Accidental Nasal Irrigation: Risks and Remedies After Shower Water Inhalation

A strong jet of water from the showerhead accidentally entered the nasal cavity?

Hello Doctor: Today, while using the showerhead (with a strong water stream), I accidentally sprayed water into my left nostril, possibly while inhaling.
It caused an immediate sharp pain and a sensation of pressure, almost as if the water had entered my brain, followed by several sneezes.
Since then, I have been experiencing persistent pain and pressure in my nasal cavity, around my eyes, and at the top of my head.
My left ear also feels strange, and I am unsure if it's psychological, but I have a slight feeling of dizziness and nausea (this is the first day).
Should I seek medical attention? What should I be aware of? Is there a risk of infection from tap water, such as amoebic meningoencephalitis or other bacterial infections? Do I need any preventive treatment? Thank you, Xiao An.

Xiao An, 30~39 year old female. Ask Date: 2021/08/07

Dr. Zheng Jueyi reply Otolaryngology

Hello, if you do not have persistent yellow nasal discharge or ongoing headaches, you can start with self-monitoring.
Generally, tap water is disinfected, and the risk of infection is low.
However, if symptoms persist, it is advisable to consult an otolaryngologist for examination.
Wishing you safety and good health! Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2021/08/07

More Info

Accidental nasal irrigation, especially when using a strong water jet from a showerhead, can lead to various complications, particularly if water enters the nasal cavity and is inhaled. Your experience of pain and discomfort in the nasal bridge, eye socket, and head, along with sensations in the ear, is concerning and warrants careful consideration.

First, let's address the potential risks associated with accidentally inhaling water through the nose. When water is forced into the nasal passages, it can cause irritation and inflammation of the mucous membranes. This can lead to symptoms such as pain, pressure, and even bleeding in some cases. Additionally, if the water contains bacteria or other pathogens, there is a risk of developing infections, such as sinusitis or, in rare cases, more severe conditions like meningitis, particularly if the water reaches the brain through the nasal cavity.

Regarding your specific concerns about the water quality, tap water in many areas is treated to be safe for drinking, but it may still contain bacteria or other microorganisms that could pose a risk if introduced into the nasal passages. While the risk of contracting a serious infection like Naegleria fowleri (the "brain-eating amoeba") from tap water is extremely low, it is not entirely impossible, especially if the water is warm and stagnant. However, this organism is more commonly associated with warm freshwater sources, such as lakes and hot springs, rather than treated municipal water.

Given your symptoms, it is advisable to seek medical attention. A healthcare professional can evaluate your condition, perform a physical examination, and determine if any further interventions are necessary. They may recommend imaging studies, such as a CT scan, to assess for any potential complications like sinusitis or fluid accumulation.

In the meantime, here are some general recommendations to alleviate your symptoms and promote recovery:
1. Stay Hydrated: Drink plenty of fluids to help thin mucus and promote drainage.

2. Saline Nasal Irrigation: If you feel comfortable, using a saline nasal spray or rinse can help soothe irritated nasal passages and clear out any residual water.

3. Warm Compresses: Applying a warm compress to your face can help relieve sinus pressure and discomfort.

4. Rest: Ensure you get adequate rest to support your immune system.

5. Monitor Symptoms: Keep an eye on your symptoms. If they worsen or if you develop a fever, severe headache, or persistent dizziness, seek medical attention promptly.

In summary, while accidental nasal irrigation can lead to discomfort and potential complications, the best course of action is to consult with a healthcare provider who can assess your situation and provide appropriate care. It's essential to address any concerns about infection and ensure that your symptoms are managed effectively.

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