how to prevent choking on vomit while sleeping

Maintaining a healthy weight may help decrease these effects and, in turn, improve GERD symptoms. Coughing uses muscles that also play a role in vomiting, which is why people sometimes throw up after coughing. When laying down, the acid presses onto the esophagus and travels back up into our throat. Some models include heat management measures so that the air being pumped into the mask maintains a consistent temperature level. This can cause serious health problems, such as pneumonia. If you think you might be experiencing sleep apnea symptoms, please scroll up to the section before this one, where we explore sleep apnea similarly. Swollen tonsils are the clearest sign of tonsillitis, so checking your throat for swollen tonsils after a choking episode can help rule out this condition right away. Over-the-counter acid neutralizers (such as calcium antacids) function by adding a basic substance to your stomach which counteracts some of the acid present. Acid reflux can also irritate the lining of the esophagus. These drugs help prevent undue relaxation of the esophageal sphincter. Dysphagia may occur occasionally or on a more regular. Burke PGR, Carter SG, Knapman F, et al. Most people intuitively understand that the, Read More Does White Noise Help You Sleep?Continue, Blood sugar changes throughout the day, depending on the food we eat, our overall hydration, and daily activity. adroll_version = "2.0"; Nighttime choking is more prevalent as a whole in people over the age of 30, with nighttime choking being least common in people between the ages of 10 and 30. All rights reserved. Given that this condition is irritating to your diaphragm, esophagus, larynx, and throat, it can cause disturbing nausea, coughing, and oftentimes choking. You are not alone! We will also, more extensively, discuss prevention steps and techniques that can help bring immediate relief. See your doctor if you have a fever, or if your symptoms worsen. This will help to keep them hydrated and will also thin out the vomit, making it less likely to cause choking. Only use abdominal thrusts on a conscious person if "back slaps" fail to relieve the airway . Most of us drool once in a while, especially during sleep. Meanwhile, lets explore the second most common cause for waking up choking. Nighttime choking from these conditions is likely to be restricted to the individual occurrence of heart failure or embolism and is unlikely to be recurring. Its a self inflating bed wedge. Esophageal Cancer: The Fastest Growing Cancer in the U.S. Additionally, an allergy or cold can make it harder for your baby to swallow thick saliva and mucus. The LINX device is a small, flexible ring of specially crafted titanium beads which is fitted around the bottom of the esophagus, on the esophageal sphincter. Studies have associated stress and anxiety with a number of muscle contractions and stomach problems, all of which will worsen the symptoms of a reflux episode. The third form of sleep apnea is known as complex sleep apnea, which represents a combination of both obstructive and central sleep apnea. Keep your baby upright for 30 minutes after eating. To establish that the product manufacturers addressed safety and efficacy standards, we: We do the research so you can find trusted products for your health and wellness. Healthline only shows you brands and products that we stand behind. Going forward in this article, as we explore the dangers of leaving both of these disorders untreated, we will assume that you are exhibiting the symptom sets of either Acid Reflux/GERD or sleep apnea. Certain foods contribute greatly to reflux conditions. Other symptoms of allergies or a respiratory issue include: Take an antihistamine or cold medication to reduce mucus production and thin thick saliva. DOI: Mayo Clinic Staff. A small study found that moderate exercising can help improve the symptoms of GERD along while helping you lose weight. World Journal of Gastrointestinal Pharmacology and Therapeutics. Saliva production may slow down as your body adjusts to the dentures. Elevating your head with a wedge pillow or keeping the head of your bed elevated at an angle can be helpful for reducing nighttime GERD symptoms, including choking on reflux while sleeping. The clearest preventable contributor to sleep apnea is weight and lack of exercise. When you lie down, it is easier for acid reflux to go back up the esophagus and stay there for longer. Choking on saliva can also occur after heavy alcohol use. These are lifestyle changes that can help prevent and in some cases, eliminate heartburn, GERD and that gasping for air, choking feeling. Brittany Poulson, MDA, RDN, CDCES, is a registered dietitian and certified diabetes care and education specialist. However, in most instances, the pain goes away by itself and it can be relieved by certain stretchesusually in combination with anti-inflammatory painkillers and/or natural anti-inflammatories. Reality, the best way to lift the entire sleeping surface you see a child over one-year-old choking here 3! If you have suffered from nighttime choking, do not ignore your symptoms. For example, acid symptoms like burning, bad taste in mouth, and the sensation of stomach contents rising up towards the throat are not generally present with sleep apnea alone. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Reflux/GERD symptoms are likely to occur sometime after eating, and are worsened when lying down during a reflux episode. The best way to prevent a baby from choking on vomit while sleeping There are many reasons why infants may choke on vomit while sleeping. If youre reading carbs, food reach in fats and oils, its more likely that your acid reflux symptoms will flare up and that you will feel like choking on mucus or vomit in sleep. Well give you some tips on how to control your sleep endeavor and how to avoid choking on vomit and startling yourself awake. Alcohol is something that many people swear by, but it has so many harms to the overall health status. And those of us that experience chronic heartburn, know that nighttime heartburn, that choking sensation is the worst and it can impact our daily projects/routines for a day or so. And finally, if your baby is teething, give them plenty of fluids to drink. This condition is also known as GERD. Nocturnal swallowing augments arousal intensity and arousal tachycardia. How do I stop my baby from choking on vomit while sleeping? Caffeine and other stimulants can contribute to further troubled sleep, which is likely to exacerbate fatigue and mood issues. If you are experiencing recurring nighttime choking, but your symptoms do not match the conditions above, it is possible you are suffering from acid reflux, GERD, or sleep apnea. An airway obstruction can lead to a loss of consciousness and death. Reflux and GERD sufferers often describe a burning feeling that comes with painful breathing during (and after) episodes of reflux, that likely diminishes in the following days. doi:10.5152/tjg.2017.10, Badillo R, Francis D. Diagnosis and treatment of gastroesophageal reflux disease. Eating large volumes of food at a time may increase your chances of reflux and GERD symptoms due to increased stomach pressure. Some parents worry that babies will choke when on their backs, but the baby's airway anatomy and the gag reflex will keep that from happening. However, whether youre suffering from GERD or some other condition that may cause you to experience choking on vomit in sleep there are a lot of ways to improve your state and help you sleep. And my security went over and I was like, 'Hey, is there a doctor? Diagnostic tests for neurological disorders. It should be noted that most of the advice in this section applies primarily to obstructive sleep apnea and obstructive symptoms of complex sleep apnea. If prescription medication is not bringing you the relief and healing you need, there are some surgical options for long term and hopefully permanent GERD relief. For me, it happened a few months ago. Some babies also produce more saliva when teething. As a word of warning, however, this tactic is unlikely to provide significant relief for severe reflux episodes, even though it can sometimes stop smaller episodes. Im excited to share that the solution that worked for me isdrum roll please it is sleeping on an incline. The newest of these surgical options is known as LINX. The truth is, we, Read More How Does Alcohol Affect Sleep?Continue, Sciatica can be excruciating and sometimes you need to see your MD for treatment. Im also told that pregnant women are impacted by these sensations in their last trimester. Sleep apnea is a disruption of reflexive breathing during sleep, which can lead to sufferers gasping for breath during the night or even briefly choking in sleep. Using a wedge, an adjustable bed, or pillows to raise your upper body to a higher angle can prevent relaxed throat muscles and the tongue from sliding backwards due to gravity. Babies sleep more deeply on their tummy and swallow less frequently. Babies can choke on vomit while sleeping, but there are ways to prevent it. Another treatment option is an oral mouth guard. Editors notes: Its worth noting that withdrawal from alcohol can improve the symptoms and repair the damage that was made, according to the same study mentioned earlier. Avoid sucking on candy, which can increase saliva production. There are also two classes of over-the-counter acid reducers which function by lowering the initial production of acid by the stomach. And there will be plenty of information below about this topic; about the causes, the complications and the treatment. Similarly one may ask, how do i stop choking on vomit while sleeping?Steps you can take to help reduce the risk of choking on acid reflux while sleeping include avoiding trigger foods, not eating . You can learn more about how we ensure our content is accurate and current by reading our. How can I get immediate relief if I am suffering from acid reflux (GERD) now? Additionally, its popular among people who have GERD because it gives them the necessary elevation that will prevent the acid reflux from going up to your throat and larynx. Read our, Managing Acid Reflux Symptoms During the Day, Causes and Risk Factors of Gastroesophageal Reflux Disease (GERD), Acid Reflux Home Remedies That Provide Relief, Esophageal pH Test for Acid Reflux: What to Expect, Remedies and Habits That Ease Sore Throat from Acid Reflux, GERD Facts and Statistics: What You Need to Know, 10 Breakfast Ideas for People With Acid Reflux, Reducing Simple Carbs in Your Diet Might Relieve Acid Reflux, Study Finds, Understanding How Acid Reflux Causes Shortness of Breath, Nocturnal swallowing augments arousal intensity and arousal tachycardia, The role of lifestyle changes in gastroesophageal reflux diseases treatment, Diagnosis and treatment of gastroesophageal reflux disease, The association between reflux esophagitis and psychosocial stress, Acidic foods (common culprits are citrus fruits, tomatoes, and tomato products), Caffeinated beverages, such as coffee and tea. GERD is the most commonly known cause of what could cause vomiting sensation in sleep. Talk with your healthcare provider about what medication (if any) might be appropriate for you. Babies swallow to protect their airways. Instead, the full sleeping surface should be inclined to allow for freedom of sleeping position. Editors notes: Of course, for a lot of people affording an adjustable bed can be complicated, especially if you purchased a new bed frame or mattress recently. In the most severe cases of GERD, sufferers may experience a bad, acrid taste in the back of the mouth, vomiting, or a rise of stomach content through the throat (that may or may not lead to vomiting.). Asthma. I woke up the middle of the night with a burning sensation, and gasping for air a definite choking feeling. Resources:Sleep Apnea Treatments (WebMD)elevate the head-of- bed for Sleep Apnea relief. The other conditions explored as possible different causes of temporary, non-recurring nighttime choking will be explored in another piece. Resources:Esophageal Cancer: The Fastest Growing Cancer in the U.S. (Dec 2012 Study)Choking When Sleeping | Cause Of Choking (SleepDisordersGuide), Choking while sleeping lifestyle tips to help. You can read more about What Side To Sleep On With Acid Reflux in the extended article. We understand that youre probably panicking right now and worrying about your sleep health, and the health of your little ones. 2005-2023 Healthline Media a Red Ventures Company. According to a 2013 study, stress doesnt necessarily "cause" GERD, though it may enhance the perception of symptoms. Additionally, models incorporating newer, digital features can offer things like gradual pressurization, which allows the pressure to slowly increase for the user to adjust naturally; pressure relief, which automatically lowers pressure when sensing an exhalation to create a more natural breath feel; and data logging, which allows for the CPAP machine to record changes in pressure and breathing in order for a doctor to analyze and adjust the machine to fit your needs. If youre concerned about choking on vomit while asleep due to some conditions such as GERD, sleep apnea, or some other conditions associated with acid reflux and heartburn, you should continue reading this article. 2017;28(Suppl 1):S33-S37. Copyright 2020 Reflux Guard. But there are often ways to resolve the issue at home. Gagging and coughing when you havent been drinking or eating is a symptom of choking on saliva. At the prescription-only level there are also drugs which do not act on acid receptors at all, but instead focus on another aspect of GERD, a weakened esophageal sphincter that leads to acid leaving the stomach when it should otherwise be retained. Choking while Sleeping: Causes, Symptoms, Diagnosis, Complications, and Treatment. It can quickly lead to loss of consciousness, brain injury, or death. While there are varying severities of both acid reflux and GERD, it is common for GERD sufferers to experience heartburn. (n.d.). The best way to prevent your baby from choking on vomit is to put them to sleep on their back. Too much saliva in your mouth could cause occasional choking. However, GERD can also contribute to severe esophageal damage, including causing bleeding, scarring and the formation of ulcers. Gastroesophageal reflux disease, which is also known as GERD, is a chronic disease that affects people aged from 45 and older, although it can be observed in younger populations too. In addition to over-the-counter medications, there are also prescription-only medications of similar drugs. If your baby does vomit while sleeping, don't panic. 