Before an intervention is called, I will go ahead and openly admit that I have a problem. I am addicted to over the counter nasal spray. Not because I have a killer sinus problem but because every time I fall off the wagon, the congestion returns with vengeance, blocking my nasal passages, stifling my sleep, and overall, decreasing my quality of life.
Summarizing from last weeks Grey's Anatomy, the medical term of my condition is Rhinitis Medicamentosa. This is quite different from Allergic Rhinitis for the onset of the condition is the continuous usage of OTC nasal sprays, as opposed to AR, which is a blockage of the nasal passage due to a common allergen. Most of OTC nasal sprays come in one of two different flavors; Oxymetazoline and Phenylepherine. Oxymetazoline is the most common active ingredient (as found in Afrin) while Phenylepherine comes in second (as found in 4-Way Nasal Spray).
My troubles started back in early May. I had begun an intensive weight training program and had been making good progress towards eliminating body fat while gaining muscle and strength. But coupled with my intense workouts, a tight schedule at work, a flurry of "oh shit" home repairs, and ignoring my blood pressure medicine, I quickly found my head feeling like it was going to explode, and I was hospitalized soon thereafter.
Slowly through the usage of a combination of drugs, my blood pressure came back down. But I started to realize another issue; I was still receiving headaches. Not the same headache that I had experienced earlier (frequent blood pressure checks confirmed this), but more of a sinus pressured pain. The intensity would originate from the top of the nose to around the eye-brow and would work its way throughout the top of my head. It was as if someone squeezing the top of my forehead.
The pain always intensified after nasal spray usage, and would weaken as the day progressed. Usually the pain would wear off after a period of 12-13 hours. The congestion always persisted even after the headaches died down. This lead me to believe that the headaches were induced by the nasal spray.
I finally broke down and purchased the Rhinostat titration system. The premise behind a titration system is that you utilize the substance as needed, and when the liquid reaches a certain point in the bottle, you add a dilutent to reduce the contents of the active ingredient. The Rhinostat system appeared to work fairly well in the beginning. The bottle is a peculiar design and didn't seem to penetrate my nasal passages the way a conventional nasal spray bottle did. The dosage of the decongestant is quite small, so if you find yourself frequently using your nasal spray, the Rhinostat system is going to become diluted quite quickly. Unfortunately the dilution of the system outpaced the withdrawal of my symptoms. In the end, I was left with a fully diluted solution and still a stuffy nose. In order to sleep, I relapsed.
I have tried several decongestant products since the Rhinostat system, and all have failed to clear my passageways. Here are the products I've tried in attempt to alleviate congestion (all of the products do not contain Oxymetazoline or Phenylepherine)
- SnoreStop NasoSpray
- Colloidal Silver Nasal Spray by Source Naturals
- Sinus and Allergy Relief Nasal Spray by bioAllers
My Own Titration System
Since I was unsuccessful in finding a solution that allowed me to sleep in peace, I decided to create my own titration system that I could control the dosages.Since I was unsuccessful in finding a solution that allowed me to sleep in peace, I decided to create my own titration system that I could control the dosages.
Start with a full bottle of nasal spray and every time the fluid level reaches half, fill in the rest of the fluid level with Saline nose spray. BUT, not just any saline nasal spray. Don't go the cheap route on this; make sure that saline solution does not contain benzalkonium chloride (e.g. Simply Saline). Benzalkonium chloride has been shown to further increase the rebound effect.
The ConclusionSo far, I still get somewhat congested and I can feel my sinuses swell up from time to time, but I think the intensity is slowing diminishing. I've heard that it takes 4-7 days to withdrawal cold-turkey, so utilizing a titration system I can reasonably expect double that time-frame before I can draw any real conclusions.
