Study of Nasal Irrigation Versus Nasal Spray for Chronic Nasal and Sinus Symptoms

Inclusion Criteria: * Age \> 18 years * Presence of any one of the following symptoms for \> 4 days/week and \> 15 days in the past 1 month: * Nasal stuffiness * Nasal congestion * Nasal dryness or crusting * Abnormal nasal discharge * Thick nasal discharge Exclusion Criteria: * Functional endoscopic sinus surgery (FESS) in the last 3 months * Epistaxis in the last 3 months that required treatment * Acute illness like otitis media, laryngitis, pharyngitis, or rhinitis in the last 2 weeks * Acute attack of asthma or bronchitis in the last 2 weeks * Inability to speak or read English * Current use of any of the study medications regularly for more than a week in the last 1 month * Any history of intolerance to saline treatment (if used)