Gagging Cry

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Gagging Cry
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by Anne Windermere Patient Advocate
You'll get health news, advice, and inspiration delivered right to your inbox.
© 2022 Remedy Health Media, LLC ALL RIGHTS RESERVED
When you suffer from anxiety many of the symptoms can be physical. Some people experience a wide range of physical symptoms including anything from headaches to heart palpitations. In this series we will explore the many ways that anxiety can manifest in both physical and mental symptoms and what you can do about it. I thought we would start off this series by discussing the symptom of gagging.
Over the years we have received multiple questions about this particular symptom from members wondering what they can do about their anxiety induced gagging. For example, member Jacob asks, "How can I stop gagging?"
My "full-blown" panic attacks involve gagging and dry-heaving. When I start to get nervous, I can tell it's about to happen (a panic attack) and I start gagging uncontrollably. It's ruining my life!
And member Michael wrote in to tell us, "I feel like, and do gag when I get nervous." He goes on to describe how difficult it is to do things like go to the dentist:
Today I have to go to the dentist, and just the thought of going there and placing those x-ray things in my mouth makes me gag. If I'm around certain people, at times I do the same thing. Is there anything I can do? I have never seen a doctor to discuss this, and feel quite abnormal, even embarrassed.
Judging by the number of follow up comments it is clear to see that Jacob and Michael are not alone in dealing with this gagging problem. In researching this symptom I have found people who write on a variety of forums including those for ears, nose and throat, gastrointestinal, and anxiety health sites looking for some sort of remedy. It can be a very difficult symptom to deal with and especially you are not sure what is causing it in the first place.
The gag reflex is actually very beneficial to our survival as it helps to prevent us from choking or ingesting harmful substances. When the gag reflex is triggered, the muscles of the back of the throat start to contract in order to repel the toxic substance or prevent us from swallowing something which could impair our breathing. Gagging, dry heaves, diarrhea, nausea and vomiting can all be considered nervous system defensive behaviors, having the same purpose of getting rid of potentially harmful substances from our body.
With some people, this gag reflex is considered to be hyperactive and is set off by something other than the normal environmental triggers. One of the possible triggers for an over-reactive gag reflex can be anxiety as stress can fire off chemical signals to stimulate nervous system reactions including gagging or dry heaves.
Are there medical conditions which can cause the symptom of gagging?
If you are dealing with the feeling of chronic gagging, you really need to get this symptom checked out by a doctor first. Anxiety could be exacerbating an already existing medical condition which has been left untreated. It is always wise to rule out any medical cause for physical symptoms you may be experiencing so that the appropriate treatment is given.
Here are some medical issues which can cause gagging:
Multiple Sclerosis: Some MS patients experience what is known as dysphagia, which causes difficulty swallowing. The person may choke or gag after drinking liquids or eating certain foods. The person's speech may also be affected.
Post Nasal Drip: Sometimes the nasal drip caused by having a virus or allergy can cause irritation in the throat to cause you to have to constantly clear your throat or even gag.
An acid reflux problem could also be a culprit behind symptoms of gagging. Jan Gambino, an expert on our acid reflux site, describes the symptoms of acid reflux or GERD:
"If you have frequent symptoms such as heartburn, indigestion, burning, throat pain, difficulty swallowing and irritation to your esophagus, the doctor may diagnose G astroe sophageal R eflux D isease or GERD."
There may be other medical causes for the symptom of an over-reactive gag reflex, so you want to allow your doctor to investigate first, before assuming that it is caused by anxiety. In one case I read about, the patient's gagging was due to a physical anomaly of having an oversized "nasal concha" or turbinate. Turbinates control air-flow through your nasal passages and moisturize the air as it flows. In this person's case, the enlarged turbinate was restricting airflow as well as pressing down into the nasopharynx and soft palate, triggering his gag reflex. It took an Ear, Nose, and Throat specialist to discover this structural cause.
My doctor has determined that my gagging is not caused by medical reasons, now what? If you have been thoroughly checked out by doctor and/or any specialists to rule out a physical or medical cause for your symptom of gagging, there is a strong possibility that your hyperactive gag reflex may be caused by anxiety.
