A hot water bottle is a natural and relatively safe item that can help you stay warm or relieve pain. You can buy one at a pharmacy or any medical supply store, and setting it up only takes a few minutes.
Steps
Fill the hot water bottle with water

Select a hot water bottle. Regardless of the brand, hot water bottles have the same design: a thick, flat pouch, usually made of rubber, with an outer cover. Some versions have a thicker cover made from various materials, so you should pick the one that suits you best. Be sure to get one with a cover, as you’ll need an insulating layer between the bottle and your skin.
- Before pouring hot water into the bottle, check that it is covered. The cover may get a little wet, but if you pour hot water into an uncovered bottle, the rubber can become so hot that it is unbearable to touch.

Open the cover of the hot water bag. Your hot water bag is likely covered with a protective layer and has a cap on top to prevent water from spilling out. Start by removing the cap to prepare for filling the bag with water.
- If there's still water inside, make sure to empty it. To get the most out of the heat from the bag, any leftover cool water will reduce its effectiveness.
Heat the water. You can use hot water directly from the tap, but it's usually not hot enough for the bag. On the other hand, boiling water is too hot. Aim for water that is no hotter than 42°C.
- If using a kettle, you can boil the water and let it cool for a few minutes, ensuring it's warm enough to use safely in the hot water bag without causing burns.
- Water that's too hot could damage your skin and reduce the longevity of the hot water bag. The rubber material in the bag can't withstand very hot water for long periods, so using water below 42°C is the best way to extend the bag’s life.
- Each hot water bag may have different temperature requirements, so always read the manufacturer's instructions before use.
Fill the hot water bag up to about 2/3 full. This step requires careful handling to avoid burns from the hot water. If using a kettle, slowly pour the water into the bag until it reaches about 2/3 of its capacity. If using tap water, turn off the faucet once the water starts heating up, then position the opening of the bag under the tap. Gradually turn the water back on to avoid splashing hot water onto your hands.
- Be sure to hold the bag by its neck for better control. If you hold it by the body of the bag, the top may tip over before it's full and spill hot water onto your hands.
- Wearing gloves or using another protective item is a good idea to prevent accidental spills. You can also set the bag upright by propping it up with objects around it, so you can pour the water in without the risk of burning your hands.

Remove the bag from the tap. Once the bag is almost full (leave a small gap to expel air and prevent the water from spilling), carefully turn off the tap and remove the bag, being cautious not to spill any water.
- If using a kettle, you can place it down while holding the bag upright with the other hand. Be careful not to let the water spill or the bag tip over.
Press the air out of the hot water bag. Stand the bag upright, with the bottom resting on a flat surface. Next, gently press on both sides of the bag to expel the air. Continue until you see the water rise up to the top of the bag.
Secure the cap on the hot water bag. After expelling all the air, twist the cap back onto the bag tightly. Keep turning it until you can no longer tighten it, then check by turning the bag upside down to see if any water leaks out.
Place the hot water bag on the desired area of your skin. You can use the hot water bag for pain relief or to stay warm on cold nights. After filling the bag with hot water, position it on the bed or directly on your skin for 20-30 minutes. It may take a few minutes for the bag to warm up, but as soon as the hot water is inside, it reaches its peak temperature.
- Ensure you don't leave the bag on your skin for more than 30 minutes. Prolonged direct heat can be harmful, so always prioritize safety. If you're using it for pain relief but still feel discomfort, stop after 30 minutes, wait for 10 minutes, and then reapply.
- If placing the hot water bag on the bed, keep it under the covers for 20-30 minutes before getting into bed. Once you're ready to sleep, remove the bag and pour out the hot water. Leaving the bag in bed overnight could cause burns or damage your bedding.
Empty the bag after each use. Once the water has cooled, pour it out and hang the bag upside down to dry, making sure to open the cap. Before reusing the bag, check for leaks or damage by pouring cold water into it.
- Avoid drying the bag in places with fluctuating temperatures, such as above the stove, near a sink, or in direct sunlight, as temperature changes may reduce the bag's lifespan.
Using a hot water bag

Relieve menstrual cramps. Hot water bags are commonly used to soothe cramps during menstruation. The heat blocks pain signals from reaching the brain by stimulating heat receptors in the affected area. These receptors prevent the body from detecting the chemical signals that cause pain. If you experience menstrual cramps, fill the bag with hot water and place it on your lower abdomen for about 30 minutes.

Alleviating back pain and other aches. If you're experiencing back pain, joint stiffness, or sore muscles, a hot water bottle can be an effective way to ease the tension. Much like its effect on menstrual cramps, heat applied to the affected area blocks pain signals from reaching the brain. Additionally, it promotes blood circulation, delivering essential nutrients to the area, speeding up the healing process.
- Sometimes, alternating between hot and cold therapy can further help relieve muscle pain. The contrasting temperatures stimulate strong sensations without much movement, providing pain relief. You can either apply just hot water or alternate between cold and hot compresses, applying heat after a few minutes of cold treatment.

Treating headaches. Heat therapy can help relieve the tension and tight muscles that often cause headaches. You can apply a hot water bottle to your forehead, temples, or neck. Try different spots to determine which provides the most relief, then leave it in place for 20-30 minutes or until the pain starts to subside.

Warming up your bed. During chilly winter nights, a hot water bottle can keep your feet or body warm. Place it at the foot of the bed near your feet or under the blanket where you sleep to warm up your bed. It's also helpful if you're feeling unwell and your body temperature is fluctuating.
Warning
- When using a hot water bottle, always follow the safety instructions to avoid harming yourself or others.
- Do not place pressure on the bottle when it contains hot water. For example, avoid sitting or lying directly on the bottle. If you need to use it on your back, try lying face down or on your side. You can also place the bottle on the painful area and wrap it with cloth to keep it in place.
- Avoid using a hot water bottle for young children or infants, as the heat may be too intense for their delicate skin.
- If you have sensitive skin, be cautious when using the hot water bottle. Start with the lowest temperature and gradually increase if comfortable.
- Never use the hot water bottle if you suspect it may be leaking or damaged. Always test with cold water first, and if in doubt, don't use it. Replace the bottle if you notice any damage.
- Tap water may cause the hot water bottle to wear out faster due to chemicals present. To extend its lifespan, consider using purified water instead of tap water.
- Some hot water bottles are microwave-safe, but always check the packaging first. Many types should not be microwaved or heated on a stove.
