Gagging: Causes & Reasons

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Possible Causes for Gagging

Pseudobulbar Palsy

Pseudobulbar palsy - comment on: gag reflex tongue jaw jerk speech emotions Gag reflex - increased or normal Tongue - spastic. [quizlet.com]

[…] pathways to V,VII,X,XI,XII disturbance to X, XI, XII,sometimes VII, rather than the corticobulbar tracts lower motor neurone signs absent lower motor neurone signs present gag [gpnotebook.co.uk]

It also results in dysarthria and dysphagia, but with a decreased gag reflex and absence of emotional lability. [radiopaedia.org]

Jugular Foramen Syndrome

Loss of gag reflex was remarkable on the left. Paresis was found on the left vocal cord. There was weakness in rotation of the head to the right. [ncbi.nlm.nih.gov]

Cerebellopontine Angle Syndrome Acoustic Tumours CN IX and CN VIII and CN V can be affected Symptoms: IX: Tinnitus Gag reflex decreased VIII: Vertigo Deafness V Facial Sensory [en.wikibooks.org]

[…] dropping deviation of the uvula towards the normal side dysphagia loss of sensory function from the posterior 1/3 of the tongue decrease in the parotid gland secretion loss of gag [en.wikipedia.org]

Tracheal Foreign Body

Only about half of those with impacted true foreign bodies have symptoms referable to the foreign body In children, symptoms more commonly include drooling, vomiting or gagging [learningradiology.com]

Symptoms may include: Choking or gagging when the object is first inhaled Coughing Stridor Wheezing (a whistling sound, usually made when the child breathes out) Although [stanfordchildrens.org]

Assessment History Sudden respiratory arrest and collapse is caused by complete obstruction of the upper airway by an inhaled foreign body (FB) There may be a history of choking, gagging [kidshealthwa.com]

Glossopharyngeal Palsy

' their uvula lifts but doesn't respond during the gag reflex. [ole.bris.ac.uk]

Clinical features include: loss of sensation - tested by the gag reflex loss of taste sensation on the posterior 1/3 of the tongue The competence of cranial nerves IX and [gpnotebook.co.uk]

Its sensory fibres supply all sensation to the tonsillar fossa and pharynx (the afferent pathway of the gag reflex), and taste to the posterior third of the tongue. [medassignments.com]

Foreign Body Aspiration

RESULTS: Penetration syndrome (sudden onset coughing, choking and gagging) (89.2%) and decreased breath sounds (86.5%) were the most common clinical features. [ncbi.nlm.nih.gov]

The most common presenting symptoms were cough (88%), choking/gagging (67%), and wheezing (57%). [ncbi.nlm.nih.gov]

Glycosaminoglycans (GAG) accumulate in musculoskeletal system, connective tissues. [ncbi.nlm.nih.gov]

Aspiration Pneumonia

[…] following: Cough Fever or chills Malaise, myalgias Shortness of breath, dyspnea on exertion Pleuritic chest pain Putrid expectoration Nonspecific symptoms including headache, nausea [web.archive.org]

It commonly occurs in patients with altered mental status who have an impaired gag or swallowing reflex. [patientslikeme.com]

This includes gag reflex, coughing, ciliary movement, and immune mechanisms, all of which aid in removing infectious material from the lower airways. [web.archive.org]

Botulism

One third of normal healthy adults do not have a gag reflex. [medicaljoyworks.com]

Physical examination showed bilateral ptosis (N = 5), diminished gag reflex (N = 2), ophthalmoparesis (N = 1), facial paresis (N = 1) and tongue weakness (N = 1). [ncbi.nlm.nih.gov]

Signs and Symptoms: Symptoms in adults may include: blurred or double vision difficulty in speaking, swallowing and breathing nausea and vomiting dry mouth increasing weakness [conditions.health.qld.gov.au]

Gastroesophageal Reflux Disease

Common symptoms include: heartburn chest pain bringing food up into the mouth bad breath stomachache or pain during or after eating fussiness around mealtimes hiccups gagging [childrenshospital.org]

These symptoms may include vomiting, gagging, coughing, and trouble breathing. [hopkinsmedicine.org]

Normal activity is encouraged during the study, and a diary is kept of symptoms experienced, or activity that might be suspicious for reflux, such as gagging or coughing. [stanfordchildrens.org]

Foreign Body in the Stomach

Frequent side effects of glucagon are nausea and vomiting. [hawaii.edu]

[…] wheezing Once beyond esophagus, objects typically pass but with increased risk of complications: bowel obstruction, perforation, erosion to adjacent organs - abdominal pain, nausea [medbullets.com]

While encouraging the patient to cough or spit out the FB, further traction will cause involuntary gagging and expectoration. [ncemi.org]

Petroleum Distillates Poisoning

Care should be taken to avoid aspiration of vomitus in young children and infants because of their poorly developed gag reflex. [rxmed.com]

