Gargling with salt and soda (correct proportions)

12/21/2021

69 563

12 minutes

Co-author, editor and medical expert – Maksimov Alexander Alekseevich.

During seasonal epidemics, our body is susceptible to attack by many pathogens. Such diseases may be accompanied by a sore throat. Its common cause is tonsillitis - acute, predominantly bacterial inflammation of the tonsils or exacerbation of an existing infectious process. In the vast majority of cases, acute tonsillitis has a viral etiology. In second place in the number of causes of throat diseases are streptococci of various types. Viruses weaken the body's defenses by suppressing the ability of human immune cells to neutralize and absorb infectious agents. Damaged epithelial villi cannot cope with their function, creating conditions for mucus stagnation. The walls of the pharynx become swollen, hyperemic, and purulent films may form on their surface. The patient experiences pain when swallowing, cough, and general malaise.

An important component of complex treatment is gargling. This method allows you to mechanically clean the mucous membrane of microbial bodies, viruses, their waste products, pus, and moisturize the epithelium of the pharynx.

Depending on the composition of the rinse solution, an anti-inflammatory or antiseptic effect is realized and the intensity of pain is reduced. It is important to remember that rinsing alone may not be enough; more effective treatment includes a set of measures.

In this article we will look at the principles of local therapy.

Up to contents

Is it possible to gargle with salt?

Rinse is used for sore throat, runny nose, otitis, various pathologies of the ENT organs: acute and chronic tonsillitis, purulent processes in the tonsils, pharyngitis.

At certain concentrations, the salt solution has different therapeutic effects.

Hypertonic dilution of sodium chloride (osmotic pressure is greater than that in the tissues) relieves swelling, reducing sore throat, has antimicrobial activity, thins thick mucus, pus, and helps restore the draining function of the tonsils.

A saline solution with a salt concentration of 0.9% mechanically cleanses the walls of the pharynx from bacteria, viruses, dead cells, and moisturizes the mucous membrane of the oropharynx1.

To reduce the risk of infection, it is advisable to irrigate the nasal cavity and oropharynx after visiting crowded places or communicating with a sick person.

Up to contents

Precautions and contraindications

If the recommended proportions are not observed, substances can have a number of negative effects on the body. There are also contraindications to treatment with the composition.

Exceeding the dosage of sodium chloride and bicarbonate leads to the following adverse reactions:

• Fluid retention in the tissues of the oropharynx. Excessive amounts of salt provoke swelling of the mucous membranes.
• Imbalance of potassium and sodium, leading to dysfunction of the myocardium, the appearance of tachycardia and increased blood pressure.
• Improper functioning of the gastrointestinal tract. The appearance of dyspepsia in the form of belching, heartburn and other manifestations.

Contraindications to the use of the medicinal composition include the following conditions:

• Gastritis, manifested stomach disease;
• Arterial hypertension;
• Jades;
• Hemorrhagic diathesis;
• Not recommended for persons with hypersensitivity to substances;
• First trimester of pregnancy.

How often should you gargle with salt?

Before taking independent measures to combat the infection, consult a specialist. Only a doctor can make the correct diagnosis and prescribe the right medications. Recovery depends on adherence to the regimen, the correct selection of medications and therapies.

You should gargle with a salt solution 3-4 times a day, for up to 5 days in a row (the duration of treatment in each case is determined individually). But since table salt is not a medicine, treatment with proven antiseptics is necessary (for example, Hexoral ® rinse solution or Hexoral ® spray, chlorhexidine, and others).

Many patients ask the question: “Which salt is best”?

We do not recommend non-scientific methods for treatment, as there is no evidence of their effectiveness. For gargling and irrigating the throat, there are specialized sprays with sea water, which are sold in pharmacies.

Up to contents

Consumer Reviews

Bubble_gum (irecommend.ru):

“Hello to everyone who stopped by! As you already understand, today I will share my experience of using Asepta Active mouth rinse. Problems with my gums have been tormenting me for a long time - they constantly bleed and become inflamed. One of the reasons is tartar, which I recently went to remove. You can read about how it was and whether you need it here.

After treatment, the doctor prescribed this mouthwash to me. They didn’t tell me how long I needed to use it, but I already understood that it was a week, and then a break. Otherwise, as the dentist said, the microflora of the oral cavity can be disrupted.

I bought Asepta Active mouthwash in a regular pharmacy for 138 rubles, in the clinic where I had my teeth treated it costs 180 rubles. I bought it in the summer, now the price, for example, on the website is 174 rubles. A little more expensive at a regular pharmacy.

