How to use nasal steroids

 
Normal Nasal Mucosa and Ostea of Maxillary Sinus : Click on pictures to enlarge !!!    
Foreign Body in the Nose:   This picture shows a plastic "hot wheels" toy in the right naris of a 5 year old.  The foreign body is wedged below the middle turbinate .  Attempts at removal in the emergency room was unsuccessful and the child was taken to the operating room for removal. 




Click on pictures to enlarge !!!    
This picture shows a wood chip foreign body in the nose.  It is located under the middle turbinate , deep in the middle meatus .  It was removed in the doctor's office under local anesthesia. 
Click on pictures to enlarge !!!    
Epistaxis :  Search PubMed for Epistaxis This picture shows prominent anterior (up-front) septal vessels which will bleed easily.  This type of nose bleed ( epistaxis ) usually occurs in children.

Controlled clinical studies have shown that intranasal corticosteroids may cause a reduction in growth velocity in pediatric patients. This effect has been observed in the absence of laboratory evidence of HPA axis suppression, suggesting that growth velocity is a more sensitive indicator of systemic corticosteroid exposure in pediatric patients than some commonly used tests of HPA axis function. The long-term effects of this reduction in growth velocity associated with intranasal corticosteroids, including the impact on final adult height, are unknown. The potential for “catch-up” growth following discontinuation of treatment with intranasal corticosteroids has not been adequately studied. The growth of pediatric patients receiving intranasal corticosteroids, including DYMISTA, should be monitored routinely (., via stadiometry). The potential growth effects of prolonged treatment should be weighed against the clinical benefits obtained and the risks/benefits of treatment alternatives.

This information should not be used to decide whether or not to take fluticasone or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to fluticasone (nasal). This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.

In addition to the increased risk for stroke and seizures, other neurological problems can occur with long-term cocaine use. 7 , 18 There have been reports of intracerebral hemorrhage , or bleeding within the brain, and balloon-like bulges in the walls of cerebral blood vessels. 7 , 18 Movement disorders, including Parkinson’s disease, may also occur after many years of cocaine use. 7 Generally, studies suggest that a wide range of cognitive functions are impaired with long-term cocaine use—such as sustaining attention, impulse inhibition, memory, making decisions involving rewards or punishments, and performing motor tasks. 14

Sinus Rinse Kit Technique (preferred technique) —
The Sinus Rinse Kit comes with a Sinus Rinse bottle and mixture packets. When using the Sinus Rinse Kit, or you can use the prepared mixture packets that come with the kit or you can make your own nasal wash solution described above. The Sinus Rinse bottle is filled with saltwater. The bottle is placed against the nostril. After the bottle is squeezed, saltwater comes out the opposite nostril and may come out the mouth. The nose is then blown gently. The procedure is then repeated with the other nostril.

General measures that allow mucus secretions to pass more easily may be recommended when it is not possible to determine the cause. Many people, especially older persons, need more fluids to thin out secretions. Drinking more water, eliminating caffeine, and avoiding diuretics (medications that increase urination) will help. Mucous-thinning agents such as guaifenesin (Humibid®, Robitussin®) may also thin secretions. Nasal irrigations may alleviate thickened secretions. These can be performed two to four times a day either with a nasal douche device or a Water Pik® with a nasal irrigation nozzle. Warm water with baking soda or salt (½ to 1 tsp. to the pint) or Alkalol®, a nonprescription irrigating solution (full strength or diluted by half warm water), may be helpful. Finally, use of simple saline (salt) nonprescription nasal sprays (., Ocean®, Ayr®, or Nasal®) to moisten the nose is often very beneficial.

How to use nasal steroids

how to use nasal steroids

In addition to the increased risk for stroke and seizures, other neurological problems can occur with long-term cocaine use. 7 , 18 There have been reports of intracerebral hemorrhage , or bleeding within the brain, and balloon-like bulges in the walls of cerebral blood vessels. 7 , 18 Movement disorders, including Parkinson’s disease, may also occur after many years of cocaine use. 7 Generally, studies suggest that a wide range of cognitive functions are impaired with long-term cocaine use—such as sustaining attention, impulse inhibition, memory, making decisions involving rewards or punishments, and performing motor tasks. 14

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