SALINE NOSE TREATMENT

Nasal discharge or rhinorrhea (runny nose) is often a sign of the common cold and various upper respiratory problems including infections and allergic reactions. Drainage posteriorly contributes to cough in some instances. The color of the discharge is not a sign of bacterial infection since a green or yellow discharge can signal allergy or a viral infection as well.

Saline (measured salt solution) nasal treatments can be used for nasal discharge or for a "stuffy" nose that is not draining. It helps clear and reduce secretions by soothing irritated and inflamed membranes that line the nasal passages. Decongestant nose drops are not usually recommended for very young infants.

Saline treatment consists of clearing the nasal passages with saline followed by installation of saline into the nose. One needs a nose dropper dedicated to the individual patient and saline or a bottle of saline nasal spray.

Instill 2-3 drops of saline in each nostril. Count to 10 and aspirate to clean the nose or have an older child blow her/his nose. Repeat 2 times to clear the passages.

Instill 2-3 drops of saline and leave in place or have older children "sniff".

Use this saline nose treatment 4-6 times a day until symptoms improve. Saline is sufficiently mild that you can’t overdose.

Ayr, Ocean, or Salt Nasal Nose Drops can be purchased where drugs are sold or you can make saline easily at a fraction of the cost.

1/2 teaspoon of table salt (must be without iodine).

Always use at room temperature.

In the winter the air in our homes tends to be very dry and this dryness irritates and damages delicate membranes of the nose, throat and upper airway making them more vulnerable to infection. Put several water containers with a large water surface area around the house (large bowls or pots work best) so that the water can evaporate and humidify the air. A teakettle on the low burner is also helpful. Don't forget to replenish the water as it evaporates!

©2002 South Valley Pediatrics
page updated April 7, 2002