Gagging Mouth

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Gagging Mouth
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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Illustration of various health care options.
Illustration of a health care worker swabbing an individual.
Illustration of various health care options.
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-counter antacids and lifestyle changes. Medication may be used to reduce stomach acid, and surgery may be done to strengthen the sphincter muscle at the lower end of the esophagus.
Take a quiz to find out what's causing your gagging.
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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About 1/3 of the population doesn’t have a gag reflex . For all the rest of us, especially those with an extremely sensitive gag reflex, gagging can make life miserable! It can make brushing your teeth, swallowing pills, going to the dentist, wearing dentures, or even looking at tongue depressors or other cringe inducing objects extremely uncomfortable.
For the first 23 years of my life, I too had a phenomenally bad gag reflex. Brushing my teeth in the morning?… Near impossible without losing my breakfast. Trying to swallow pills?… Hope they aren’t too big! Fluoride trays at the dentist?… They hid me in a back room and the rest of the office could still hear me gagging. Dental impressions?… I’m not sure how they managed these.
Then a crazy thing happened… I found that gagging could be controlled! Since then, it hasn’t been a problem for me. We’ll get to how I did this in just a bit.
Gagging is a protective reflex that your body has so that you don’t let food or other objects down your pharynx (windpipe). Food or other objects going down your pharynx into your lungs isn’t good. Gagging protects you from doing this. It is when this reflex is overactive that it can cause a problem with everyday activities.
There is a physical component as a mental component to gagging. First the physical component…You have a variety of touch receptors in your mouth located on the roof of your mouth, tongue, and back of your throat. Touch a certain area and it sends a signal to your central nervous system which immediately sends a signal back for muscles in the area to contract (the actually act of gagging). People have varying levels of sensitivity to how much it takes to cause this reflex.
On top of this reflex, you have a mental component that can make your gag reflex hyperactive. Ever wondered how you can just look at something and you’ll feel the familiar gag feeling coming on? Thoughts can literally turn on the gag reflex.
Your gag reflex is a complicated mix of these two factors. They both have to be addressed in order to really reduce your gag reflex. The good news is that it can be done!…
Ever wondered how a sword swallower could possibly do what they do? I always wondered that too seeing that I couldn’t get a finger within an inch of the back of my mouth before I started gagging. Sword swallowers learned a trick that just about anyone can use to overcome their gag reflex. It can take some time but I think it is worth it.
So what happened when I was 23 that changed my gag reflex? I can’t take a whole lot of credit for actually coming up with this myself… it was more thrust on me involuntarily. I had started dental school and one of the fun things that dental students get to do is take dental impressions on each other. Repeatedly. And then do some more. And some more. Until we get really good at them. When I heard about this, I didn’t think I was going to make it. I couldn’t brush my teeth in the morning successfully and I was supposed to sit through dozens of impressions?
Well, I didn’t have much of a choice so we got started. My partner took the first impression and I predictably about lost my lunch. The next impression, I sat up, breathed through my nose, tried to go to my happy place, and relax. It was a little easier. We took about twelve dental impressions on each other that day. Each one got a little easier. By the end, it didn’t bother me at all.
Since that day, life has been easier. My gag reflex is normal. I can’t swallow swords but I can brush my teeth, swallow pills, and make it through dental appointments with ease. The only time I gag is if something touches the absolute back of my throat (that’s considered normal for most people). You can do this too. Now I’m not recommending getting twelve dental impressions done in a row but the process is similar. This process is called desensitization and it is highly effective for permanently improving your gag reflex.
I didn’t know it at the time, but when we were taking those dental impressions we were progressively desensitizing my gag reflex. You can do this too. First, you’ll need to find what spots cause your gag reflex to be most sensitive. For most people these areas are the roof of the mouth (beyond a certain point), the back and side of the tongue, and the back of your throat.
You’re going to have to stimulate your gag reflex repeatedly. Take a toothbrush and touch the area that gives you fits. Try to keep it there as long as possible without causing yourself to vomit. Rest a minute, and then go again. Try to keep the toothbrush there longer. If you’re having gagging issues with dentures, use them to do the same thing. The goal is to progressively increase the amount of time and pressure you can tolerate. It may take several weeks but eventually you’ll get to a point where your gag reflex isn’t so hyperactive. I recommend doing this 5-10 times a day for several minutes at a time.
Desensitizing my gag reflex was life changing. I never thought it could happen but it did. You can do it too! Stick with it and you’ll get there.

HealthyMouthProject.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.
About 1/3 of the population doesn’t have a gag reflex . For all the rest of us, especially those with an extremely sensitive gag reflex, gagging can make life miserable! It can make brushing your teeth, swallowing pills, going to the dentist, wearing dentures, or even looking at tongue depressors or other cringe inducing objects extremely uncomfortable.
For the first 23 years of my life, I too had a phenomenally bad gag reflex. Brushing my teeth in the morning?… Near impossible without losing my breakfast. Trying to swallow pills?… Hope they aren’t too big! Fluoride trays at the dentist?… They hid me in a back room and the rest of the office could still hear me gagging. Dental impressions?… I’m not sure how they managed these.
Then a crazy thing happened… I found that gagging could be controlled! Since then, it hasn’t been a problem for me. We’ll get to how I did this in just a bit.
Gagging is a protective reflex that your body has so that you don’t let food or other objects down your pharynx (windpipe). Food or other objects going down your pharynx into your lungs isn’t good. Gagging protects you from doing this. It is when this reflex is overactive that it can cause a problem with everyday activities.
There is a physical component as a mental component to gagging. First the physical component…You have a variety of touch receptors in your mouth located on the roof of your mouth, tongue, and back of your throat. Touch a certain area and it sends a signal to your central nervous system which immediately sends a signal back for muscles in the area to contract (the actually act of gagging). People have varying levels of sensitivity to how much it takes to cause this reflex.
On top of this reflex, you have a mental component that can make your gag reflex hyperactive. Ever wondered how you can just look at something and you’ll feel the familiar gag feeling coming on? Thoughts can literally tu
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