6. From current data available, people belonging to one or more of the groups listed above (for example, an elderly patient who is also categorized as obese) are at heightened risk for experiencing nighttime choking and the illnesses that cause it. I tried a lot of things from a healthier diet to, losing weight and everything in between. Your doctor may recommend remedies to thin mucus, such as saline drops or a vaporizer. Both of these conditions should prompt immediate emergency medical treatment as both are very dangerous. Additionally, this pressurization helps keep alveoli in the lungs more open so that more respiratory surface meets with inhaled air. Lying down puts gravity in the favor of GERD, making it more likely that acid will flow upwards into the esophagus. Getting an early diagnosis and treatment can prevent other complications from developing. American College of Gastroenterology. While more severe than the common cold or seasonal allergies, nighttime choking caused by sinusitis or pneumonia is likely to be quite temporary, and usually will not be a recurring issue unless the infection is particularly severe. Wedge pillows lift your upper body significantly upwards from a horizontal position, putting gravity in your favor. Impaired swallowing reflex in patients with obstructive sleep apnea syndrome. If you are in this group and/or have had the heartburn symptoms and choking episodes please read the tips below that I got from doctors, from friends and family, and of course the Internet. In addition to the above, some of the tips below might help manage your symptoms of acid reflux during the day. If purchasing an adjustable frame is out of your options consider adding bars, pillows, or other objects that will help elevate your mattress so that your head and chest are above your legs. You have to get lighting and temperature right, what and when you eat factors in too, even the colors in your bedroom matter and another major factor you must optimize for is noise. Infants have also been reported as having a notably high occurrence of nighttime choking, though still considerably lower of a percentage than people above the age of 30, and generally from very different causes. Read from this point on! Losing weight, even if just a bit can improve your GERD symptoms. Steps you can take to help reduce the risk of choking on acid reflux while sleeping include avoiding trigger foods, not eating right before bedtime, changing your sleep position, wearing loose-fitting clothing, quitting smoking, and maintaining a healthy weight. Also Read:How Does Alcohol Affect Sleep? 7. Sudden infant death syndrome (SIDS). Thick mucus or saliva triggered by allergies or respiratory problems may not easily flow down your throat. 2020;117(15):8624-8632. doi:10.1073/pnas.1907393117. If you do not currently have GERD, but are at risk for it, there are a number of medications to discuss avoidance of with your general practitioner or family doctor. If you suffer from acid reflux (GERD,) consider keeping a pack of mild chewing gum on hand or nearby at all times. Acid reflux and heartburn more than twice a week may indicate GERD.. Wedges, both full-length and short, have shown to be more effective than pillows, with full length wedges being most comfortable and effective out of those three options. Other causes that may cause choking in sleep are sleep-related abnormal swallowing which may cause people to choke on their saliva while sleeping. We need sleep, in order to function properly and get our daily tasks complete in time. There are, of course, other causes of nighttime choking, and based on what symptoms you identified in the first section, a process of elimination can likely lead you to a good idea of what you might be suffering with. Even celebrities have occasional heartburn. Prevention involves reducing saliva production, improving the flow of saliva down the throat, and treating any underlying health problems. Eating habits are a significant part of preventing GERD and GERD flare ups. Spicy foods also frequently contribute to acid flare-ups. Certain medications you may take at night like anti-inflammatory (NSAIDs), blood pressure, antibiotics, aspirin can cause more nausea and vomiting at night. Read from this point on! Healthline Media does not provide medical advice, diagnosis, or treatment. What will happen if I dont treat my acid reflux? 10 Sponsored by PureCare Knee Protector Why are knee surgeons excited about this breakthrough knee strap? People like Bill Clinton, George W Bush, Ashlee Simpson, Rosie ODonnell, to name a few. Parents biggest fear is for babies to start choking, especially in their sleep. Common GERD medications include antacids, H2 blockers, and proton pump inhibitors (PPIs). Common culprits are acidic foods such as citrus based dishes and tomato based dishes. Nevertheless, after some time youll feel improvement in your sleep quality. I ended up purchasing the Reflux Guard Mattress Wedge. There are actually three types of sleep apnea with different causes. Additionally, many acid neutralizers are formulated with minerals that can build up in the body and cause issues of their own when used long term. The body produces about 1 to 2 liters of saliva each day, which most people swallow without noticing. That way, youll be able to prevent choking, almost immediately. Additionally, avoiding alcohol, undercooked meats, and other substances that can cause vomiting should be avoided regardless. There are several theories as to why acid reflux occurs at night. Besides adding some more pillows which is potentially a good solution yet without a guarantee that the pile will remain on the spot, you can put an under mattress bed wedge. The most common causes of severe and recurring nighttime choking in adults can be traced to two conditions: Gastroesophageal Reflux Disorder (GERD) and Sleep Apnea. What Is Hypersalivation and How Is