More and more, medical advances are cutting down on cutting people open. Improved imaging procedures make diagnostic and even surgical procedures less invasive.Medical imaging enables a range of less-invasive, highly targeted medical therapies that translate into better and more comfortable care for patients. Because they are less invasive, these treatments mean fewer complications, shorter hospital stays and, in many cases, no incisions or surgery.Physician specialty groups, independent organizations and peer-reviewed journals agree that medical imaging is one of the most important parts of modern medical care. In fact, many renowned medical experts believe that without imaging to guide diagnosis and treatment, patient safety would be compromised and quality of care diminished.Doctors have long used surgery for diagnostic as well as therapeutic purposes, looking inside a patient to see what's causing his or her symptoms. Now, improved imaging procedures mean this is often unnecessary, saving patients discomfort, time and money. Here are some of the ways imaging has improved health care:• Image-guided biopsies allow doctors to remove a small piece of tissue for testing through a tiny incision, while still being able to see exactly what they're doing.• CT scans can reduce the need for invasive procedures and additional imaging tests in helping physicians diagnose pulmonary embolism.• Microcoil stents are used to repair brain aneurysms, reducing a patient's chance of death by almost a quarter. Placing stents would be impossible without the use of video X-ray imaging technology.• The preferred therapy for reopening blocked arteries and permitting blood flow to the heart is a procedure called coronary angioplasty. Again, only through the use of imaging technology can doctors see where the blockage is and how to get there.
As the name suggests bloodshot eyes makes your eyes blood colored. The blood vessels in the white portion of the eyes are enlarged and irritated causing the redness. Some common reasons for the redness of the eyes are due to coughing, eyestrain, dry air, over exposure to sun, dust, foreign body, an allergic reaction, infection, trauma, fatigue, alcohol consumption, lack of vitamin B2 and B6 and high blood pressure.You can get bloodshot eyes byBlepharitis - Caused by skin bacteria that leads to itching and turns your eyelid greasy and crusty.Conjunctivitis - Also known as pink eye is caused by a virus, bacteria and allergy or skin irritation. It is very contagious if caused by an organism.Corneal ulcers - It is caused by viral infection affecting the outer cover of the eye.Uveitis - It causes inflammation of uvea, including iris, ciliary body and choroids. It is related to autoimmune disorder, infection or exposure to toxins.Home Remedies for Bloodshot EyesReduce the redness by splashing cold water over closed eyes. This soothes the eye and shrinks the blood vessels as in case of an allergic reaction.You can apply cold compress to your eyes by using an ice pack wrapped in a towel.Use warm compress for red eyes without any itching. This may be due to fatigue or tirednessPut three drops of rose water in your eyes.Soak cotton pad in a mixture of rose water, milk and Aloe Vera juice. Place these cotton pads over your closed eyes for 10-20 minutes in a dimly lit room. This will help in reducing the redness.You can try the hot and cold compress on your eyes, alternately.Stay away from allergy triggering agents which may lead to bloodshot eyes.Goldenseal is a native medicinal plant that contains berberine which compresses blood vessels and helps in reducing the bloodshot effect. You can use it as a compress or wash to get rid of the pain.To get relief from bloodshot eyes have two ripe tomatoes first thing in the morning on empty stomach. The vitamin C and flavonoids in the tomatoes makes the blood vessel walls stronger.You can also use non-preservative artificial tears, this helps in soothing your eyes and clearing the redness.Wear genuine preservative-free contact lenses. The ones with preservatives can cause redness and other related infections.Warning: The reader of this article should exercise all precautionary measures while following instructions on the home remedies from this article. Avoid using any of these products if you are allergic to it. The responsibility lies with the reader and not with the site or the writer.
There has been much ado lately about Canadian Pharmacy Online medications. Everyone is concerned about the rising costs of prescription medication. As the American public and particularly the "Baby Boomers" age, more medication is often required to maintain quality of life and to control chronic illness. Many do not have proper prescription drug insurance coverage.The recent negative media pointed at Canadian Pharmacy mail order prescription services has caused some people to be a little leery of them. Customs has on occasion, confiscated medications crossing the border because required documentation was missing or incorrect. Another issue with mail order services is that some do not supply the identical medications. And of course there is always some rotten apple working the angles. Some people have turned to Asian mail order medication services only to learn that what they received was the wrong medication or did not contain the correct dosage as prescribed by their U.S. doctor. Asian and Mexican mail order medication services are not governed by the same strict guidelines as those in the U.S. and those that control the Canadian Pharmacy industry. All is Not Lost ThoughThere are safe, cost-effective, legal mail order prescription services available. Here is what to look for when selecting a Canadian Pharmacy service.* Does the mail order service require your doctor provide proof, and do they confirm the prescription with your doctor?* Does a licensed doctor (in the country providing the prescription) co-sign that prescription once verified by your doctor?* Do the medications originate in a country known to provide identical medications as those available in the United States, such as Canadian Pharmacy Online services provide?* Does the mail order prescription service provide significant savings over U.S. drug costs, like 30% or more?* Will the mail order company provide prompt service, making certain that all the documentation to clear U.S. Customs is precise?If you are considering a Canadian Pharmacy for some or all of your prescriptions and they meet ALL of the above criteria, then you can save money and get medication you can trust. Most Americans today who use mail order medication services have found many Canadian Pharmacy services that meet all the criteria above. These are reliable, safe and cost-effective services. These Canadian Pharmacy services provide the identical medications or generic equivalent, ensuring you receive precisely what is prescribed by your doctor.By using a Canadian Pharmacy Online prescription service, you can save as much as 30% or more. If you're considering Medicare Part D, Canadian Pharmacy savings can be especially important because of the "donut hole" which makes amounts from $2150 to $5100 your responsibility. Using a Canadian Pharmacy mail order service can enhance your coverage on Medicare Part D and help you avoid reaching that dreaded "donut hole".
