For many people in Melbourne, a clear nose and easy breathing are things they rarely think about – until congestion, allergies, or sinus problems make it difficult. At Melbourne ENT, based in St Kilda East, Victoria, we see patients every week who describe constant pressure, blocked noses, and recurrent infections. These issues can affect sleep, concentration, and overall wellbeing. One of the simplest, safest, and most effective treatments we recommend is nasal irrigation, sometimes called sinus rinsing. This involves flushing the nasal passages with a saline solution to remove irritants and restore healthy airflow. It is a practice supported by medical research and trusted by ENT surgeons worldwide.
Our experienced team, led by Dr Stephen Kleid, ENT and Head & Neck Surgeon, and Dr Simon Braham, ENT Surgeon, regularly guide patients across Melbourne and regional Victoria through both surgical and non-surgical treatments for nasal and sinus problems. Nasal irrigation is often one of the first steps we recommend because it is effective, affordable, and can be performed at home with minimal effort.
The nose and sinuses act as natural filters for the air we breathe. Each breath carries dust, pollen, pollution, and germs, which are trapped in a thin layer of mucus that lines the nasal passages. Normally, this mucus is cleared away naturally. However, during conditions such as chronic sinusitis, hay fever, viral infections, or post-surgical swelling, this system becomes overwhelmed. The result is a blocked, congested nose and a feeling of constant pressure in the face.
Nasal irrigation helps by washing away the irritants that cause inflammation, thinning thick mucus so it can drain more easily, and restoring moisture to the nasal lining. This not only makes breathing easier but also reduces the risk of secondary infections. It has another important benefit: when patients are prescribed nasal sprays or steroid sprays, irrigation ensures these medications can penetrate deeper into the nasal passages instead of being blocked by mucus.
In Melbourne, nasal irrigation is particularly valuable during spring and early summer when pollen counts are high and hay fever becomes widespread. It also helps people living in the inner city where traffic-related air pollution can aggravate nasal passages. Patients often describe it as the single most effective step they have taken to regain control over their breathing and to avoid repeated courses of antibiotics.
There are several ways to perform nasal irrigation, and at Melbourne ENT we tailor our advice to each patient depending on their age, condition, and personal preferences.
The most effective method for most adults is the use of large-volume squeeze bottles. These are soft, refillable bottles that deliver a steady stream of saline solution through the nasal passages, flushing out mucus and debris thoroughly. Because they provide strong and reliable cleansing, they are especially recommended after surgery such as septoplasty or sinus surgery. Many of our patients find that once they learn the technique, using a squeeze bottle becomes as routine as brushing their teeth.
For others, neti pots provide a more traditional approach. These ceramic or plastic devices look like small teapots and use gravity to allow saline to flow gently from one nostril to the other. They are particularly appealing to people who prefer a slower, more controlled rinse and are also convenient for travel. While they may not deliver the same high volume as squeeze bottles, they are still highly effective for regular maintenance.
Some families prefer bulb syringes, especially for younger children. These allow parents to gently control the amount of solution delivered into the nose. In certain cases, patients with chronic or complex sinus disease may also benefit from powered irrigation devices, which provide automated flow. While less commonly used, they can be helpful for individuals who require frequent irrigation and have difficulty with manual devices. At Melbourne ENT, we always recommend discussing device choice during a consultation to ensure the safest and most effective results.
One of the most important aspects of safe nasal irrigation is the type of water used. Melbourne’s tap water is of very high quality and completely safe to drink, but it is not sterile. The sinuses are delicate structures and can be vulnerable to infection if non-sterile water is used. For this reason, it is essential to use boiled and cooled water, distilled water, or pre-packaged sterile saline. Boiling water for at least one minute and then letting it cool to a comfortable temperature ensures that it is safe for rinsing.
Although the risk of serious infection from untreated water is extremely rare, our surgeons emphasise that it is not worth taking the chance. Using the right water gives patients complete confidence that their daily practice is both safe and beneficial. Parents are especially reassured to know that when prepared properly, nasal irrigation is safe for children as well.
The solution itself can be prepared easily at home. Most patients either purchase pre-measured sachets of salt from Melbourne pharmacies or follow a recipe provided at their consultation. The goal is to create a solution that is similar to the body’s natural salt balance.
