neti pot hysteria

Apologies to my uterused friends for the use of the word “hysteria”.

So, another person died from a naegleria fowleri infection transmitted via a neti pot. And, predictably, it’s making the rounds with everyone freaking out, swearing off the neti pot, and generally panicking.

First, a bit of evangelism: the neti pot changed my life. I know, you’ve heard it all before, but hear it again. For certain types of people (like me), with truly effed up sinus geography (like mine), regular sinus infections are a part of life. Sinus surgery, rigorous application of steroids (oral and corticosteroid nasal spray), and decongestants helped me combat them to some extent, but not entirely. For much of my life, even post-sinus-surgery, I dealt with at least one sinus infection a month. At the behest of some friends, I finally bought a tried a neti pot. After overcoming the initial squickiness of it all, I learned to love it. And, in fact, I haven’t had a serious sinus infection since I started. Only once did I relapse at all, and that was because I was travelling and didn’t bring the neti pot. Lesson learned. It’s nothing magical or mystical – having used it long enough now, I know that there’s one spot in the back of my sinuses (probably some remnant of my mostly-removed ethmoid sinus walls that remained post-surgery) where “stuff” accumulates. If I don’t flush it out, it turns into an infection. Regularly.

Anyways, enough TMI. You get the drift: it changed my life, and I rely on it heavily. I flush my sinuses at least once a day, sometimes more.

Now, everyone is freaking out and sending me this article and encouraging me to only use microwaved distilled water. Yeah, no. I’ll take my chances with the brain-eating amoeba. Seriously guys. A quick reality check, here:

  • There were two cases of this. Two. This alone is a statistical non-entity.
  • Both cases were confined to Louisiana, an area that fits the bill for where the CDC says the amoeba lurks: “southern-tier states” near large bodies of fresh water.
  • The amoeba is killed in water hotter than 47 degrees celsius (116.6F). Most hot water heaters are set to 120F to begin with.

These cases tell us far more about the quality of Louisiana’s water supply and the temperature (or state) of the water heaters in question. So, speaking for myself, I’m faced with a choice: turn a 2 minute chore into a 15 minute one involving cases of distilled water and a microwave, or take my chances using tap water. Seeing as how I have a better chance of getting hit by lightning or winning the lottery then of getting infected by this amoeba, I think the choice is clear. I’m not sweating it.

It’s hard, also, not to review these hysterical articles and not get a bit suspicious of the intentions: here we have a natural, cheap and effective remedy for sinus ailments, which are currently treated by modern allopathic medicine with drastic, expensive less-effective options (surgery, drugs, etc.) Two statistically negligible cases emerge, attributable more to the water supply and quality, and suddenly they’re being demonized in the media. I’m not saying it’s some huge conspiratorial campaign (never attribute to malice that which you can attribute to stupidity), but still, it’s fishy. I’ll never forget the sign I saw at Vanderbilt’s ASAP (allergy and sinus) clinic with a picture of a neti pot that said (paraphrased), “don’t rely on old wives’ tales. come see the experts”, or something similar. They also specifically advised me not to use one. Now that I’ve experienced how amazing the neti pot has actually been for me, I actually get a little angry, when I think about all the money and time I’ve spent on drugs, surgery, CT scan after CT scan, that they had the nerve to be so dismissive of something as simple as squirting water up your nose.


Comments

JessticlesDecember 19, 2011 at 20:53 · reply

Although, now they give you a neti pot when you visit… while also trying to convince you of the wonders of steroidal nose sprays.

That’s good to hear – I’m not a corticosteroid hater, either. That stuff definitely helps too.

Yeah, I think I got my neti pot from Vanderbilt ASAP when I paid them a visit a few years ago. I’m not prone to infections, but instead the pot helps with my allergies.

Delaney GrayDecember 19, 2011 at 21:22 · reply

Wow, I really want to talk about this! Firstly, Vandy ASAP gave me this squirt bottle instead of the neti pot. They said that if people get the wrong angle to the neti, it can leave water up in there and cause ear infections. The squirt bottle doesn’t depend on a specific angle, and I’ve had great results with it. http://www.neilmed.com/usa/…

Also, I’m having sinus surgery on Thursday, and I’d love to ask you some questions about your experience. I’m nervous and mostly wondering a. how much of Christmas it’s going to ruin and b. the likelihood of needing to get the surgery again in the future. Can you IM me on FB?

fancycwabsDecember 19, 2011 at 22:10 · reply

I just want to take this opportunity to say this: Amoebas.

fancycwabsDecember 19, 2011 at 22:11 · reply

Also, if you start with distilled water, microwaving is just overkill. It’s already sterile, unless you put your own amoebas into it.

