you could empty the sand out and clean it if you want, That's what I did and it made a world of difference. if its been sitting and not used you will be surprised and sickened to see what can live in there. If changing it will make you feel more sane then got for it. This process is not for the faint of heart, especially if you are starting in a bad place ( much like I did) it took over 5 weeks and 32 gals of bleach every 4 to 5 days for me to get my SLAM complete, Stay strong and keep on keeping on, the end will be worth it. I truly know what your going through anger, self doubt, anguish, wishing or thinking there has to be a quick fix. There is a fix (its what your doing) you just have to have patience. we are here for you!! please vent, cry, what ever, all you want here but please stay the course