Gagging 2022

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Gagging 2022
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Gagging is normal and a safeguard to the body. But it usually functions within a range of expected parameters. Most people gag when something touches the back of their tongue or mouth in a certain way. People also gag when they encounter something that smells, looks, tastes, or even sounds disgusting. But what about gagging for no reason? In these cases, the reflex may be overactive or impaired. It can impede everyday life and feel quite embarrassing. To help, here is what people should know about the pharyngeal reflex and what they can do to help better manage the reaction.


The pharyngeal reflex, commonly known as gagging, is a contraction of the throat. It is the body’s natural reaction to prevent choking or the ingestion or inhalation of harmful objects or substances. The intensity of the pharyngeal reflex can range from mild gagging to violent retching. In addition, patients might also experience eye-watering, coughing, or vomiting. And usually gagging is a response to either physical or mental stimuli, or both types of stimuli simultaneously.

What are some common factors that cause gagging?


Gagging can be somatogenic, or a reaction to physical stimuli like touch. In particular, there are five places near the back of the mouth that often trigger the reflex. These areas include the base of the tongue, palate, uvula, fauces, and back of the pharyngeal wall. When stimulated by touch or other sensations, the nerves send a signal to the medulla oblongata of the brain which then signals the muscles to contract and push up.

Gagging can also be psychogenic, or triggered by mental stimuli. Usually gagging is a response to disgust and even just thinking about something can trigger the reflex. This also means certain tastes, sights, smells, and even sounds can activate gagging. Gagging can also be exacerbated by stress and anxiety, which is why so many dental patients seem to struggle with a hyperactive gag reflex.

Why am I gagging for no apparent reason?


Patients who suffer from chronic gagging really should be examined by a physician. There are some medical conditions like multiple sclerosis, postnasal drip, and acid reflux that may be the culprit behind an abnormal pharyngeal reflex. There may also be a physical anomaly, like an oversized turbinate, that can trigger the gag reflex. Best to rule these out before addressing any other underlying cause.

If gagging does not seem to stem from a certain medical condition or physical anomaly, then there is a strong chance that anxiety may be the root cause of the reaction. Many people who suffer from anxiety experience an array of physical symptoms—including constant or unprovoked gagging.

How to minimize or prevent constant gagging


Gagging can be a difficult symptom to deal with, especially when there is no apparent cause. The most important thing is to gather information about when gagging occurs and possible triggers that set off the reflex. Keeping a journal will help keep track of the circumstances and patients may start to notice patterns arising. This can help patients avoid triggers, but also decide which treatment techniques will be most beneficial.

Though gagging is not often a life-threatening condition, it is important to correct or at least alleviate the symptoms. Some sufferers with a hyperactive gagging reflex find that drinking more fluids, chewing on strong flavored gum, eating salty snacks, or sucking on hard candy helps ease the symptoms. But for many, these homespun remedies don’t always work.

It may be beneficial for patients to seek help from a mental health therapist. Many patients with a hyperactive gag reflex rely on relaxation techniques to help ease anxiety and relax the muscles of the body. Controlled breathing techniques can help restore calm and evoke relaxation. Progressive muscle relaxation is another way to engage and disengage specific muscle groups for more mindful control.

Another way to minimize the gag reflex is by applying a numbing spray to the back of the throat. Most pharmacies offer these over the counter, such as a Chloraseptic spray used to soothe sore throats. It works as a local anesthetic and numbs the area so it becomes less reactive to stimuli. Most throat numbing sprays use Phenol, Benzocaine, or Lidocaine to block the nerve endings and help prevent the gag reflex.

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Kelly Burch is a freelance journalist who has covered health topics for more than 10 years. Her writing has appeared in The Washington Post, The Chicago Tribune, and more.
Benjamin F. Asher, MD, is a board-certified otolaryngologist. He has a private practice in New York City where he focuses on natural and integrative healing.

Gagging is caused by the gag reflex, or pharyngeal reflex. 1


Usually, the reflex is activated when something touches the base of the tongue or tonsil area, but it can also be triggered by your other senses, including taste, smell, sight, and sound. 2 That will cause you to experience symptoms of gagging that include muscle convulsions and noises. 


Continue reading to learn more about the symptoms of gagging, and when they might be cause for concern. Why gagging is so common in babies, and what you should do if your infant is gagging also are covered.


The main symptom of gagging is the contraction of the pharyngeal muscles . When these muscles contract, the soft palate, located in the back of the roof of the mouth, also raises up. 1 These muscle movements are meant to move food or anything else in the mouth toward the front of the mouth in order to avoid choking. 


Additional symptoms of gagging include: 3

Gagging and choking are not the same thing. Gagging is an involuntary movement meant to prevent choking. The person gagging can still breathe. Choking is when the airway is blocked or partially blocked. If a person is unable to breath, call 911 immediately. 

Infants have a more sensitive gag reflex than older children and adults. This makes it common for them to gag when eating new foods. Usually, this is not a cause for concern but rather a normal part of learning how to eat solid foods. 3


Symptoms of gagging in babies include: 3


If your baby gags, don’t panic. Remember, it’s a natural reaction when learning to eat. However, if your baby isn’t making noise or the baby's skin changes color, they may be choking. Perform the infant Heimlich maneuver and call 911 if that happens. 


The gag reflex is controlled in the brain stem. The brain stem also includes the vagus nerve and medulla oblongata . These areas of the brain also control cardiac activity, vomiting, and the salivary glands. So, although rare, you may experience additional symptoms when you gag, including: 3


Gagging is usually harmless. For infants, it’s entirely normal. But for adults it can be physically uncomfortable and embarrassing. A very sensitive gag reflex can interfere with your ability to try new foods or get dental exams. In extreme cases, this could lead to nutritional deficiencies, feeding problems, or dental health concerns. 


About 10% to 15% of people have a hypersensitive gag reflex. 1 These people might gag in various circumstances, including when they have postnasal drip or when experiencing anxiety. They’re more likely to gag at the dentist, too.


Gagging is normal and common, especially in infants. However, a child or adult that frequently gags beyond infancy might have an underlying health condition including:


Talk to your healthcare provider if:


Gagging is a reflex that causes the throat and palate to spasm. This is meant to cause objects in the mouth to move toward the front to prevent choking. Gagging is common among babies who are learning to eat and less common among older kids and adults. However, if you gag frequently, you should talk to your healthcare provider. 


Watching your baby gag can be scary. But it’s entirely normal and expected. Continue to offer them solid food. Don’t hesitate to talk to your healthcare provider if you or your child have severe gagging. 

No, gagging is a reflex meant to prevent choking. The main symptom of gagging is a throat spasm. Choking is when food or an object gets caught in the through, partially or fully blocking the airway. 
Gagging is a normal and expected part of eating for infants. Stay calm if your baby gags. But if they begin choking, meaning they can’t breath, call 911. 
Infants have a more sensitive gag reflex. It’s meant to protect them as they learn to eat solid foods. As they transition to more solid foods, their gag reflex becomes less sensitive, and they’ll stop gagging as much. 
Sivakumar S, Prabhu A. Physiology, gag reflex . In: StatPearls . StatPearls Publishing.

By Kelly Burch

Kelly Burch is has written about health topics for more than a decade. Her writing has appeared in The Washington Post, The Chicago Tribune, and more.

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