I went to ASAP for a couple years. I tended to get sicker and sicker the more I went there. Sure they’d shoot me up with some (unnecessary) antibiotics and a steroid shot, which would make me feel better for a little while, but eventually I’d go back to status quo, so they gave me more and more meds. It was like a chiropractor, they just kept me coming back over and over, without real results. Treating the symptoms, not curing them.  However, the one thing that they did do was give me a “nasal douche” which is like a neti pot. (and not like the squirt bottle like Delaney mentions above)  I still use that just like a neti pot to clear out my sinuses and it’s great. So that’s weird they tell you not to use one now. But ultimately what “cured” my allergies and sinuses was acupuncture, and regular use of my neti pot/nasal douche thing.

AdhavanJuly 03, 2012 at 08:38 · in reply to 20111220141327-cc89979b · reply

I would like to give my useful opinion about this problem. Intaking Apple Cider Vinegar (ACV) might be the best solution for preventing sinus infections. If a person has sinus trouble, he/she should drink apple cider vinegar for the cure purpose. ACV is suitable for prevention and also curing treatment. thanks..

charliemacDecember 20, 2011 at 16:03 · reply

I had nasal surgery earlier this year at Vandy and as part of the recovery I was prescribed to flush regularly with the NeilMed bottle  —which I have now come to love. The directions said to use distilled water and microwave after every use.  After following that pretty religiously, on my checkup I told the doctors about it and they looked a little surprised and basically said I didn’t need to do any of that. I still microwave the a little before each use but not the 90 seconds it asks for.  I’ve also found that 1/2 tsp of non-iodized sea salt works just as good as the packets.

John GordonDecember 25, 2011 at 16:07 · reply

Physician guy here. As you have probably figured, you’re behind the curve. Neti Pots are pretty popular with physician types, and while physicians are as corrupt as most professions (less corrupt than politicians though), we’re not quite into that kind of conspiracy.

These case reports are interesting, but from a medical perspective they merely justify further investigation - not a change in practice. There is perhaps a 10% chance that they will lead to some change in practice; perhaps using cheap multi-gallon containers of bulk drinking water.

BrewbetterJanuary 20, 2012 at 21:41 · reply

I live in South Texas, and have been using a Neti Pot for about 3 years.  It didn’t take long to ditch the little packets of salt you pay ten cents for that has about .001 cents worth of salt.  I mix my own, non-iodized salt and baking soda.  I got the email like most from a friend about the brain eating bacteria, and I did have a hard time with it.  I know, it’s not likely to happen to me, living in a small town with a modern water department.  Still, I came up with a solution that cost $20, and I can sleep at night.  I bought a Sunbeam electric water heater and plugged it in the bathroom.  It boils 1.5L of water in 4 minutes.  I filled up a cleaned 1L soda bottle with boiled/cooled water.  So now, I have a electric kettle full of boiled cool water.  Turn it on when I get up, and in about 1-2 minutes, the water is about 110 degrees.  I turn it off and use it.  If it is too hot, I cool it down with the cooled boiled water in the soda bottle.  The kettle turns itself off when the water gets to a boil after a few minutes.  Now, after all that, I agree with cwage that this should be a non issue.  And it is not clear if those two people who died were using tap water or water from a natural hot spring.  I retire in a few years, I’m not giving up my neti pot and I am going to spend most of my 401K on me.

Yes.  Thank you.  I’ve been cogitating on this for weeks, looking at water purifiers that filter bacteria, etc, and thinking:  “Two people.  TWO.”  I have better chance of getting hit by car (knock on wood).

No way am I buying distilled water, or a distiller, trotting up and down the stairs toting microwaved water (because neti water has to be as warm as you can stand it, not cold or cool, otherwise your mucous membranes swell up).   Neti started in India, for God’s sake, and they’ve been doing it for hundreds, possibly thousands of years.  People need to get a grip.

RhiannasilelMarch 14, 2013 at 19:13 · reply

Thank you, I really needed to read this right now!  I’ve been laying in bed a good part of the afternoon with Vicks and a heating pad because I don’t have the energy to boil water and get actual real relief with my Neti pot in the downstairs bathroom.  I’ve been sick most of the winter for this very reason.  I feel like such an idiot now when I think about it in this light. When I was using the Neti pot daily, I wasn’t sick nearly as much.

Okay, time to go stick my little teapot up my nose and try to beat this ick once and for all!

I was originally comforted by the “fact” that the amoeba dies at water heated above 116 F, but the CDC website now says 149 F, which my hot water does not reach.

naegleria fowleri infections from tap water r not confined to southern states. there was a guy who died from that in minnesota. reported on the doctors tv show. all tap water should b boiled, distilled, etc before using in a neti pot.

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