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Nasal Washes
Over the years, recommendations for replacing nebulizer tubing have changed. Previously, the general guideline was to replace tubing every six months. However, with a growing emphasis on infection control and the recognition that tubing cannot be sterilized, many now recommend changing it monthly.
A recent review of the National Jewish Health website even suggests replacing it every two weeks. Given the cost is around $8 and the critical importance of preventing infections, especially for those prone to them, some people opt to change nebulizer tubing weekly. It’s a simple and inexpensive step to enhance health and peace of mind.
This brings up a related concern: the use of NeilMed Sinus Rinse bottles. The manufacturer recommends replacing these bottles every three months. Unlike nebulizer tubing, the bottles can be cleaned with detergent and water. However, the bottles cannot be sterilized.
For individuals dealing with sinus infections, this raises potential risks. The bottle, being used to prevent infections, could become colonized with a bacterial biofilm and contribute to infections.
Some nasal wash users opt for boilable syringes for better sterilization. However, for serious sinus conditions requiring large-volume rinses, syringes can be impractical.
Personally, I prefer NeilMed’s Squeezie. Its flexible plastic and wide mouth allow for thorough cleaning of the inside with a soft brush. And, I have sterilized it in my Bololo without any issues. Still, its 8-ounce capacity may not suit those regularly using the large 16- bottle, often with a medication added.
Another option might be to replace sinus rinse bottles more frequently. These bottles are similarly priced to nebulizer tubing and could be replaced weekly if your budget permits. Currently, NeilMed sells the bottles with solution packets and I’ve reached out to them to suggest offering standalone bottles, potentially at a discount for bulk purchases.
Share with us what you do. What makes you feel confident rinsing your sinuses daily?
Before making any changes to your current practices, first consult with your medical team.
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@becleartoday
I use the Neil Med for nasal irrigation. I also use it when I was prescribed a steroid to use and mixed it in with the saline rinse.
If I recall the instructions advised to sterilize by putting in microwave for 10 seconds. I did that each time.
It also stated to replace after 3 months which I do also but easy to do as I buy the package that has the saline rinse and the bottle in them.
Hi JC! Yes, many physicians recommend using the bottle as directed. The most important thing is that we feel comfortable and confident with the practice we choose. Enjoy the week, 💖Linda
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3 ReactionsLike you I use the NeilMed Squeezie, which I really like. Even though it holds the same amount as the regular NeilMed bottles, with the Squeezie there's not as much saline/medicine left over. Plus it seems there's more control with where I can direct the fluid. Also like you, I routinely put it in the Bololo for sterilization after soaking it in Dawn and squeezing the soapy solution through the Squeezie a few times.
Regarding nebulizer tubing I don't use a compressor nebulizer that requires tubing. One less thing to worry about.
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1 ReactionIt sounds like a good system, scoop!
I also use the Squeezie, only because I can sterilize it. I preferred the traditional bottle when I added meds because it it was easier to get correct volume for mixing. I’m not using meds now and correct volume is less important.
I disinfect the Squeezie by washing/rinsing in v hot water after every use and putting in Bololo with the neb cup daily. If I’ve had colored secretions, I use the microwave bag after second sinus rinse. Before I got Bololo, I boiled or used microwave bag after washing to disinfect it.
Great approach! I’m currently searching for the best brush to scrub the inside. Dr. Falkinham, a microbiologist with an NTM laboratory at Virginia Tech, is a big proponent of scrubbing. While we can’t scrub our airway clearance equipment due to its delicate nature, we agitate the water instead, which mimics the scrubbing action. This helps remove medication residues and secretions.
For the Squeezie, because of its wide mouth, I am able to scrub the inside with detergent. Right now, I’m using a soft toothbrush, but I’m on the lookout for a more effective and pliable brush. If anyone finds a better option, please let me know!
Linda Esposito
I’m wondering if this squeezie bottle can also be boiled to sterilize? If you can put it in the microwave and in your Bololo, which I’m assuming you do with airway clearance equipment?
Perhaps I need to get a Bololo but I’m boiling for 10 minutes right now.
Thanks!
I’ve never done it, but it’s inexpensive enough where one could experiment. Also you might want to keep in mind that it although Dr Falkinham suggests 10 minutes of boiling, the Cystic Fibrosis Foundation suggest boiling for five minutes. Lots to think about and always good to run everything by your medical team. Linda
I just looked online for a Bololo sterilizer/dryer and I’m having trouble finding one (Amazon Canada says they’re not available right now). Do you have suggestions for a different brand or am I looking in the wrong place? I think Linda (becleartoday ) did a review of different products and I’d like to switch from boiling on the stove to a unit like this that sterilizes, dries and stores the equipment.
I typically clean 2 sets of equipment (nebulizer cups and aerobika) once a day so the capacity doesn’t have to be huge.
@becleartoday I run my NeilMed bottle in the Bololo every day, no issue.
Best wishes of great health to all of us!