Nasal Irrigation - by Alisha Mehta MS (content from Kinray Completely Up Front Monthly Planner)
Why nasal irrigation
Nasal Irrigation is important because it allows a large volume of solution to travel through the nasal passages, creating a momentum that sweeps away excess mucus and allergens, which cannot be done by saline sprays that only reach the entrance to the nose. While this sounds more burdensome, the volume is definitely relevant. The difference between saline sprays and saline irrigations can be likened to using a garden hose to wash the driveway on the sprinkler setting, rather than on the full flow setting.
How to perform nasal irrigation
Nasal irrigation can be performed with a squeeze bottle or a neti pot, a tea pot shaped device. Both methods require preparing a warm saline solution using a mixture packet and distilled, bottled or previously boiled water. NeilMed moisture packets contain only natural ingredients, sodium chloride and sodium bicarbonate. If using a neti pot, fill the pot with solution, place the tip under the nostril, tip your head to allow solution to enter the nose. Gravity allows the solution to reach all the way through the nasal passages and come out the opposite nostril. You then do this on the opposite side, gently blowing the nose after each side.
The squeeze bottle achieves the same result, but instead of tilting to the side, you can bend over the sink while standing upright. Then gently squeeze the bottle until the solution flows out of the bottle, into the nose and out the opposite nostril. Do this on both sides.
Nasal irrigation for children
Hesitations to use medications on children is a legitimate concern. Antibiotics and over-the-counter (OTC) drugs can be harmful for young children. When it comes to natural remedies, many products can be overpriced and ineffective. However, salt water, also known as saline, used as a nasal treatment is a cost-effective, natural treatment with a proven history. Some may say it is the best natural decongestant. Both neti pots and squeeze bottles can be used on children four years and older; while children one to four may use approved saline sprays with special nozzles or specially designed saline vials.
Is it safe?
Saline rinsing is a very safe procedure that contains no drugs, only natural ingredients. However, water safety is a critical issue because even tap water that is safe to drink may not be safe to put in the nose.
The nose is an entrance to the body and the nasal passages are not immune to bacteria that the digestive system can handle. Only distilled, micro-filtered through a .02 micron filter (not a Brita filter), commercially bottled, or previously boiled water is safe. This is to prevent unwanted organisms from entering the body and spreading infection.
It is also important to keep your device clean. Disinfect devices by washing the bottle or neti pot with soap and water, and place in microwave for 60-90 seconds to sterilize. Devices should also be replaced every three months. Always read the instructions and safety precautions of any saline product you buy at the store.
Saline nasal irrigation is a safe, effective, and affordable method of relieving nasal symptoms due to allergies, colds, sinusitis, rhinitis and many other causes.
Normally, food goes down the food pipe (esophagus) and enters the stomach. In people with acid reflux, the contents of the stomach can leak back into the food pipe, often causing a burning pain in the chest which is commonly referred to as heartburn. Heartburn may also be a sign of a condition known as GERD (Gastroesophageal Reflux Disease) which may require further medical attention.Common Symptoms
- Burping, stomach pain or bloating after eating
- Burning pain that extends from the upper stomach or behind the breast bone up into the throat
- Foods or beverages that trigger acid reflux can differ greatly from person to person
- Common foods/beverage triggers
-Oranges, berries, tomatoes
Spicy, fatty or fried foods How to Prevent/Reduce Heartburn
- Do not wear tight belts or tight fitting clothes
- Reduce stress
- Maintain healthy weight
- Avoid “trigger foods”
- Eat small meals more often, do not skip meals or eat larger meals to make up for missed meals
- Avoid eating 2-3 hours before going to bed
- Avoid laying down within 2 hours of eating
- Avoid smoking
- Avoid drinking beer, alcohol and wine
- Avoid leaning over too much after eating
- Lifestyle modifications (varies from person to person)Losing weight if obese
-Avoiding trigger foods/beverages
-Elevation of head when laying down
- OTC (over the counter) medications
-These options should generally be used for 2 weeks in addition to lifestyle modifications. If no relief after 2 weeks, seek medical attention. Common OTC Treatment Options
- Antacid -Tums® (calcium carbonate), Maalox® (aluminum hydroxide/magnesium hydroxide/simethicone)
- Histamine blockers (H2 Receptor Antagonists) - Pepcid AC® (famotidine), Zantac® (ranitidine)
- Proton pump inhibitors (PPIs) - Prilosec® (omeprazole), Prevacid® (lansoprazole)
May DB, Rao S. Chapter 19. Gastroesophageal Reflux Disease. In: Wells BG, ed. Pharmacotherapy: A Pathophysiologic Approach
. 9th ed. New York: McGraw-Hill; 2014. http://www.accesspharmacy.com/content.aspx?aID=57481745. Accessed November 4, 2013.
