by MARY J. SCOURBOUTAKOS

It starts with a slight scratchiness at the back of your throat.
Then, a sneeze.
Then coughing, sniffling and full-on congestion, with or without fever, for a few insufferable days.
Viral upper respiratory tract infections – also known as the common cold – afflict everyone, typically three times per year, lasting, on average, nine days.
Colds don’t respond to antibiotics, and most over-the-counter medications deliver modest results at best.
In recent years, research has emerged demonstrating the effectiveness of the ancient practice of nasal saline irrigation in fighting the common cold in both adults and children.
Not only does nasal saline irrigation decrease the duration of illness, it also reduces viral transmission to other people, minimizes the need for antibiotics and could even lower a patient’s risk of hospitalization. Better yet, it costs pennies and doesn’t require a prescription.
I’m both an adjunct assistant professor of medicine and a practicing physician. As a family doctor, I see the common cold every day. My patients are usually skeptical when I first recommend nasal saline irrigation. However, they frequently return to tell me that this practice has changed their life. Not only does it help with upper respiratory viruses, but it also helps manage allergies, chronic congestion, postnasal drip and recurrent sinus infections.
What is nasal saline irrigation?
Nasal saline irrigation is a process by which the nasal cavity is bathed in a saltwater solution. In some studies, this is accomplished using a pump-action spray bottle.
In others, participants used a traditional neti pot, which is a vessel resembling a teapot.
This practice of nasal irrigation originated in the Ayurvedic tradition, which is a system of alternative medicine from India dating back more than 5,000 years.
The neti pot can be traced back to the 15th century. It garnered mainstream interest in the U.S. in 2012 after Dr. Oz demonstrated it on the “Oprah Winfrey Show.” But it’s not the only device that has historically been employed for such purposes. Ancient Greek and Roman physicians had their own nasal lavage devices. Such practices were even discussed in medical journals such as The Lancet over a century ago, in 1902.

How does nasal saline irrigation work?
Nasal saline has a few key benefits. First, it physically flushes debris out of the nasal passage. This not only includes mucus and crust, but also the virus itself, along with allergens and other environmental contaminants.
The Conversation for more