[…] barbiturates, bromide, carbon monoxide, chloral hydrate, ethanol, paraldehyde, salicylates,scopolamine Diaphoresis – Alcohol, fluoride, insulin, physostigmine Diarrhea, nausea [slideshare.net]

Sharper definition of, and closer adherence to, criteria for complications including a history of the presence of cough or gagging at the time of ingestion, and the routine [pediatrics.aappublications.org]

Lateral Medullary Syndrome

[…] accident involving part of the medulla oblongata with consequent loss of pain and temperature sensation in the orofacial region, loss of taste, and palatal palsy and loss of gag [ncbi.nlm.nih.gov]

Other symptoms of the lateral medullary syndrome include loss of the gag reflex, nystagmus, nausea, vomiting, and vertigo. Let’s turn these around. [boardprep.net]

The gag reflex is diminished on the ipsilateral side. [mrcophth.com]

Isopropyl Alcohol Poisoning

Examples include heartbeat, gag reflex, and breathing. Drinking alcohol in excess can either slow down or shut off these normal functions. [hankeylawoffice.com]

1,2 When the gag reflex is slowed, there is danger of asphyxiation. [alcoholanswers.org]

Because it depresses your gag reflex, this increases the risk of choking on vomit if you've passed out. Stopping breathing. [mayoclinic.org]

Myotonia Congenita

Early symptoms may include: Difficulty swallowing Gagging Stiff movements that improve when they are repeated Shortness of breath or tightening of the chest at the beginning [nlm.nih.gov]

Early symptoms may include gagging and difficulty in swallowing, because oropharyngeal muscles are slow to relax. [mda.org.au]

Possible Complications Complications may include: Aspiration pneumonia caused by swallowing difficulties Frequent choking, gagging, or trouble swallowing in an infant Long-term [mountsinai.org]

Radiation Esophagitis

This mixture can suppress a persons gag reflex; therefore patients should eat slowly and sit upright for at least 30 minutes after eating to prevent aspiration. [oncolink.org]

Usually it lasts about a month after you finish. best wishes x LMK74 Brisbane Member Posts: 775 ✭ Hi @JoeyLiz, they did recommend the soluble panadol but I gag on the taste [onlinenetwork.bcna.org.au]

This can be associated with crampy abdominal pain, malaise, nausea, and anorexia. [clinicaladvisor.com]

Cholinergic Crisis

– Facial drooping, facial paralysis – Tendency of the mouth to hang open (often associated with saliva drooling) – Dysphagia, also difficulty in chewing, swallowing, and gagging [rnspeak.com]

The gag reflex is often absent and such patients are at risk for aspiration of oral secretions. [enotes.tripod.com]

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Tracheoesophageal Fistula

The presence of open mouth, open bite, high palate, gag reflex, and oral hygiene were scored as absent or present as an observational oral motor assessment. [clinicaltrials.gov]

Common symptoms of EA with TEF include: Skin turning blue (cyanosis) while feeding Coughing, gagging and choking while feeding Excessive drooling If your baby is showing symptoms [fetaltonewborn.org]

Symptoms of EA/TEF include: feeding problems right away drooling or spitting up a lot bubbly mucus in the mouth coughing, gagging, or choking when feeding bluish color to [familydoctor.org]

Vestibulocochlear Nerve Disease

[…] control swallowing and the gag reflex, they are tested together. [merckmanuals.com]

[…] should be used judiciously, for a short period and on an “as needed” basis, if at all. 17 Vestibular therapies aim to overstimulate the vestibular response, which may cause nausea [now.aapmr.org]

Taste perception: posterior ⅓ of the tongue (lingual branch) Somatosensation: posterior ⅓ of the tongue; middle ear and eustachian tube (tympanic nerve) Afferent arm of the gag [amboss.com]

Asphyxia

Hanging(Suspension) Ligature Strangulation Manual Strangulation Smothering Gagging Choking Drowning Asphyxia Images Scroll [forensicpathologyonline.com]

[…] sometimes associated with euphoria. 3 Causes 3.1 External suffocation low oxygen atmosphere (head in a plastic bag, high altitude) obstruction of airways (because of being gagged [flexikon.doccheck.com]

Three of the deaths involved adults who were gagged; 2 deaths involved infants with foreign material pushed into the mouth. [ncbi.nlm.nih.gov]

Esophageal Obstruction

[…] atresia congenital lack of continuity of the esophagus, commonly accompanied by tracheoesophageal fistula, and characterized by accumulations of mucus in the nasopharynx, gagging [medical-dictionary.thefreedictionary.com]

[…] inflammation in the esophagus—eosinophilic esophagitis Esophageal cancer or other tumors Symptoms Steakhouse syndrome may cause: Chest pain Difficulty swallowing Drooling Coughing, gagging [winchesterhospital.org]

Patients may develop abdominal pain and tenderness, nausea, vomiting, fever, hematochezia, or melena. [aafp.org]

Neoplasm of the Esophagus

This can cause symptoms of choking, gagging, and coughing while swallowing. [everydayhealth.com]