I purchased Asepta Active because... it is aimed at treating gums. Simply "Asepta" is intended for freshness of the oral cavity.

The set includes a measuring cup.

Color: transparent, due to the design of the packaging it seems blue.

Taste: Mint.

When using it, it stings and burns a little. The tongue becomes numb if the mouthwash is not diluted with water.

Consumption: the cost-effectiveness of the product naturally depends on how often you use it and in what quantity.

I use it according to the instructions - I dilute half a measuring cup with water, otherwise it makes my mouth ache, but not too much and not scary, in principle. I use this rinse 1-2 times a day, but not daily. One such bottle lasted me a little more than 1 month. Very economical. But let me emphasize once again: the consumption depends on your personal volume of use of the product.

What effect are we promised from using this mouthwash?

Mouthwash "Asepta®":

• has a pronounced antibacterial effect;
• relieves inflammation and bleeding of gums;
• prevents the formation of dental plaque;
• freshens breath.

I have been using this rinse for more than 4 months, intermittently, and I can say that there is a result. Of course, not only does it solve my problems, I also use Asept toothpaste, and, of course, the correct movements with the toothbrush. And in case of severe inflammation, I save myself with dental gel (this and this)

Action:

• The gums have become less bleeding, although this is the merit not only of this rinse, but of other products as well.
• After use, you feel fresh for a long time.
• Dental plaque began to form less.

Compound:

Active substances:

• Benzydamine hydrochloride Chlorhexidine bigluconate Menthol 0.15% 0.05% 0.01%
• Excipients:
• Water, xylitol, glycerin, polysorbate 20, food mint flavoring.

I didn’t look into the ingredients here, the main thing is that the rinse aid helps, and that’s good. I don’t take it internally.

Side effects may occur when using this mouthwash:

When applied topically, the components do not have a systemic effect.

Allergic reactions, dry mouth, numbness, burning sensation in the mouth, and drowsiness may occur.

Apart from numbness of my tongue, I had nothing else. (And then, only for the first time, when I didn’t read the instructions.) Therefore, I dilute the rinse aid with water 1:1.

Now I always buy this rinse aid, I am satisfied with it. I give it 5*.

I recommend purchasing Asepta Active mouth rinse if you have found your corresponding symptoms in the Indications for Use. .

Thank you for your attention.

And remember, everything is individual, I described my experience of using it and my impressions of the product.”

Dewilka(irecommend.ru):

“The best rinse for problem gums + TIPS for use!!! LOTS OF PHOTOS + how to make a simple but effective mouthwash!!!

I have problem gums. Exacerbation of periodontitis occurs periodically. I used to think that only those over 50 suffer from this disease... how wrong I was. And recently I got braces, and decided from the very beginning to maintain the health of my gums, since many people experience worsening of various gum diseases when wearing braces.

My periodontist recommended the Asepta rinse as the most effective rinse that really HELPS.

A 150 ml bottle cost me 182 rubles. I bought it at a pharmacy kiosk at a local city dental clinic. It is not so easy to find in the city, and it is practically never found in local pharmacies.

This rinse is intended for use in infectious and inflammatory diseases of the oral cavity. This means that you can’t use it just like that, for example, to freshen your breath. Otherwise, you can harm yourself. I'll explain why below.

The composition includes a solution of chlorhexidine 0.05%, which is a strong and effective broad-spectrum antiseptic. This means that with long-term use (more than 1 week), you can spoil the microflora of your mouth, and even develop oral thrush! So, don't overuse it!

It also contains benzydamine. Apparently, it is he who causes severe numbness of the tongue. If I had read the instructions at the beginning, I would not have suffered after the first use. I felt my tongue numb for several hours. In general, read the instructions every time you use something for the first time! It is necessary!

For those too lazy to read the instructions, here's a photo:

It also contains xylitol, which has a powerful anti-caries effect, which is good news.

Glycerin is also present in the composition. To retain moisture.

There is polysorbate - it has a good effect on the gums and has an astringent effect. But for me, it would be better if they added a decoction of oak bark, it would be more helpful.

What does the mouthwash taste like??? The most interesting thing is that the food flavoring “mint” is in the LAST place in the composition. I don’t know how much of this flavor there actually is in the mouthwash; it tastes like you’re rinsing your mouth with a simple chlorhexidine solution. That’s why it’s the last place in the lineup, because there’s the bare minimum of it there. In general, the taste is disgusting.