Isotonic saline is the most widely used preparation. Because its salt concentration matches that of the body, it feels comfortable and gentle, making it suitable for children and for long-term daily use. Patients with chronic sinus problems often find that isotonic rinses become a permanent part of their routine.
Hypertonic saline, on the other hand, contains a higher salt concentration. It has the effect of drawing out fluid from swollen tissues, helping reduce inflammation in the nasal passages. While very effective for some patients, particularly during flare-ups of sinusitis, hypertonic solutions can cause a stinging sensation. For this reason, our surgeons recommend starting with isotonic rinses and moving to hypertonic only if appropriate.
Many of our patients prepare their saline each morning and keep their bottle ready in the bathroom. This simple addition to a daily routine can provide long-lasting improvement in comfort and breathing.
The first time patients try nasal irrigation, they often feel uncertain about how it will work. With guidance, most quickly realise how simple and comfortable the process can be.
Begin by preparing the solution with sterile water and either a sachet or a measured recipe. Once ready, lean forward over a sink or while in the shower. It is important to keep the mouth open and breathe through the mouth to avoid swallowing water. Place the tip of the bottle or neti pot just inside the nostril, aiming slightly towards the ear rather than straight up. Gently squeeze or pour the solution so that it flows through one nostril and out of the other.
The sensation is unusual at first but not painful. Many patients describe an immediate feeling of relief as mucus is cleared. Once one side is complete, the process should be repeated on the other side. After irrigating both nostrils, gently blow the nose to remove any excess solution. If sprays or medicated drops have been prescribed, they should be used after irrigation, as this ensures they reach deeper into the sinuses.
Remember your pharmacist is the best resource for education in the use of saline irrigation, spend time with them and practice the technique with your pharmacist
The frequency of irrigation depends on each patient’s condition. For those with mild hay fever or seasonal allergies, once a day during pollen season may be enough to keep symptoms under control. For people with chronic sinusitis, twice daily irrigation is often recommended. Patients recovering from nasal or sinus surgery are usually asked to irrigate several times a day during the first weeks after their procedure.
At Melbourne ENT, our surgeons provide tailored instructions to every patient. After surgery at the Royal Melbourne Hospital or the Eye and Ear Hospital, frequent irrigation is considered as important as the surgery itself, ensuring proper healing and reducing the risk of complications. Over time, most patients find the routine easy to maintain and value the clear improvement in breathing and comfort.
Maintaining hygiene is just as important as the rinse itself. After each use, the bottle or neti pot should be rinsed with warm water and left to air dry. Once a week, patients should disinfect their device using either boiling water or a mild sterilising solution, depending on manufacturer recommendations. This prevents bacterial contamination and ensures safe use long term.
At Melbourne ENT, we remind patients not to share their irrigation devices with family members, even if they are all using saline solutions. Each person should have their own bottle or neti pot. Devices should also be replaced every few months or sooner if they become worn. Taking these small steps ensures that irrigation remains safe and effective for years to come.
Parents in Melbourne often ask whether nasal irrigation is safe for children. The answer is YES, but the approach should be adapted to the child’s age and comfort level. For younger children, saline drops or sprays are often the best starting point. These moisten the nasal passages and help clear mucus without the need for rinsing. Older children, especially those experiencing recurrent sinus infections, can usually be introduced to small squeeze bottles under parental supervision.
Dr Simon Braham, with his experience in paediatric ENT surgery, frequently advises families on how to incorporate nasal rinses into daily routines. He often explains that children who use irrigation regularly experience fewer infections, reduced reliance on antibiotics, and better sleep quality at night. Parents are reassured to know that with practice and gentle guidance, children quickly adapt and tolerate the practice well.
After nasal or sinus surgery, irrigation is no longer optional – it becomes an essential part of the recovery process. Following procedures such as rhinoplasty, septoplasty, or functional endoscopic sinus surgery, the nasal passages are prone to swelling, crusting, and blockage. Regular rinsing prevents these issues, keeps the nose clean, and promotes faster healing.
