Is it okay to microwave nebulizer or in baby bottle sterilizer?

Hi there! I’m happy you found my book helpful 🙂

Rereading what I wrote, I can see why it was confusing!

Yes! If we eat and then immediately exercise that can cause reflux. Especially if we drink a lot of water. Just as we don’t lie down after eating or do airway clearance after eating, we perhaps should not exercise after eating.

I know this creates a time management issue for many in our community. How do we fit it all in?? That’s why I like the idea of an alginate. It puts an algae raft on the top of my stomach contents so I am less likely to reflux as I go about my day.

Another suggestion per Dr Huitt from NJH is to eat a carb such as a piece of bread or some pretzels if you’re going to be drinking a lot of water while exercising. She says it will absorb the liquid in your stomach. And according to her, there’s always 6 ounces of fluids, including digestive enzymes in our stomach.

What’s interesting about my testing is that the 24 hour ph impedance test showed no episodes lying down. All of my episodes occurred during the day. Reflux can happen even when you’re sitting upright, but when you’re bending at the waist, loading the dishwasher, making the bed, stretching, etc, the possibility of reflux and perhaps aspirating is greater.

So that’s my two cents. I’m an health educator not a clinician so before changing your current care in any way, be sure to run it by your medical team.

All the best to you, Linda

Thank you so much Linda for your feedback! I am getting the 24 hr PH test shortly and it will be interesting to see what it says. Whether or not I test positive for GERD, I think being cautious with circumstances that may increase the risk of aspiration just makes strong sense. My GI doctor keeps stressing that GERD can be quite transient, active one day, not active the next, presenting challenges for a definitive diagnosis.

Even if you test positive for GERD, taking proton pump inhibitors will not make GERD/reflux go away. Rather it turns the acid reflux into non-acid (alkaline) reflux. Gastro doctors, in my experience, have a low threshold for prescribing PPIs. Pulmonary says with bronchiectasis no PPIs unless there is a pathology (dysplasia, which I think they mean pre-cancerous lesion). Pulmonary points out there a multiple known side risks to PPIs (memory loss, osteoporosis, kidney problems, increased risk of infection...) enough to give one pause.

I have also been told by my pulmonary therapists that two puffs of the Albuterol inhaler equals a dose of nebulized albuterol, which did surprised me.

bayarea58
Surprising yes. I would like to know a definitive answer about using the inhaler vs the nebulized version of albuterol. I'm not sure how the inhaler could equal the nebulized version when the dosages are different? It would be great if it is the same because it would cut down on our time spent nebulizing!

bayarea58
Surprising yes. I would like to know a definitive answer about using the inhaler vs the nebulized version of albuterol. I'm not sure how the inhaler could equal the nebulized version when the dosages are different? It would be great if it is the same because it would cut down on our time spent nebulizing!

Your pharmacist may be the best resource for this question.

Perhaps it's the dosing time. Albuterol puffer says take 4-6 hours, and Levalbuterol Inhalation Solution every 6-8 hours.

I asked him and didn't have an answer

Not sure I understand what you mean. I was referring to the inhaler being a lesser dosage strength than the nebulizer and how could they act with the same effectiveness for opening the airways if one is a lesser dosage amount.