In reading about this problem from some of our members on Anxiety Connection, it does seem like a very hard issue to cope with especially when it interferes with everyday life. Things like eating out or going to the dentist may provoke a gagging response. You may feel a loss of control not knowing where or when the symptom may occur. The fear of it happening may actually become worse than the symptom itself. Some people may feel that losing the ability to control their gag reflex is destroying their life.
In researching for this article I found that many anxiety sufferers who have this gagging symptom may have been dealing with this since a very young age. Some people use remedies such as drinking a lot of fluids, sucking on candy, chewing strong flavored gum such as peppermint, or eating salty snacks. But for many, the homespun remedies don't work very well all the time.
If you feel that your gagging and/or dry heaves are caused by anxiety it makes sense to treat your anxiety. Here are some things you can do:
Figure out the triggers which set off your gag reflex. You may have to keep a journal and write down which circumstances seem to provoke this symptom in order to look for patterns. We have an article to help you to understand panic attacks and triggers.
One relaxation technique which may help is to learn how to control your breathing. Our Dr. Walcutt teaches how to use breathing techniques to feel calm and relaxed.
Another relaxation technique which may reduce the anxiety which is causing you to gag is called Progressive Muscle Relaxation. Psychologist Jennifer L. Fee walks us through the step by step process of tensing and relaxing muscles to achieve a sense of well being and calm.
Seeking the help of a qualified mental health therapist may be one of the best methods of treating your anxiety related symptoms. There are also many options of anxiety medications which may relieve the somatic symptoms associated with anxiety disorders.
There is research to show that hypnotherapy can be an effective method to treat an over-reactive gag reflex caused by anxiety. In a 2002 report entitled, " Psychic aspects of the overactive gag reflex (gagging) in connection with a clinical case " it is suggested that hypnosis therapy can be an effective treatment to augment any therapy designed to decrease anxiety induced gagging behaviors. Hypnotherapy seems to be used with good results especially for those who suffer from gagging during dental procedures. In a case study published in a 2005 issue of the International Journal of Clinical and Experimental Hypnosis , hypnopuncture (a a combination treatment of hypnosis and acupuncture) was used successfully to treat a patient suffering from an severe gag reflex.
Now we would like to hear from our members. Do you suffer from an over-reactive gag reflex caused by anxiety? How do you cope with this symptom? Let us hear your story as it could help someone else who is going through the same thing. Your thoughts, stories, and opinions are very important to us.
These articles were written by a longtime HealthCentral community member who shared valuable insights from her experience living with multiple chronic health conditions. She used the pen name "Merely Me."
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© 2022 Remedy Health Media, LLC ALL RIGHTS RESERVED

Read about What Causes Gagging & Common Gagging Symptoms
Resident at Children Hospital of Philadelphia
Associate Professor of Medicine, Brigham and Women’s Hospital
Resident at Children Hospital of Philadelphia
Associate Professor of Medicine, Brigham and Women’s Hospital
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Autoimmune inflammation of the esophagus
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Associate Professor of Medicine, Brigham and Women’s Hospital
Abdominal pain is usually a sign of a common illness or infection. Other causes include indigestion, a stomach ulcer, IBS, or food poisoning.
Nausea is that queasy feeling in your stomach that makes you feel like you're going to vomit. Usually, nausea is from an infection, pregnancy, taking certain medication, or acid reflux.
Your cough can be caused by viruses, bacterial infections, COVID-19, allergies, and a number of other conditions. Learn what your cough symptoms mean, how to get the right diagnosis, and what treatments actually help.
Abdominal pain is usually a sign of a common illness or infection. Other causes include indigestion, a stomach ulcer, IBS, or food poisoning.
Nausea is that queasy feeling in your stomach that makes you feel like you're going to vomit. Usually, nausea is from an infection, pregnancy, taking certain medication, or acid reflux.
Your cough can be caused by viruses, bacterial infections, COVID-19, allergies, and a number of other conditions. Learn what your cough symptoms mean, how to get the right diagnosis, and what treatments actually help.
