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What Causes Gagging & Common Gagging Symptoms
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.
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.
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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.
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.
When a non-food object is ingested, it can have unpredictable and potentially dangerous effects on the body.
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
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.
Top Symptoms: sore throat, loss of appetite, fever, shortness of breath, being severely ill
GERD (gastroesophageal reflux disease) in infants refers to the passage of stomach contents into the throat causing troublesome symptoms, such as feeding intolerance, inadequate oral intake of calories and/or poor weight gain. Vomiting or visible regurgitation ...
Guillain-Barre syndrome is a condition in which the body's immune system damages parts of neurons. Guillain-Barre syndrome usually occurs after an infection or other triggering event. It is believed that the event leads to an abnormal immune response in which the body..
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.
Top Symptoms: being severely ill, shortness of breath, fever, sore throat, pain with swallowing
Symptoms that never occur with inflammation of the epiglottis: cough
Amyotrophic lateral sclerosis is also called ALS or Lou Gehrig's Disease named after the Hall of Fame baseball player whose career ended when he developed ALS. It is a degenerative disease that destroys nerve cells, which eventually ..
So... which condition is actually causing your gagging?
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As long as gagging is not causing severe difficulty breathing, treatment can begin at home. If incidents of gagging increase in frequency or severity, you should consult your physician.
Home remedies and lifestyle changes are often the first lines of treatment for gagging. Try the following suggestions to help alleviate your symptoms:
Though most cases of gagging do not require emergency treatment, prompt medical attention is necessary when your symptoms do not resolve on their own. See your physician especially if:
Seek emergency treatment if along with your gagging you experience the following. These may be a sign of a more serious condition:
Self-diagnose with our free Buoy Assistant if you answer yes on any of these questions.

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The stories shared below are not written by Buoy employees. Buoy does not endorse any of the information in these stories. Whenever you have questions or concerns about a medical condition, you should always contact your doctor or a healthcare provider.
Nausea is that queasy feeling in your stomach that makes you feel like you're going to throw up. Usually, nausea is from an infection, pregnancy, taking certain medication, or acid reflux.
Abdominal pain is usually a sign of a common illness or infection. Other causes include indigestion, a stomach ulcer, IBS, or food poisoning.
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.
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House builders that carry out repairs on newly built homes need to be more open about what work has been required, according to the chairman of Parliament's Housing Committee.
Some home owners say they were asked to sign non-disclosure agreements (NDAs) as a condition of repairs being done.
The practice was "appalling", Clive Betts MP told Radio 4's Money Box programme.
The Home Builders Federation said NDAs were "not widely used" by developers.
Mr Betts said housebuilders should be obliged to inform home owners when systematic defects were identified that might affect their property, which he said would be normal practice in other areas.
"If this kind of thing happens in the car industry, for example, car companies have to tell their customers, issue a recall and get the problem fixed.
"I don't see why it should be any different when it comes to buying houses," he said.
But Money Box spoke to several industry experts who said these gagging orders were used regularly.
Chris Blythe, former chief executive of the Chartered Institute of Building, said it was "quite common" for developers to use them.
"Unfortunately, because of the nature of the agreement, ie non-disclosure, no-one knows very much about it," he said.
"But it's done for commercial reasons, because if it became known on a particular development that there are problems, other house buyers would be asking the house builder to do remedial work [for them too].
"So they use these to silence people... and it's a despicable practice."
About 250,000 new houses were built in Britain, according to the latest annual figures, and defects in new-build houses are common.
Many are minor and fixed without any problems, but serious defects can cost thousands of pounds to put right.
These include things like poor brickwork, faulty foundations, problems with windows and external doors, structural weaknesses with roofs and issues with plumbing and sewerage systems.
When remedial works cost such large sums of money, developers sometimes delay carrying out work, Money Box was told. The programme was also told of cases where developers fought home owners for years and refused to carry out remedial works at all.
Geoff Peter is a solicitor and founded Wingrove Law to help homeowners who bought houses and later discovered serious defects with their properties.
"Non-disclosure agreements... are of no practical benefit or use to homeowners," he said.
"The effects of them when they're used at scale, as they are in the [house building] industry, is really just to keep a lid on the true nature and scale of problems.
"So it's really impossible for... the buying public, to have any real idea of the risks they are taking when they buy a new build property... because there's no reliable source of information as to the nature and scale of the problems that they're likely to encounter."
When asked about NDAs industry body, the Home Builders Federation, said: "Settlement Agreements are legal contracts that are used by businesses across all sectors.
"They are not widely used by housebuilders and when they are, it tends to be with regards to details of compensation payments, sometimes at the request of the customer."
If you've been asked to sign a non-disclosure agreement as a condition of getting repair work done to your newbuild house email us in confidence at moneybox@bbc.co.uk and tell us about your experience.
You can hear more on BBC Radio 4's Money Box programme on Saturday at 12pm on Radio 4 or by listening again here shortly after broadcast.
Follow Money Box and Dan on Twitter.
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