Men and women serving in the military forces may be deployed overseas to a variety of training or reserve areas, or they may even be sent for active duty to a battle zone. The commanding officers will issue orders to provide these service personnel with all needed gear and supplies. A military medical kit is part of the official equipment that most soldiers receive, but individual soldiers may need to request specialized items or check to be sure that they have all the necessary things that may possibly be needed during a tour of duty. Most kits are designed to carry basic supplies that will meet the usual known or anticipated medical needs, like blisters, cuts, sunburns, or muscle soreness. Other supplies help to prepare temporary emergency care for extreme wounds, critical exposures to toxins or environmental hazards, and side effects of ecosystem and climate adjustments. Since no portable kit could hold all the possible equipment and supplies that might be needed, it is up to the medical officer to design a generic list for most of the companys needs based on prevailing conditions. Thus, space and weight are limited in a medical pack due to competing equipment needs that the soldier must carry, so it is important to review the kit periodically and discard expired items while adding new ones that are needed for changing health or duty needs. Wound care is a primary consideration. Assorted bandages should include large and area-size adhesive strips, a gauze bandage approximately 2 x 5 yards (or of similar proportions), square gauze pads, and adhesive tape, along with butterfly wound closure strips. Foot relief or blister pads, as well as eye wash and eye pads, should be included. A small tube of antibiotic ointment, another of burn cream, hydrogen peroxide, alcohol prep pads, and moist towelettes are useful for many situations, as well. Soap can be brought if room allows. In case of bleeding injuries or superficial surgery needs, other types of tools and supplies can be added to the medical pack. Sterilized tweezers and scissors, EMT shears, a blood stopper kit, ammonia inhalants, disposable gloves, a syringe with needle, latex tubing, stethoscope, flashlight, an oral thermometer, and cotton swabs make useful additions. Dont forget a small medical manual that pertains specifically to the type of conditions the soldier is likely to encounter. One that is enclosed in plastic to protect it from the elements is especially useful. Pain management supplies are a routine component of any soldiers medical pack. Pain relievers like Tylenol or Ibuprofen are important to include, along with an antihistamine product. Those who may have special medication needs should arrange to bring along any prescription products they may likewise need. If there is a reasonable chance of bodily injury, an arm splint and cast plaster may be dispensed, along with a sling or binder, if space permits. In some units, the medic is responsible for managing these and other supplies that may be more randomly needed, so the soldier will not have to take these items along. Depending on other equipment needs and packaging, a medical kit might contain water purification supplies, an emetic, a blood pressure cuff, and earplugs. A gas mask could be part of the medical kit or fit with field supplies, based on its design and how the other things are packed, allowing for space and accessibility in the event the mask is needed. Kits can be rearranged occasionally to help soldiers keep handy the items they are most likely to need for a particular assignment. If a solder is unsure about whether to take along certain supplies, he or she should check with the medical officer. Each medical supply bag will be standardized to that base of operations, and then perhaps tailored somewhat to individual soldiers needs. In some cases, weight or space may prohibit the inclusion of everything mentioned above, so adjustments will need to be made. The ultimate goal is to provide triage and emergency care to protect the soldier until he or she can return to base for more thorough evaluation and treatment.