Abdominal pain is usually a sign of a common illness or infection. Other causes include indigestion, a stomach ulcer, IBS, or food poisoning.
Nausea is that queasy feeling in your stomach that makes you feel like you're going to vomit. Usually, nausea is from an infection, pregnancy, taking certain medication, or acid reflux.
Your cough can be caused by viruses, bacterial infections, COVID-19, allergies, and a number of other conditions. Learn what your cough symptoms mean, how to get the right diagnosis, and what treatments actually help.
Take a quiz to find out what's causing your gagging.
Gagging is usually caused by any foreign body that will irritate the lungs or bronchial tree. Acid reflux (GERD), inflammation of the epiglottis, or a mini stroke can cause a gag reflex. Read below for more information on causes and treatment options.
Take a quiz to find out what's causing your gagging.
The definition of "gag" or " gagging " is to suffer a throat spasm that makes swallowing or breathing difficult . Some people also associate "gagging" with dry heaving or retching, which is the sensation or feeling of vomiting without getting rid of any stomach contents.
These conditions are reflexes triggered when your airway closes while your diaphragm contracts. Gagging is often a normal defense mechanism your body uses to protect itself from potentially dangerous substances; however, sometimes gagging can signal a more serious underlying problem.
Symptoms that can be associated with gagging may include:
It is important to follow-up on your symptoms with your physician in order to get appropriate an diagnosis and care.
The proximal airway (or upper respiratory system) is composed of the nose, mouth, and throat. It connects to the lower respiratory system that includes the trachea, lungs, and segments (bronchial tree) that bring oxygen to these areas.
Gagging can be caused by any irritant that enters the airway and aggravates the lungs and bronchial tree. These irritants cause the airway to close-off as a means of protecting the body from potentially dangerous elements. Oxygen is temporarily blocked from coming into the body, and in turn, the diaphragm contracts as a means of allowing the lungs to expand and let in oxygen, even though there is none actually coming in.
Specific conditions that can lead to gagging are described below, including those are gastrointestinal, infection-related, environmental, and mechanical.
The digestive tract is composed of acids and enzymes for digesting food. The digestive tract is designed to be able to withstand these substances; however, the airway and esophagus are not accustomed. The stomach is meant to keep these acids from moving back up through the esophagus and causing irritation; however, these processes are not always perfect. When partially digested foods or acids improperly go back up the esophagus (GERD), symptoms such as discomfort, difficulty breathing, heartburn, and gagging can result.
The respiratory tract is extremely susceptible to infection due to its direct contact with the environment.
Just as bacteria can easily enter the upper respiratory tract, other substances from the environment (either intentionally or unintentionally) can enter the body and cause gagging.
Take a quiz to find out what's causing your gagging.
Causes that are mechanical in nature may involve the following.
This list does not constitute medical advice and may not accurately represent what you have.
Retropharyngeal abscess is a collection of pus in the tissues in the back of the throat. It is a potentially life-threatening medical condition.
Top Symptoms: sore throat, loss of appetite, fever, shortness of breath, being severely ill
Transient ischemic attack, or TIA, is sometimes called a "mini stroke" or a "warning stroke." Any stroke means that blood flow somewhere in the brain has been blocked by a clot.
Risk factors include smoking, obesity, and cardiovascular disease, though anyone can experience a TIA.
Symptoms are "transient," meaning they come and go within minutes because the clot dissolves or moves on its own. Stroke symptoms include weakness, numbness, and paralysis on one side of the face and/or body; slurred speech; abnormal vision; and sudden, severe headache.
A TIA does not cause permanent damage because it is over quickly. However, the patient must get treatment because a TIA is a warning that a more damaging stroke is likely to occur. Take the patient to the emergency room or call 9-1-1.
Diagnosis is made through patient history; physical examination; CT scan or MRI; and electrocardiogram.
Treatment includes anticoagulant medication to prevent further clots. Surgery to clear some of the arteries may also be recommended.