God, what am I happy about... I have never seen a rinse with dyes!))))

One bottle of mouthwash lasted for 7 days.

RESULT OF WEEKLY USE:

• the condition of the gums has improved significantly;
• they stopped bleeding and hurting;
• gums have become stronger (according to internal sensations)

Now I don't worry about them Smile

As a preventive measure, I plan to buy it in the future. The product is excellent. It helps a lot!

I recommend it to anyone with bad gums!

Tip: if you are concerned about the feeling of numbness in your mouth, simply dilute the product with water. I fill half a measuring cup with rinse aid and then add water. approximately 1:1. This does not affect the effectiveness, but is much easier to tolerate.

And finally, I want to share with you a simple recipe for a homemade mouthwash. It can be easily prepared at home. You can use filtered water or any herbal decoction as a base. A solution of chamomile or oak bark is best. You can also include various essential oils that can only be found in pharmacies. The best option is tea tree oil. It has excellent bactericidal, wound-healing, antiviral, immunomodeling, and disinfectant properties. Good breath freshener. Instead of essential oil, you can add 1 tablespoon of honey. Mix everything thoroughly. You can rinse both morning and evening. Store the remaining solution in the refrigerator. Dilute a little with warm boiled water.

Enjoy it to your health!”

Sources:

1. https://cyberleninka.ru/article/v/kompleksnoe-lechenie-hronicheskogo-retsidiviruyuschego-aftoznogo-stomatita-s-ispolzovaniem-preparatov-lineyki-asepta Balashova L.V., Barakov M.A., Khaikin M.B. The use of "Asept" in the treatment of periodontal tissue diseases, bulletin of the medical institute "REAVIZ"
2. The use of drugs from the Asepta line in the complex treatment of inflammatory periodontal diseases (N.V. Berezina E.N. Silantyeva S.M. Krivonos, Kazan State Medical Academy. Kazan.) N.V. BEREZINA, E.N. SILANTIEVA, S.M. KRIVONOS Kazan State Medical Academy
3. https://cyberleninka.ru/article/n/sovremennye-lechebno-profilakticheskie-sredstva-dlya-individualnoy-gigieny-polosti-rta Silantieva E.N., Berezina N.V., Krivonos S.M. Complex treatment of chronic recurrent aphthous stomatitis using drugs from the Asept line, Practical Medicine journal

Salt solution for gargling - proportions

As a rule, adults are recommended to use 1 teaspoon of salt per 200 ml of boiled water. If there are no contraindications, take iodized salt.

In order not to harm your health, it is better to use medications with proven effects. A salt concentration of more than 10% can damage the mucous membrane of the throat, and undissolved crystals can cause soreness and soreness in the throat, scratching the epithelium and delaying recovery.

We recommend certified pharmacy products for treatment, as they have undergone clinical trials and are safe and effective medicines.

Up to contents

How to gargle with salt correctly?

We recommend using only certified solutions that are medicinal, such as Hexoral ®, chlorhexidine, and other antiseptics.

To treat a sore throat safely and effectively, you need to follow some rinsing rules:

• The procedure is carried out after eating.
• Any rinse solution must be fresh every time.
• The patient takes a sip into his mouth and rinses his tonsils for 10 seconds. The duration of the procedure is 3-5 minutes. Such approaches are required 4-5 daily.
• You should tilt your head back for more effective treatment of the tonsils.
• Try to avoid swallowing the product.
• Rinsing as a method of treatment is contraindicated for children under 3 years of age, since due to their age, they will not perform the required actions and may choke or drink the solution.
• You should not drink or eat for an hour after completing the procedure.

Many sources recommend rinsing with salt and soda, iodine, etc. You should not do this for safety reasons, as you can get a burn to the soft tissue of the throat.

Currently, more effective drugs are available for the treatment of tonsillitis, one of which is Hexoral ® rinse solution, as well as other agents for local therapy. When using medications, the likelihood of recovery increases.

Up to contents

Causes of gum inflammation

Gum inflammation can occur for various reasons. Heredity, poor environment, bad habits, hormonal imbalance, etc. But most often, the inflammatory process in the gums occurs due to poor oral hygiene. The more plaque and soft deposits on the teeth, the higher the risk of inflammation. To prevent diseases of teeth and gums, professional hygiene is recommended, which must be done every six months (more often if necessary). The procedure removes deposits that the toothbrush did not reach, freshens breath and makes teeth noticeably whiter.

