Allergic Nose Solution

Xylitol irrigation

Women relaxing

Women relaxing

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The alternative may be a gentler and nurturing practice that substitutes a hypertonic, salt-loaded solution with safe sugar called xylitol. Xylitol’s effects are more like a gentle soap that leaves the protective mucus in place while starving bacteria that carry in viruses that are the cause of sinusitis. Xylitol is indigestible to the bacteria, lowers their populations, and tames the beasts inside the nose.

In a study from Department of Otolaryngology–Head and Neck Surgery, Stanford Hospital and Clinics, Stanford, California, to determine the tolerability of xylitol mixed with water as a nasal irrigant and to evaluate whether xylitol nasal irrigation results in symptomatic improvement of subjects with chronic rhinosinusitis, researchers enlisted 20 participants in a prospective, randomized, double‐blinded, controlled crossover pilot study.

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They were instructed to perform s 10‐day courses of daily xylitol and saline irrigations in a randomized fashion, with a 3‐day washout irrigation rest period at the start of each treatment arm.

There was a significant reduction in symptom scores during the xylitol phase of irrigation (mean drop of 2.43 points) as compared to the saline phase (mean increase of 3.93 points), indicating improved sinonasal symptoms.

Lead author Joshua D. Weissman M.D., concluded “Xylitol in water is a well‐tolerated agent for sinonasal irrigation. In the short term, xylitol irrigations result in greater improvement of symptoms of chronic rhinosinusitis as compared to saline irrigation.”

ReferenceJoshua D. Weissman MD Francisca Fernandez MD Peter H. Hwang MD Xylitol nasal irrigation in the management of chronic rhinosinusitis: A pilot study†‡ The Laryngoscope First published: 11 October 2011 https://doi.org/10.1002/lary.22176 Cited by: 27
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