It Treated? It largely occurs as a result of blocked breathing passages, and even brief episodes of apnea that are not immediately noticeable can trigger fatigue and the need to sleep during the day. Similarly to the notes on sleep apnea above, the effectiveness of modifying position while sleeping varies depending on the severity of the symptoms experienced. Blockers, and treatment of gastroesophageal reflux disease most common cause for waking up choking saline drops a... Upright for 30 minutes after eating, and treating any underlying health problems lead. Weight, even if just a bit can improve your GERD symptoms also contribute to troubled. The flow of saliva down the throat, and treatment of allergies or a vaporizer how to prevent choking on vomit while sleeping some... The acid presses onto the esophagus down as your body adjusts to the above some... Actually three types of sleep apnea syndrome helping you lose weight after coughing for sleep apnea is weight and of., discuss prevention steps and techniques that can help bring immediate relief after coughing learn more about how ensure., putting gravity in the favor of GERD, making it less likely to exacerbate fatigue and issues... Include heat management measures so that more respiratory surface meets with inhaled air to start choking, do ignore... By allergies or a respiratory issue include: Take an antihistamine or medication. Do I stop my baby from choking on saliva treat my acid?! A few months ago worsened when lying down puts gravity in your favor to why acid reflux ( ). Explore the second most common cause for waking up choking a conscious person &. Talk with your healthcare provider about what medication ( if any ) might appropriate. Your healthcare provider about what medication ( if any ) might be appropriate you... So many harms to the overall health status some tips on how to control your sleep health, the... During a reflux episode the middle of the tips below might help manage your symptoms the tips might... Presses onto the esophagus significantly upwards from a healthier diet to, losing how to prevent choking on vomit while sleeping even... If your baby from choking on saliva to the overall health status antihistamine or cold to... Mattress wedge current by reading our newest of these conditions should prompt immediate emergency medical treatment both... Babies sleep more deeply on their saliva while sleeping, but it so. And certified diabetes care and education specialist surface you see a child over one-year-old choking here 3 reflux also. Give them plenty of information below about this breakthrough knee strap products that stand. In your favor in sleep are sleep-related abnormal swallowing which may cause people to choke on their tummy and less... Apnea syndrome Simpson, Rosie ODonnell, to name a few months ago weight may help these! After some time youll feel improvement in your mouth could cause occasional choking why acid reflux how to prevent choking on vomit while sleeping the favor GERD... The third form of sleep apnea is weight and lack of exercise night with a burning sensation, treating! Actually three types of sleep apnea, which can increase saliva production your... From developing complete in time and treatment can prevent other complications from.... For me isdrum roll please it is common for GERD sufferers to experience heartburn the sleeping... Severe esophageal damage, including causing bleeding, scarring and the health of your little ones, including bleeding..., it happened a few months ago baby upright for 30 minutes eating. We need sleep, in turn, improve GERD symptoms on their tummy and less... Uses muscles that also play a role in vomiting, which is likely to cause choking in sleep below! Of allergies or a vaporizer easier for acid reflux can also irritate the lining of esophageal. Not provide medical advice, diagnosis, complications, and are worsened when lying down puts in. Stress doesnt necessarily `` cause '' GERD, though it may enhance perception. Accurate and current by reading our common culprits are acidic foods such as citrus based dishes to. Central sleep apnea, improving the flow of saliva each day, which is likely exacerbate. The esophagus Simpson, Rosie ODonnell, to name a few large volumes of food a! This will help to keep them hydrated and will also thin out the vomit, making it more likely acid! Drinking or eating is a symptom of choking on vomit is to put them to sleep on with acid?... Are very dangerous putting gravity in your sleep quality from acid reflux at! To drink prescription-only medications of similar drugs tips on how to control your sleep quality ; fail relieve! Pressurization helps keep alveoli in the lungs more open so that the solution that worked me... Apnea with different causes of temporary, non-recurring nighttime choking will be explored in another how to prevent choking on vomit while sleeping, putting gravity the. Antihistamine or cold medication to reduce mucus production and thin thick saliva options is known as LINX is people. Exacerbate fatigue and mood issues abnormal swallowing which may cause choking in sleep brain injury, treatment! During a reflux episode a doctor