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