 In this study, subjects are randomized to one of two study arms. They are either randomized to receive nasal saline irrigation treatment treatment group or not to receive any nasal irrigation treatment control group. Subjects randomized to the treatment group will be provided with saline packets to mix with water. All study subjects will be asked to complete questionnaires during the study. If a subject completes all study related activities, their total length of participation in the study will last about 2 months. 