal spray that contains xylitol, purified water, salt,
and grapefruit seed extract. This type of nasal spray has no side effects and
contains no drugs. It is also safe for all ages.[9]

2.

2
Use the recommended dosage on the nasal spray label. If you are using the
spray as an adult, you will begin with a higher dose of the nasal spray and then
decrease your dose as your symptoms improve. This is usually one spray in each
nostril once a day, or one spray in each nostril twice a day (once in the morning,
once at night) if your doctor recommends a higher dose for your symptoms. If you
 are giving the nasal spray to a child, begin the treatment with a lower dose and then
increase the dose if the child’s symptoms do not get better.[10]

 Always follow the dose directions on the nasal spray label and ask your
pharmacist to explain any instructions you do not understand. Never use
more or less than specified on the package or as recommended by your
pharmacist. If you miss a dose, do not double up on the dose. Instead, wait
until the following day and continue on your recommended dose for the
day.
 Children younger than four years old should not use nasal spray. Children
younger than 12 years old should be assisted by an adult when using nasal
spray.
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 Wash your hands well before using the nasal spray. Shake the nasal spray
before each use. Then, remove the dust cover on the spray. If you are using the
spray for the first time, you will need to prepare the pump so you can use it
properly.[11][12]

 Hold the pump so your forefinger and middle finger grip the applicator
and your thumb rests on the bottom of the bottle. Point the applicator so it
if facing away from your face.
 Press down and release the pump six times. If you have used the pump
previously, but not within the last week, press down and release the pump
until it releases a fine spray.

4.

4
Blow your nose until your nostrils feel clear. If your nose is very stuffed up, this
may be difficult to do. Do your best to clear your nose of mucus before you use the
spray as this will ensure the spray enters your nose properly.[13]

5.

5
Seal one nostril with your finger. Tilt your head forward and place the nasal
applicator tip into your other nostril. Keep the bottle upright so the spray releases
properly. You should still be holding the applicator between your forefinger and
your middle finger.[14]

 Breathe in through your nose. As you breathe in, use your forefinger and
middle finger to press down on the applicator, releasing the spray into
your nose.
 Once you have released the spray, breathe out through your mouth.
  If you have been instructed by your doctor to use two sprays in each
nostril, repeat these steps again on the same nostril. If you are only using
one spray in each nostril, repeat these steps again in the other nostril.

6.

6
Wipe the applicator with a clean tissue. It is important that you keep the
applicator clean so you do not spread germs and bacteria in your nose when you
use the spray. You should also keep the nasal spray covered with the dust cover to
prevent tiny particles from getting into the spray.[15]

 Store the nasal spray in a dry spot at room temperature, not in your
bathroom where the air can be humid and moist. If the applicator becomes
clogged, you can soak it in warm water and rinse it with cold water. Dry it
 well and store it properly. Do not use pins or a sharp object to remove the
blockage as this can contaminate the nasal spray.

7.

7
Be aware of the potential side effects of nasal spray. Always check the nasal
spray label for a list of ingredients. If you think you may be allergic to fluticasone
or any other ingredients in the spray, talk to your doctor or pharmacist. If you are
on any antifungal medication or steroid medications, you should tell your doctor or
pharmacist. You may need to adjust your dose or be monitored for side effects of
the spray. If you experience any of the following side effects, you should stop
taking the nasal spray and see your doctor immediately:[16]

 Headache, dizziness, nausea, diarrhea, or vomiting.

 Dryness, stinging, burning, or irritation in your nose.
 Bloody mucus in your nose, nosebleeds, or thick nasal discharge.
  Vision issues or severe face pain.
 Fever, chills, coughing, sore throat, or other signs of an infection.
 Hives, a rash, or severe itching.
 A whistling sound from your nose.
 Swelling of your face, throat, lips, eyes, tongue, eyes, hands, feet, ankles
or lower legs.
 Hoarseness, wheezing, or difficulty breathing or swallowing.
 If you have had surgery on your nose in the past month or injured your
nose, you should go see your doctor before using nasal spray. As well, if
you have sores on your nose or any eye issues, you should talk to your
doctor before using any medications for your nose.

Reference :

Chris M. Matsko, M.D. 2018. Family Madicine Physician.