Tickets are on sale at Granby Pharmacy for the next Good Company Theater
production. It is called Daughters of the Appalachians.
"Daughters of the Appalachians: Six Unique Women" written by Linda Goodman, is a collection of first person accounts molded from insights and stories culled from Goodman's family and community in the mountains and hollers of Virginia. She speaks in the voices of Appalachian women and adds a layer of learning for those of us who grew up elsewhere. The yearning and basic gut emotions of her characters are intertwined with strength and self-esteem and their message is universal. Goodman's women may not take long to meet, but they will make a home in your memory. Her stories may begin in the South, but her compass points to the territory of human understanding.
We are thrilled that we will have the author, Linda Goodman, here with us throughout the production!
Performances will be:
Friday, November 1st
Saturday, November 2nd
Friday, November 8th
Saturday, November 9th
Sunday, November 10th
The tickets are $18.00 in Advance and $20.00 at the door. The performances will be held at the South Congregational Church in Granby, CT.
Tickets are on sale now at Granby Pharmacy for the Granby Education Foundation Paul Winter
The tickets are $20.00 in advance and $25.00 at the door.
Friday, November 15, 2013 7:30 PMGranby Memorial High School Auditorium
The Granby Education Foundation (GEF) is a nonprofit organization that nourishes educational excellence by raising private funds in support of innovative educational initiatives for people of all ages in Granby and surrounding towns. The GEF is directed by an all-volunteer board and supported by contributions from residents, businesses, and other charitable organizations. All 501(C)(3) organizations, as well as the Granby schools, are eligible for funding through the GEF. We look for educational initiatives that:
- are innovative
- result in richer and deeper learning experiences
- lie outside the scope of existing budgets.
Myth: "I got the vaccine and still got the flu so it must not be effective..."
Fact: The vaccine prevents the flu in approximately 70-90 percent of healthy people under the age of 65. The effectiveness of the vaccine is subject to variables such as the amount of time between vaccination and exposure to the virus, age and health status, and the match between the virus strains in the vaccine and those in circulation.
Myth: "If I get the vaccine, it might give me the flu..."
Fact: A flu shot will not give you the flu. The viral strains in injectable influenza vaccine have been inactivated, making it biologically unable to cause illness. The viral strains in the nasal-spray vaccine are weakened and do not cause severe symptoms often associated with influenza illness.
Myth: "Last year I got vaccinated so I don't need to this year..."
Fact: Because influenza strains typically change each year, you cannot count on last year's vaccine to protect you this year. Considering up to 20 percent of the U.S. population still contracts influenza every year, getting a flu vaccination makes good health sense.
Myth: "The flu is just like a cold...."
Fact: While some symptoms of the flu - such as nasal congestion, cough and sore throat-may mimic cold symptoms, the flu is highly contagious and can easily be passed from a low-risk individual to a high-risk individual, which can then lead to serious complications, including pneumonia and worsening of chronic conditions.
Myth: "It won't happen to me..."
Fact: Influenza is a contagious respiratory disease that can cause mild to severe illness. The best way to help stop the spread of flu is to prevent getting the flu yourself. Getting a flu vaccine each year protects you and those you love.
Myth: "The flu vaccine is only necessary for the old and very young...."
Fact: The flu vaccine is for anyone who doesn't want to be sick with the flu or inadvertently spread the virus to others. The Advisory Committee on Immunization Practices (ACIP) for the CDC recommends annual immunization for all people aged 6 months and older.
Myth: "I'm better off taking my chances..."
Fact: Unfortunately, getting the flu means also becoming a carrier. Since the flu is highly contagious, with symptoms staring one to four days after the virus enters the body, even the most conscientious individuals may unknowingly spread the virus.
Myth: "I'm too late..."
Fact: While September, October and November are the recommended moths for vaccination, getting a flu vaccination later in the season (December-March) can still protect you as flu season often peaks after January.
Myth: "I never get the flu..."
Fact: Influenza strains change every year, which means that even if you had a natual immunity to previous stains, your immunity may not protect you from newly circulating strains. A new flu vaccine is formulated each year to match and protect against the strains of the flu virus that research indicates will be the most common for the coming season. It's clear: Getting vaccinated each year protects you and those you love.
Information is from www.fffenterprises.com
We have answers. You have probably heard about the Health Insurance Marketplace, the new way Americans can buy health insurance through
the Affordable Care Act, by now. But, you may be confused as to what this means for you. Here at Granby Pharmacy, we have the answers you need. The Health Insurance Marketplace is available through www.healthcare.gov
. Here you will learn
what insurance is available and how you get coverage. If you do not have health insurance right now or want to look at your options, this is the website for you.
