Hi Audrey,
Kris too does all his swallowing standing up, then it's just tip and swallow. Being in a good upright position certainly does help to avoid any reflux. I would be asking your team for some antiemetics - that's anti nausea medication. I would suggest taking these regularly. Some of these meds help with gastric peristalsis - moving stomach contents on down through the bowel so they don't pool in the stomach and can't be regurgitated.
I would also ask for a proton pump inhibitor such as omeprazole which would improve any reflux that may be causing a problem.
Hope this helps, Tammy.



Caregiver/advocate to Husband Kris age 59@ diagnosis
DX Dec '10 SCC BOT T4aN2bM0 HPV+ve.Cisplatin x3 35 IMRT.
PET 6/11 clear.
R) level 2-4 neck dissection 8/1/11 to remove residual node - necrotic with NED
Feb '12 Ca back.. 3/8/12 total glossectomy/laryngectomy/bilat neck dissection/partial pharyngectomy etc. clear margins. All nodes negative for disease. PEG in.
March 2017 - 5 years disease free. Woohoo!