By the way, scientists conducted an interesting experiment. People who maintained good hygiene and had no dental problems stopped brushing their teeth within three weeks. The result showed that this time is quite enough for primary inflammation to appear on the gums.

Rinse during pregnancy

The expectant mother's body is quite vulnerable to various types of infections. Some immunosuppression occurs to ensure that the fetus has the opportunity to develop normally in the mother's body. However, recently there has been evidence that during the gravidar period, some parts of the immune system, on the contrary, are strengthened. There is an “Immunological paradox” of pregnancy. In response to the action of endotoxins from various bacteria, a woman’s body releases a large number of pro-inflammatory cytokines (a class of substances involved in the implementation of the most important physiological reactions of the body).

Based on this, we can conclude that the specific immune response is suppressed, and the nonspecific, on the contrary, is enhanced.

If you feel a sore throat, you should immediately seek medical help. The doctor will be able to choose effective, and most importantly safe, treatment.

Gargling during pregnancy will not harm2. The liquid promotes mechanical cleansing of the tonsils from dead cells, bacteria, and pus. But remember that rinsing is only part of the therapy. Comprehensive and complete treatment should be prescribed by a doctor, because the expectant mother must take care not only of her health, but also of the condition of her child.

Note!

If the condition remains unchanged during the day or the sore throat intensifies, you should consult a specialist.

Up to contents

Gargling with salt for children

We recommend only special pharmaceutical rinsing solutions and seawater sprays for use by children, as their effectiveness and safety have been confirmed by clinical trials.

First you need to make sure that the child has the necessary skill. The procedure is allowed for children aged 4-5 years. For small children, rinsing is not suitable, since the risk of swallowing the solution cannot be excluded; the child may choke or attempts will be ineffective.

It is important to follow the rinsing rules so as not to harm the baby.

• Rinse should be done after eating.
• Irrigation of the pharynx should be systemic, over several days (the dose of the drug, the duration of treatment should be determined by the doctor)
• If possible, swallowing the medication should be avoided.
• It is important to follow the correct technique (with the head thrown back to clear the throat more thoroughly)
• After completing the procedure, do not eat or drink for one hour.

Solutions prepared independently at home may be ineffective or harmful. Salt crystals that are not dissolved in water can damage the epithelium and increase pain.

This is useful to know

: Often in children the clinical picture of the disease differs from that in an adult.
Due to the peculiarities of the anatomical structure of the pharynx, tonsillitis and laryngitis in young children can be complicated by acute stenosis of the larynx.
And in this case, you can’t hesitate. The glottis narrows and breathing is sharply limited, sometimes this develops at lightning speed and requires emergency medical attention4. Up to contents

The most important rules and recommendations

For each procedure, only a freshly prepared solution using warm water is used, in no case should you use hot water, the temperature should be comfortable and not burn a sore throat;

• All components must be completely dissolved in the liquid;
• One sip of the composition is enough for one time;
• During the process itself, you need to tilt your head back slightly, carefully treat your throat with the medicine, while trying not to swallow the substance;
• By pronouncing the sound “y” the composition fully irrigates the entire area;
• At the end of the manipulation, refrain from food and drink for at least 20 minutes;
• For children, all proportions are halved;
• Each procedure takes approximately 30 seconds and is done about 3 times a day.

Gargling with salt for a sore throat

Its purpose is to mechanically clean the pharynx and tonsils of pathogenic microorganisms, pus, dead epithelial cells and mucus. Salt rinsing is most effective for bacterial forms of sore throat. It must be remembered that treatment with home remedies alone may not be enough. You should not delay visiting a doctor, as it is important to correctly determine the diagnosis and begin complex therapy.

Even with regular gargling with salt, it is not possible to eliminate all pathogenic microorganisms. To eradicate (completely destroy) pathogenic microbes, one should resort to drugs that act on the cause of the disease and break the chain of disease development, i.e. medications that can destroy infectious agents - antiseptic, antibacterial, antifungal, and others5.

Up to contents

Other methods for treating gums at home

1. Oral baths with decoctions and tinctures, which include Kalanchoe, chamomile, St. John's wort, calendula and other anti-inflammatory herbs and extracts.
2. Special diet - just increase the number of foods that contain a large amount of calcium (cheese cheese, cottage cheese, beans, almonds, etc.) and vitamin C (orange, kiwi, strawberries, black currants, etc.).
3. To give up smoking. Cigarettes worsen the condition of teeth and gums and provoke the development of inflammation.

Home methods for treating gums bring good results, but they can never replace full-fledged dental treatment.