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1, according to the Washington State Department of Labor & Industries

There are, however, some steps you can take to protect your stomach and reduce discomfort, this includes: Eat something straightaway such as crackers, banana, bread or yoghurt to buffer the stomach lining Drink a full glass of water to dilute the medicine and reduce the impact on the stomach lining Avoid lying down immediately sit up straight for 60-90 minutes to prevent reflux or irritation Most people will be fine (even on a single dose of ibuprofen on an empty stomach) but it is best to watch for some symptoms such as: Burning stomach Persistent nausea Heartburn Vomiting blood or Vomit that looks like coffee ground vomiting Black, tarry stools If either of the last two symptoms occur, stop taking ibuprofen immediately and seek medical attention