Integrative ENT Health

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Integrative ENT Health Integrative ENT topics with a special focus on ENT migraine-where headaches, congestion, ear symptoms, and dizziness connect.

Treating the whole person, not just one symptom.

12/10/2026

1️⃣ Acute streptococcal pharyngitis (“Strep throat”) almost never presents with runny nose or cough. If present, it’s more likely a viral infection or allergies. Most common presentation of Strep is sore throat, fever, headache, or stomach ache with swollen lymph nodes in the neck.

2️⃣ Antibiotics can help prevent rare complications like scarlet fever (10%) acute rheumatic fever (2%), severe kidney infection called glomerulonephritis (

08/10/2026

👃🏼💦 Don’t underestimate your kids
…they may handle a nasal rinse better than you think!

In fact, the majority of children over age 4 can tolerate nasal irrigation, and research supports saline irrigation in children as a simple, low-risk way to help clear nasal mucus and improve nasal breathing. PMID 25892369, 28583489

🔑 The key? Don’t rush it. And don’t force it.

Here’s how I introduce rinses to kids:

1️⃣ Let them play with it first. Spray the mirror. Their hands. Or you. 😉 The goal is to make the bottle less intimidating before it ever gets near their nose.

2️⃣ Let THEM hold it. The first few times, they may pull away the second they feel the saline. That’s okay! Give them control and try again.

3️⃣ Mouth open + slow exhale. Have them open their mouth and slowly breathe out while they rinse. This can make the sensation much easier to tolerate.

4️⃣ Get excited about the gross stuff. 😂 Seriously. Look at what came out together! (You know you love the gross stuff)

⭐️ BONUS: Let them watch you rinse your nose first or show them videos of other kids doing it. Sometimes seeing someone else do it takes away the fear.

👉🏻 And if it’s still a hard NO? Don’t turn it into a battle. Stick with saline spray, drops or mist and try irrigation another time. Something they’ll tolerate consistently is better than the “perfect” treatment they refuse.

And remember: use distilled, sterile, or appropriately boiled and cooled water for nasal irrigation-never water straight from the tap.

Educational information only; not individualized medical advice. Young children should use nasal irrigation with appropriate adult supervision.

02/10/2026

✅ Pro tip: Practice now when they are feeling well!

(And avoid a lot of snotty mess) 😂

Nose Blowing 101 👃🏻
Part 2

Learning how to blow your nose effectively is a critical skill for nasal hygiene. 💕

It impacts how often and what type of nasal saline you may need to use (Stay tuned 😃 I’ll cover that too!)

Mucus stagnation can also impact the number/severity of colds, sinus infections, ear infections, and more 🫠 by causing chronic localized inflammation to lead to mucosal remodeling, blocking the airway, increasing mouth breathing, disrupting sleep…the domino effect is real 😑

FOLLOW along for all the info on what type of saline to use next…but first go back to Part 1 for the foundation of nose blowing no one mentions 👃🏻

Which one of these do you think you’ll try? 👇🏻

30/09/2026

😳 Did you know that incorrect nose blowing can actually increase the risk of sinus and ear infections?

When I people turning red in the face while blowing their nose all I can think is…we should talk 😆

Nose Blowing 101 👃🏻

🫁 Effective breathing (and by extension effective clearing of your nose) must start from your diaphragm, not squeezing your throat.

Squeezing too hard with your throat and facial muscles and spiking the intracranial pressure can actually drive contaminated mucus into the Eustachian tubes or sinus cavity and can rupture delicate blood vessels inside the nose. 🩸

Practice belly breathing as a way to remind yourself that using the diaphragm allows you to generate a steady, high volume flow of air rather than a high-pressure spike.

This is a helpful first step when teaching kids…

29/09/2026

Comment LPR for the big picture!

28/09/2026

It’s 2026. If this isn’t discussed as part of your treatment plan…. 😬

👃🏻 I just finished writing an article about the gut-sinus connection and the evidence is overwhelming. Numerous studies have revealed the impact of a healthy gut microbiome on whole body chronic inflammation including your nose, sinus and upper airway.
PMID 39031512, PMID 37773713, PMID 41005202

Here’s what you can do:
1️⃣ Ask your clinician about it - if they don’t know about it, the need to start reading 😉 (the more you put pressure on the system to change, the greater the chance it will)

2️⃣ Check your fiber intake (it’s not the end all, but it’s a good place to start)

Goal: 25grams/day females; 38 grams/day males

3️⃣ Avoid unnecessary antibiotics that can permanently alter your gut microbiome (remember not all sinus infections require antibiotics-I have tons of tips on how to approach viral illnesses to reduce your chance of needing an antibiotic- comment RECOVERY to get the details)

25/09/2026

If you don’t want to cancel plans all winter for fevers, coughs and sinus infections read on 👇🏻

The 3 things you know:
1️⃣ Wash your hands
2️⃣ Use saline daily (spray or rinse, doesn’t matter- anything is better than nothing)
3️⃣ Get a good night’s sleep

The 3 things you don’t:
1️⃣ Be careful of indoor fireplaces and outdoor fire pits-too much smoke exposure can increase risk of respiratory problems (enjoy it, just rinse your nose after with saline-see above 👆🏻)
2️⃣ Herbal teas with tulsi, sage, nettle, turmeric, and ginger can work wonders in the background
3️⃣ Targeted herbal therapy with pelargonium when symptoms like congestion and postnasal drip start can help you feel better faster (and avoid unnecessary antibiotics)

Comment RECOVERY for more on how to build a resilient airway in time for winter 👇🏻

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