Nasal Irrigation: Addressing Unusual Odors and Allergies - Otolaryngology

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Questions about nasal irrigation?


Hello, I have an issue with allergic rhinitis (but it's not very severe).
A friend mentioned that nasal irrigation could provide some relief.
However, after doing nasal irrigation here, I noticed a strange smell when I breathe (somewhat like hair dye).
I only did it for three days (once a day) and then stopped, using warm drinking water and saline solution.
I would like to know what this situation might be, thank you.
Currently, my breathing is smooth, and I don't have much nasal discharge, but that smell is a bit bothersome.

Yue, 30~39 year old female. Ask Date: 2019/08/05

Dr. Zheng Jueyi reply Otolaryngology


Hello, theoretically, using warm drinking water and saline for nasal irrigation should not produce any unusual odor.
It is uncertain whether the smell is caused by the nasal irrigator.
If there is a persistent unusual odor in the nasal cavity, it is advisable to seek medical evaluation.
If recovery is observed, self-monitoring is recommended.
Wishing you peace, health, and well-being.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2019/08/05

More Info


Nasal irrigation, often referred to as nasal rinsing or nasal lavage, is a common practice used to alleviate symptoms associated with nasal congestion, allergies, and sinus issues. It involves flushing out the nasal passages with a saline solution, which can help remove mucus, allergens, and irritants. However, as you've experienced, some individuals may notice unusual odors after performing nasal irrigation, which can be concerning.

The strange odor you described, reminiscent of a hair dye, could be attributed to several factors. First, it's essential to consider the quality of the water used for irrigation. While you mentioned using drinking water, it's crucial to ensure that the water is sterile or distilled, especially when performing nasal irrigation. Tap water may contain microorganisms that can lead to infections or unusual odors. If you're using tap water, it should be boiled and cooled before use to eliminate any potential contaminants.

Another factor could be the saline solution itself. If the saline solution is not properly mixed or if the salt used is of poor quality, it may lead to an unpleasant taste or smell. It's advisable to use commercially prepared saline solutions or to follow a precise recipe for homemade saline, typically consisting of 1 teaspoon of non-iodized salt mixed with 2 cups of distilled or boiled water.

Additionally, the sensation of an unusual odor may also be related to the presence of mucus or other debris being dislodged during the irrigation process. Sometimes, the nasal passages can harbor bacteria or other substances that may produce odors when disturbed. If you have allergies, the nasal passages might be inflamed, and the irrigation could be bringing these substances to the forefront, leading to a temporary change in smell.

If the odor persists or if you experience any other symptoms such as increased nasal congestion, pain, or discharge, it would be wise to consult with an ear, nose, and throat (ENT) specialist. They can evaluate your nasal passages for any underlying issues, such as infections or structural abnormalities, that may be contributing to your symptoms.

In terms of managing your allergic rhinitis, nasal irrigation can be a beneficial adjunct to other treatments. It can help clear allergens from the nasal passages, potentially reducing the frequency and severity of allergic reactions. However, it should not replace other treatments prescribed by your healthcare provider, such as antihistamines or nasal corticosteroids.

In summary, while nasal irrigation can be an effective method for managing symptoms of nasal allergies, the unusual odor you experienced may be due to the quality of the water or saline solution used, or it could be a temporary result of dislodging mucus and debris. Ensure you are using sterile water and a proper saline solution, and if the issue continues, seek medical advice for further evaluation and management.

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