Dr Stephen Kleid, who has decades of experience as an ENT and Head & Neck Surgeon, emphasises to his patients that regular irrigation after surgery is just as important as the operation itself. Patients who follow irrigation instructions carefully tend to heal more quickly and experience less discomfort.
At facilities such as the Masada Medical Centre or public hospitals in Melbourne, patients are given clear instructions before they leave. They are shown how often to irrigate, how to prepare the solution, and what to expect in the first few weeks. Many are pleasantly surprised at how much easier breathing becomes once the crusts are cleared and the swelling reduces.
Most people find nasal irrigation easy and safe, but there are a few common issues to be aware of. Some patients notice a mild stinging sensation, which usually indicates that the salt concentration is too high or too low. This can be corrected by adjusting the solution or switching to pre-measured sachets.
Occasionally, patients experience minor nosebleeds, especially in the first weeks after surgery. In these cases, irrigation may be paused briefly and restarted under the guidance of our surgeons. Ear pressure is another complaint, usually caused by squeezing the bottle too forcefully. Using a gentle flow avoids this problem.
If a patient develops persistent fever, worsening pain, or increased swelling, they are advised to contact Melbourne ENT promptly. These may be signs of infection requiring medical attention. Our team places great emphasis on follow-up care, ensuring that every patient feels supported throughout their recovery and beyond.
What distinguishes Melbourne ENT is the focus on continuity of care and highly personalised treatment. From the first consultation at our clinic in St Kilda East, through surgery at leading hospitals such as the Royal Melbourne Hospital and the Eye and Ear Hospital, to long-term recovery, patients are cared for by the same trusted specialists.
Dr Stephen Kleid is widely respected for his expertise in complex nasal and sinus surgery as well as head and neck tumours. He has worked at leading hospitals across Melbourne and internationally. Dr Simon Braham, with his extensive ENT training, provides additional expertise in nasal surgery, sinus conditions, and paediatric ENT. Together, they bring decades of combined experience to the care of Melbourne patients.
Every treatment plan balances medical therapy, surgical options, and simple yet powerful self-care practices such as nasal irrigation. This holistic approach means patients are never left to manage their condition alone and receive ongoing support tailored to their individual needs.
Many patients want to understand whether their nasal or sinus surgery will be covered by Medicare. In Australia, the answer depends on whether the procedure is medically necessary or performed for cosmetic reasons. Surgeries that aim to improve function – such as septoplasty to correct a deviated septum, sinus surgery to treat chronic infections, or turbinate reduction to improve airflow – are usually covered under Medicare item numbers. This means patients are eligible for a rebate, reducing the out-of-pocket expense. In many cases, private health insurance will provide additional coverage when surgery is performed in a hospital setting.
On the other hand, surgery performed solely for cosmetic improvement – for example, rhinoplasty that changes the external shape of the nose without addressing breathing problems – is not covered by Medicare. In some cases, where functional and cosmetic issues are combined, partial coverage may be available. At Melbourne ENT, both Dr Kleid and Dr Braham provide patients with clear advice on likely costs, available rebates, and any applicable item numbers. The team also helps with documentation, making it easier for patients to claim from Medicare and their private health insurance providers when eligible.
For patients across Melbourne, St Kilda East, and Victoria, nasal irrigation offers a safe, natural, and highly effective way to manage nasal and sinus problems. It relieves congestion, supports healing after surgery, and improves overall quality of life. Just as importantly, it empowers patients to take control of their health at home, reducing the need for repeated medications or interventions.
At Melbourne ENT, we believe in combining world-class surgical expertise with practical advice that patients can use every day. Nasal irrigation is one of those practical tools – simple in concept, but transformative in results. Whether you are recovering from an operation, managing chronic sinusitis, or helping a child breathe more easily, this technique can make a profound difference.
If you would like personalised advice on nasal irrigation, sinus health, or surgical care, the team at Melbourne ENT is here to help. To arrange a consultation with Dr Stephen Kleid or Dr Simon Braham, call our clinic directly or visit the website to make an enquiry.
Dr Stephen Kleid – ENT and Head & Neck Surgeon
Phone: (03) 9038 1630
Dr Simon Braham – ENT Surgeon
Phone: (03) 9038 1311