Plans are compared next to one another (similar to Travelocity or Expedia), so you can decide what is right for you.
All plans offered in the Health Insurance Marketplace cover a comprehensive set of benefits, including doctor visits, hospital stays, preventative care, and prescription drugs. Some plans may have restrictions on which doctors or pharmacies you see (If you need help looking for information about which doctors or pharmacies you can use with a certain plan, come see us). Insurance plans also cannot deny anyone with a pre-existing condition coverage.
Many people will get discounted health insurance. After you fill out the application on www.healthcare.gov
, you will see if you qualify for Medicaid, Children’s Health Insurance Program, and other savings to help pay for health insurance.
Explore the plans available on www.healthcare.gov
, and see if the Health Insurance Marketplace is something you and your family could use. Chat on the website, call the toll free number 1-800-318-2596, or come talk to us about your choices. We at
Granby Pharmacy value our patients and want everyone to make the best decision about their health.
FIGHTING THE COMMON COLD
Common Cold 101
The common cold can be caused by over 200 different viruses. One of the most common viruses responsible for the common cold is the rhinovirus, which accounts for up to 50% of cases. Although bothersome, the rhinovirus usually only causes minor sickness that goes away with time. There are many other viruses that can cause the common cold, and some of them can also cause more serious infections. For example, the respiratory syncytial virus (RSV) can cause serious lower respiratory tract infections in children, but in adults the infection is generally not as serious.
· Runny or stuffy nose (hard to breathe through your nose)
· Watery eyes
· Headache and/or body aches
· Feeling tired
· Sore or scratchy throat
· Fever – more common in children than adults
What is the “Cold Season”?
In general, the cold season runs through the fall and winter months but may carry over into early spring (September – May). This could be due to many different factors, some include: the start of school, decrease in humidity (most viruses grow in low humidity), and the start of people spending more time indoors where they can easily spread germs to others.
Can the Cold be spread to others?
Colds are contagious… which means if you can pass it on to others around you. The cold is passed to others when someone comes into contact with droplets from an infected person coughing or sneezing. You can also get the cold from touching phones, doors, counter tops, etc. that have the virus on them and then touching your eyes, nose, or mouth.
Preventing the common cold:
- Wash hands with soap and warm water or use alcohol based hand sanitizers often.
- Clean counter tops, phones, desks, etc. with disinfectant.
- Avoid contact with people who have the cold.
- Cover your mouth/ nose when you cough or sneeze with either a tissue or your elbow (not your hands!).
Stay home if you are sick to avoid passing on your illness.
Treating Common Colds
Antibiotics usually do not work for a cold because they are caused by viruses. There are times when the illness is caused by bacteria and your doctor can prescribe an antibiotic to fight the infection.
Treatment for the common cold only includes over-the-counter (OTC) products that can help with symptoms while your body fights the virus. The table below will show you some OTC medications you may be able to use. It is important to ask your pharmacist what the best option is for you, especially if you take other daily medications (ex. high blood pressure, diabetes, or thyroid medications).
Runny nose, sneezing, post-nasal drip (dripping into the back of your throat), watery eyes
Antihistamines like Claritin®, Allegra®, or Zyrtec® will help to dry you up and relieve these symptoms.
Sore or scratchy throat
Sore throat spray (ex. Chloraseptic®, lozenges (ex. Luden's® or Cepacol®) may help to soothe or numb sore throat.
At home remedies may include: cold popsicles or ice chips
Cough syrups like Robitussin DM® or Delsym® contain a product that helps stop a dry or hacking cough.
For a cough that contains a lot of mucus from the chest (productive cough) you can use Mucinex®. Mucinex® contains a product that will help loosen mucus so you can cough it up.
Stuffy nose or sinus pain
Decongestants like Sudafed® help to make it easier to breathe through your nose and also will decrease sinus pressure or pain.
For a stuffy nose there are also nasal sprays you can use. You can use just a saline nasal spray line Ocean® or a nasal spray like Affrin® which has a different decongestant in it.
Fever or pain
Acetaminophen (Tylenol®), Ibuprofen (Motrin® or Advil®) can help reduce any pain or fever you may have.
Other important things to remember are: get lots of rest and drink plenty of fluids. Also, putting a cool mist humidifier in your room or gargling with warm salt water can help with a sore throat.
Usually a cold will last about 1 week, but they can last longer. If symptoms are severe, don’t improve, become worse, or new ones develop you should contact your doctor.
Our first initial meeting for our support group will be Thursday, September 12, 2013 at 1:00.
It will be here at the pharmacy, our address is 9 Hartford Avenue, Granby, CT 06035.
If you would like to be added to our email list for this group, please fill out the form below.