Top Symptoms: dizziness, leg numbness, arm numbness, new headache, stiff neck
Symptoms that never occur with stroke or tia (transient ischemic attack): bilateral weakness
Retropharyngeal abscess is a collection of pus in the tissues in the back of the throat. It is a potentially life-threatening medical condition.
This is a medical emergency. Please seek out urgent care at your closest Emergency Department today. Diagnosis is done with imaging. Treatment is immediate surgical drainage and antibiotics.
Epiglottitis is inflammation of the epiglottis, tissue that covers the trachea (windpipe), which helps prevent coughing or choking after swallowing. It is usually caused by the bacteria H. Influenzae but can also be caused by other bacteria or viruses that cause upper respiratory infections.
Call 911 immediately for an ambulance now! Epiglottis can be a life-threatening emergency. Though with proper treatment at a hospital, the outcome is usually good.
Top Symptoms: being severely ill, shortness of breath, fever, sore throat, pain with swallowing
Symptoms that never occur with inflammation of the epiglottis: cough
Guillain-Barre syndrome is an autoimmune condition triggered by infection. It causes damage to nerves in the body that control muscles. This leads to weakness, usually starting in the legs and then progressing to the arms.
Patients with Guillain-Barre syndrome should seek immediate medical care at an ER. Nerve damage can potentially impair your ability to control your heart and lungs. You may need to be admitted to the hospital.
When a non-food object is ingested, it can have unpredictable and potentially dangerous effects on the body.
You need to speak with a doctor to discuss whether the foreign object should be removed or allowed to pass through the digestive system. Often, the physician will want to take x-rays and closely monitor any changes in your GI tract.
Top Symptoms: vomiting, deep chest pain, behind the breast bone, trouble swallowing, swallowing of something potentially harmful, gagging
Symptoms that always occur with foreign body ingestion: swallowing of something potentially harmful
Symptoms that never occur with foreign body ingestion: choking
This condition, officially known as eosinophilic esophagitis, occurs when a certain type of white blood cell (eosinophil) builds up in the lining of the tube that connects the mouth to the stomach. The buildup leads to inflammation of the tissue, causing pain and difficulty swallowing.
You should visit your primary care physician to treat this condition. This is an immune disorder and is commonly treated with corticosteroids.
Amyotrophic lateral sclerosis is also called ALS or Lou Gehrig's Disease. It is a degenerative disease that destroys nerve cells, which eventually leads to loss of control over muscle function.
The cause of ALS is not known. It may be inherited and/or due to a chemical imbalance, faulty autoimmune response, or exposure to toxic environmental agents.
Symptoms include weakness; difficulty with speaking, swallowing, walking, or using the hands; and muscle cramps. The muscles of the arms, hands, legs, and feet are most involved at first. It does not affect the senses or a person's mental ability.
ALS is progressive, meaning it worsens over time. There is no cure, but supportive care can keep the patient comfortable and improve quality of life.
Diagnosis is made through several tests including blood tests; urine tests; MRI; electromyography (EMG) to measure muscle activity; nerve conduction studies; and sometimes muscle biopsy or spinal tap (lumbar puncture.)
Treatment involves medications to both slow the progression of the disease and ease the symptoms; respiratory therapy; physical therapy; occupational therapy; and psychological support.
Gastroesophageal reflux disease is also called GERD , acid reflux disease, and heartburn. It is caused by a weakening in the muscle at the end of esophagus. This allows stomach acid to flow backward, or reflux, up into the esophagus.
Risks factors for GERD include obesity, smoking, diabetes, hiatal hernia, and pregnancy.
Symptoms include a painful burning sensation in the chest and throat, and sometimes difficulty swallowing.
If heartburn occurs more than twice a week, a doctor should be consulted. If symptoms are accompanied by jaw or arm pain, and/or shortness of breath, these may be signs of a heart attack and constitute a medical emergency.
Repeated exposure to stomach acid damages the lining of the esophagus, causing bleeding, pain, and scar tissue.
Diagnosis is made by patient history and sometimes by x-ray, upper endoscopy, or other tests to measure refluxed acid.
Treatment begins with over-the-counte
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