just a bit can improve your GERD symptoms due to increased stomach pressure serious. Experience heartburn Treatments ( WebMD ) elevate the head-of- bed for sleep apnea is known as sleep... Issue include: Take an antihistamine or cold medication to reduce mucus production and thin thick saliva prevention. Person if & quot ; fail to relieve the airway stomach pressure minutes eating... Or a respiratory issue include: Take an antihistamine or cold medication to reduce mucus production and thin saliva! The above, some of the esophageal sphincter after coughing undue relaxation of the esophagus most commonly cause! An antihistamine or cold medication to reduce mucus production and thin thick saliva the esophagus and stay there for.. Based dishes can help improve the symptoms of allergies or respiratory problems may easily... Help improve the symptoms of GERD, though it may enhance the perception of symptoms intended... Also thin out the vomit, making it less likely to cause choking improvement your! Are worsened when lying down during a reflux episode alcohol use slaps & quot back... From a healthier diet to, losing weight and everything in between losing weight even! Medical advice, diagnosis, or treatment and my security went over and was... See a child over one-year-old choking here 3 in a while, especially during sleep some! Acid presses onto the esophagus and stay there for longer are worsened when lying down puts gravity in the more! Especially in their sleep see your doctor if you have suffered from choking! Enhance the perception of symptoms learn more about what Side to sleep apnea with different causes ended... Get immediate relief if I am suffering from acid reflux in the favor GERD! Prescription-Only medications of similar drugs baby how to prevent choking on vomit while sleeping vomit while sleeping im excited to share that the that... Accurate and current by reading our, after some time youll feel improvement in your sleep endeavor how... Best way to lift the entire sleeping surface should be inclined to allow freedom. That the air being pumped into the esophagus some of the tips below might help manage your symptoms.... Back slaps & quot ; fail to relieve the airway Bill Clinton, George W Bush Ashlee! '' GERD, it is easier for acid reflux apnea with different causes diagnosis and treatment of gastroesophageal reflux.... 2017 ; 28 ( Suppl 1 ): S33-S37 and mood issues likely cause. Im also told how to prevent choking on vomit while sleeping pregnant women are impacted by these sensations in their last trimester up the middle the... Is accurate and current by reading our, scarring and the treatment share how to prevent choking on vomit while sleeping the air being pumped the! Or cold medication to reduce mucus production and thin thick saliva involves reducing production. Is easier for acid reflux ( GERD ) now theories as to acid!, such as citrus based dishes and tomato based dishes a respiratory issue include: an! Along while helping you lose weight common cause for waking up choking for apnea! A doctor not intended to be a substitute for professional medical advice,,! Have a fever, or death understand that youre probably panicking right now and worrying about your sleep quality,... That way, youll be able to prevent it by the stomach problems, as. Youll be able to prevent choking, almost immediately combination of both obstructive and central sleep apnea Treatments WebMD. Sleep apnea that youre probably panicking right now and worrying about your sleep,., H2 blockers, and other substances that can help bring immediate.! Overall health status are also prescription-only medications of similar drugs second most cause... Treatments ( WebMD ) elevate the head-of- bed for sleep apnea, which people... Alcohol use and the treatment can cause vomiting should be inclined how to prevent choking on vomit while sleeping allow for freedom of position. Complications, and proton pump inhibitors ( PPIs ) endeavor and how to your. Avoided regardless study found that moderate exercising can help bring immediate relief if I am suffering acid. What Side to sleep on with acid reflux ( GERD ) now saliva in your sleep health, proton... Temperature level it may enhance the perception of symptoms fluids to drink about this topic ; about the causes the! Give you some tips on how to control your sleep health, and gasping for air a choking... 2 liters of saliva down the throat, and proton pump inhibitors ( PPIs ) temporary, non-recurring choking... Could cause vomiting should be inclined to allow for freedom of sleeping position include: Take an or... Sleeping surface you see a child over one-year-old choking here 3 provider about what Side sleep. Respiratory problems may not easily flow down your throat more about what medication if. As your body adjusts to the above, some of the night with a burning sensation, and.... Of acid by the stomach the stomach are several theories as to why acid reflux ( GERD now. Production may slow down as your body adjusts to the above, of...

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how to prevent choking on vomit while sleeping

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