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.
Interested in more discussions like this? Go to the MAC & Bronchiectasis Support Group.
Yes, also the US Amazon isn’t carrying the Bololo. I know someone who is in the process of getting one directly through the company. They’ve been difficult to deal with in the past regarding the filters. I really can’t say what’s up with them.
Here is some research I did a couple years ago and posted to social media. It’s abbreviated and it could be there are design changes. In addition to the below devices, I am hearing about more people purchasing the Baby Brezza. From my research, all of the tested baby bottles seem to get the job done. However, my preference was for the longest sterilizing cycle available.
“ I like the oblong design of the Avent but do not care for the built-in baby bottle posts on the bottom of the device (see photo). They make placement of the nebulizing parts difficult. Also, the drying cycle only runs 30 minutes which wasn’t long enough for all the parts to dry. I had to remember to run the dry cycle a second time.
For these reasons, I wasn’t entirely happy with the Avent so I ordered a Wabi. Wabi is a popular device and on their website, unlike the Avent, they specifically mention nebulizer sterilization. They even have a video from the Cystic Fibrosis Foundation. I unboxed it and thought it looked flimsy. I also didn’t like that it only required 80 ml of water whereas the Avent has the capacity for 130 ml. More water means more time sterilizing and I want to make sure that it gets the job done. Another problem with the Wabi is its circular design that makes placement of multiple nebulizer and Aerobika parts difficult. (I wasn’t willing to pile them up.) In the end, I decided the Wabi wasn’t better than the Avent and did not use it.
So, with two sterilizers that seemed less than ideal, I ordered a Bololo. I like the quality of the plastic and the design. Similar to the Avent, it is oblong and I was happy to see that the baby bottle posts were optional. Also, it requires a whopping 150 ml of water and the dry cycle goes for 45 minutes. Do you have a baby bottle sterilizer? Please share your experience!”
Linda Esposito
@becleartoday I have this brush, meant for water bottles. It fits well through the narrow neck of the Squeezie.
https://www.amazon.com/Sigg-Cleaning-Brush-Dishwasher-Lightweight/dp/B002I02HQU?th=1
I bought the squeezie because I read it could be boiled, but am not sure where I saw it. I boiled them 10” 1-2x/week until I got the Bololo. It was fine. : )
I just calledNeilMed customer service and he said they do not recommend boiling. He said microwaving and baby bottle sterilizers are fine. He recommended just washing with soapy water. I asked why it’s ok for the bottle sterilizers and not a pot of water since temp is about same. He said they’re afraid bottle will lose shape and pressure.
I have 2 thoughts: one is that I’m not sure those answering customer service are that familiar with equipment.
The other is that perhaps the pan bottom might get hotter than the water. I used a little silicone hot pad in bottom when I boiled the thinner older bottle, which the customer service folks had said could be boiled 5 min, but not 10.
I don’t have a baby bottle sterilizer but i like the idea of it cleaning, drying and sterilizing AND storing!
You mention getting one that has the longest sterilizing cycle. I’ve looked at a few others online (Brezza, AVENT, Momcozy) but don’t see information about sterilizing cycle - am I missing something or do you actually have to buy or get the owners’ manual to get that information?
Thanks for the very helpful information.
I use the old style NeilMedi bottle when I need to do nasal rinses but I’ve always been concerned about not being able to sterilize them (I do wash them out with soap and water but not the same). I should probably do the rinses all the time but not being able to sterilize the bottle always nags at me. Boiling for 5 minutes is better than what I was doing with the bottles I have.
I have a silicone liner to put in the pot that I use to boil my airway clearance equipment but I am looking at baby bottle sterilizers so that would make it all so much easier. I’m trying to compare the sterilizers and see which ones do the best job. I have Mac so I feel that more sterilization is needed for everything than the CF literature recommends.
I’ve been at this for nearly 6 years and while I don’t want to cut corners, especially with sterilizing, it does get tiring after a while.
I’ve been at it just 2 and changed what I was doing too often. I’d think I was over doing it, ease up some, feel guilty, get anal again. I love the Bololo-it has lessened that worry.
I didn’t ask this rep about the old bottles. I suspect it would’ve been different answer from him.. The silicone squeezie is thicker and doesn’t soften as much as old one with boiling.
I’m hoping that I can order a Bololo here in Canada but I feel like I should also be looking at something comparable but easier to buy and to service here in Canada.
Thanks also for the information about the squeezie, etc - I’ve just ordered one and will get back to doing nasal rinses without the risk of not sterilizing after use.
Just another couple of questions. Is there any length of time that I should be looking at for steaming? For drying? Is the steam time the important factor or is it the drying time?
The AVENT premium is available locally (near Toronto) and has 8 minute steaming and 40 minute drying. I see the Brezzi has 30-45-60 minute drying times but not sure of the steam time. Brezzi would be more of a challenge if I have to deal with warranty issues.
Thanks for your patience,
The way I figured out the sterilizing time and temp was to measure once I purchased one. I timed 13 minutes at 212+ degrees. That with all the other positive reviews here and there made it an easy purchase.
For domestic travel I also purchased Grownsy sterilizer because the tank portion can be removed which reduces its overall measurements considerably. That's an 8 minute sterilization cycle. I generally use distilled water in both.
For international travel I purchased the Drizzle, which is also well discussed here and there. Works great for sterilizing. Gear then air dries.
Sorry everyone…backed up w/ work and getting ready to go on a 2 month trip. Hope your questions are being answered by our awesome, well-informed community!!! Let’s keep experimenting and sharing 💖Linda
PS it looks like the Bololo is available again on Amazon!