The doctor administers a topical anesthetic to the throat to suppress the gag reflex. Doctors frequently give intravenous (IV) sedation just before the procedure. [emedicinehealth.com]

These side effects can include: hair loss nausea vomiting fatigue pain neuropathy Radiation therapy Radiation therapy uses beams of radiation to kill cancer cells. [healthline.com]

Amyotrophic Lateral Sclerosis

Abnormal reflexes Stiff or clumsy walk Decreased or increased reflexes at the joints Difficulty controlling crying or laughing (sometimes called emotional incontinence) Loss of gag [nlm.nih.gov]

[…] slowly gets worse until it leads to the following: Difficulty lifting, climbing stairs, and walking Difficulty breathing Difficulty swallowing -- choking easily, drooling, or gagging [nlm.nih.gov]

Inhalation of Phosgene Gas

We would blow the charge and un-sweat the compresor. 9 times out of 10 you would get a face full of phosgene and gag the hell out of ya. [hvac-talk.com]

Symptoms of sarin poisoning include runny nose, tightness of chest, dimmed vision, breathing difficulty, drooling, excessive sweating, nausea and vomiting, involuntary bowel [webmd.com]

After ingestion, effects are primarily gastrointestinal and include nausea, anorexia, vomiting, cramps, and diarrhea. [ruf.rice.edu]

Laryngeal Obstruction

Cannot be used in awake patients, as it causes them to gag and potentially vomit. [learnpicu.com]

There may also be paroxysmal coughing, gagging or choking, hoarseness, wheezing, tachycardia and other signs of respiratory distress. [patient.info]

[…] deterioration signs and symptoms may be mild but as they worsen include coughing, inspiratory stridor, crowing or noisy respiration, dysphonia, aphonia, choking, drooling and gagging [aic.cuhk.edu.hk]

Esophageal Spasms

Most disconcerting.Here's what I do: stick two fingers in your mouth till they touch the back of your throat, then gently tickle it until you gag. [ibsgroup.org]

You are choking, gagging, or vomiting. You have pain when you swallow. You have new or worse chest pain and shortness of breath. [drugs.com]

The only thing I've found to stop it (never tried the gagging thing) is one drop of essential oils of ginger and peppermint in a cup of water. [ibsgroup.org]

Larynx Polyp

Having something stuck in your throat might make you gag, however. Continued Direct fiber-optic laryngoscopy. [webmd.com]

This is sometimes limited by factors such as a large tongue or the gag reflux. [newportvoiceandswallow.com]

Chemotherapy can cause nausea and vomiting. [medbroadcast.com]

Acute Alcohol Intoxication

Their breathing and gag reflexes will likely be impaired. [healthline.com]

Because it depresses your gag reflex, this increases the risk of choking on vomit if you've passed out. Stopping breathing. [mayoclinic.org]

It affects your body temperature, breathing, heart rate, and gag reflex. It can also sometimes lead to coma or death. [healthline.com]

Vomiting of Pregnancy

During pregnancy, you may feel that some aromas are mouth-watering, while others will trigger an instant gag reflex, which could contribute to nausea. [health.in4mnation.com]

[…] for each woman, the symptoms include: nausea, gagging, retching, dry heaving, vomiting, and odor and/or food aversion. 3 For most pregnant women, symptoms generally cease [prnewswire.com]

Patients may be given both indirect and direct suggestions to relax their stomach and throat muscles, causing their nausea, gagging and vomiting to subside. [aafp.org]

Arnold-Chiari Malformation

Arnold-Chiari malformation Pathology Type Hernia Cause(s) Congenital or genetic Symptoms Headaches, ringing in ears, dizziness, nausea, nystagmus, face pain, muscle weakness [house.wikia.com]

Symptoms may include: Changes in breathing pattern Swallowing problems, such as gagging Quick downward eye movements Weakness in arms Chiari malformation type III In one of [mayoclinic.com]

It is helpful for children who experience gagging or excessive drooling. A sleep study. [cincinnatichildrens.org]

Zenker Diverticulum

These symptoms may then lead to additional signs that swallowing is impaired, such as choking, gagging, drooling and coughing. [cornerstoneent.com]

With impaired swallowing, you may experience symptoms such as: Gagging Choking Coughing Drooling There are several reasons your swallowing function becomes impaired. [houstonent.com]

Rarely, they cause swallowing difficulties and regurgitation (the spitting up of food without nausea or forceful contractions of abdominal muscles). [merckmanuals.com]

Esophageal Candidiasis

Nausea, vomiting, and abdominal pain occur in 5% of patients. However, one third of patients with Candida esophagitis are asymptomatic. [journals.lww.com]

Predominant symptoms in school-aged children and adolescents include dysphagia (difficulty swallowing), food impactions, and choking/gagging with meals, particularly when [aacijournal.biomedcentral.com]

[…] commonly seen in HIV patients with CD4 count < 100 (AIDS-defining illness) or chronic inhaled glucocorticoid use Clinical Features[1] Odynophagia Dysphagia Retrosternal pain Nausea [wikem.org]