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Nasal Rinsing and Non-Compliant Patients


Samantha was a 45-year-old married mother of three, working full-time and battling chronic sinusitis that seemed to have worsened despite the best efforts of her primary care providers.

She was referred to ENT specialist Dr. Stephen Chandler by her primary GP after multiple rounds of oral antibiotics, steroidal nasal sprays, and OTC decongestants had failed to provide sustained symptom relief.

Dr. Chandler recalls her predicament, saying Samantha was a fairly typical case of the ‘revolving-door’ approach to symptom management. Rather than searching for an underlying anatomic or medical predisposing symptom cause, patients are often treated based on symptom profile. Oftentimes this approach is adequate. With repeated similar recurrences, additional diagnostic information from nasal endoscopy and medical imaging are useful. In the case of this patient, repeated therapeutic treatment with steroid medications had compromised her immune system; and she had young kids bringing home agents responsible for upper respiratory infections. About every eight weeks she would pick up a new virus that would result in congestion, nasal drainage, facial fullness and headache. She always seemed to be treating the illness after it had become full-blown, as opposed to preventing it to begin with. And once the congestion had settled in her sinuses, she was prone to sinus infections, for which she was repeatedly treated with oral antibiotics and steroids. In addition to destabilizing her immune system, these medications upset her digestive system, adding to her misery.

So what if the cycle were broken, and the emphasis was on prevention and early natural treatment for common sinus maladies?

Dr. Chandler points out:

“Nasal irrigation (also known as nasal rinsing) is an inexpensive, simple, self-administered treatment that can help relieve the symptoms of various sinus conditions, such as sinusitis, congestion, common colds and allergies. The process of nasal irrigation involves washing the nasal passages with a stream of natural saline solution, used to loosen mucus and remove dirt, dust and pollen.  Nasal rinsing has been shown to help relieve the symptoms of various sinus conditions, such as acute, sub-acute and chronic sinusitis, congestion, common colds and allergies. Regular nasal rinsing can improve quality of life by helping to cleanse and clear the sinuses, thus reducing the pain and headaches associated with sinus congestion. ”

Nasal rinsing has been cited as being an appropriate adjunctive therapy for the symptoms of chronic rhinosinusitis, viral upper respiratory infections and allergic rhinitis. (Am Fam Physician. 2009 Nov 15; 80(10): 1117–1119.)

Additionally, according to a 2012 study published in JAMA, the lack of efficacy of oral antibiotics for acute rhinosinusitis is documented (“antibiotics provide little if any benefit for patients with clinically diagnosed acute rhinosinusitis”), and alternative therapies such as nasal irrigation are encouraged. (JAMA. 2012;307(7):685-692. doi:10.1001/jama.2012.138)

Acute rhinosinusitis is a common disease associated with significant morbidity, lost time from work, and treatment costs. Considering the public health threat posed by increasing antibiotic resistance, strong evidence of symptom relief is needed to justify prescribing of antibiotics for this usually self-limiting disease. Despite the controversy regarding their clinical benefit and concerns about resistance, antibiotics for sinusitis account for 1 in 5 antibiotic prescriptions for adults in the United States.

There is now a considerable body of evidence from clinical trials conducted in the primary care setting that antibiotics provide little if any benefit for patients with clinically diagnosed acute rhinosinusitis. Additional therapies to provide symptom relief and a feasible alternative to antibiotic treatment are needed…(including) promising alternative treatments such as nasal irrigation.
(JAMA. 2012;307(7):685-692. doi:10.1001/jama.2012.138)

Not only is nasal rinsing as effective as antibiotics, but, when done regularly, the health benefits include improved resistance to infection, as cited by the National Center for Biotechnology:

The breakdown of the nasal mucosa’s protective function appears to play a role in upper respiratory conditions. SNI may enhance the nasal mucosa’s ability to resist the effects of infectious agents, inflammatory mediators, and irritants. SNI may result in improved function of the nasal mucosa through several reported physiological effects, including the direct cleansing of irrigation, the removal of inflammatory mediators, and improved mucociliary function, demonstrated by increased ciliary beat frequency. (Am Fam Physician. 2009 Nov 15; 80(10): 1117–1119)

Many medical professionals are optimistic at this proposal. However, while most agree nasal rinsing is beneficial, preventative, and promotes healing, the greatest obstacle to realizing the benefits of sino-nasal irrigation is patient compliance.

As Dr. Chandler notes, “Nasal rinsing is a centuries-old practice. While there are many nasal rinse systems on the market today, most have drawbacks that deter regular use, therefore limiting their efficacy (with nasal rinsing, regular compliance is key for best results). Common negative side effects of many of these systems include choking, gagging and burning—even nausea—as a result of saline solution running from the nasal passages down the back of the throat. For kids in particular—the largest user group of nasal rinse systems—that pain and irritation is an obvious obstacle. “

After years of observing patients suffer, and knowing there must be a better way, Dr. Chandler invented a new design for the old nasal irrigation bottle – he calls it “ResQRinse.”

ResQRinse can eliminate or greatly reduce these typical negative, uncomfortable side effects through a physiological process called choanal occlusion. Choanal occlusion, which creates a barrier between the nasal passages and the back of the throat, is triggered automatically when using ResQRinse, due to the system’s patent-pending design. This creates a more pleasant user experience by preventing the saline solution from reaching the throat. Additionally, since the ResQRinse system limits the loss of saline solution down the throat, it provides highly effective delivery of saline solution throughout the sinus cavity. Also, ResQRinse is designed to work with the user in an upright position, further enhancing comfort (whereas many other nasal rinse systems require the user to tilt the head at an awkward angle).

ResQRinse makes sinus rinsing more comfortable and more effective, without the negative side effects of traditional methods (i.e. gagging and choking!). ResQRinse is easy to use for medical or surgical adjunctive treatment, as well as comprehensive sinonasal wellness and preventative care. The system ResQRinse is affordable, all-natural, drug-free, and travel-ready, making it easy for patients to follow prescribed treatment protocols.

ResQRinse is now available at Amazon,, independent neighborhood pharmacies, and our website. Patent Pending.

ResQRinse is a registered trademark of SinOptim, LLC 2018
205 Ken Pratt Blvd. Ste 120 #77, Longmont, CO 80501