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Drs. Shapiro and Smolarz at Virgin Islands Ear, Nose & Throat would like to provide you with these precautions for your education and review. Should you have any questions, please contact us.

Anti-Reflux Precautions

  • No large meals
  • No meals or snacks close to bedtime
  • No hot ox spicy foods
  • No alcohol
  • No tobacco products
  • No caffeine (coffee, tea, sodas and chocolate)
  • No gum chewing
  • No tomato products
  • No carbonation
  • No citric products
  • No peppermints or spearmints
  • Sleep with upper body elevated 30° - 45°

Nasal Precautions

  • No lifting greater than five pounds
  • No straining
  • No bending
  • Sneeze with your mouth open
  • No nose blowing
  • Sleep with your upper body elevated
  • Do not bend over to tie your shoes - Use slippers or loafers
  • Cool diet - Liquids or food at room temperature or cooler
  • Use a cool mist humidifier with a filter
  • Saline mist nasal spray - two sprays to each nostril four times each day