Nausea and Vomiting/Retching before vomiting

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Question
Hi,
Some time ago on one night I started feeling nauseated and feeling the urge to vomit and ended up vomiting but without retching before.
More recently I saw on your Vomiting FAQ that before vomitng you retch and so, this might seem a bit strange, but I started thinking about this time in that I threwup (the first in a few years) and started thinking if it could've have been something else rather than vomiting, but I really don't think it could, because I felt the stomach contractions and the forceful expulsion of a sizeable amount of vomit and I really felt nauseated (until I vomited), and so I would like to hear your opinion, do you think it's possible to vomit withing retching before or do you think this could've been something else?

Answer
Alex,

Most of the time people retch before they vomit, and it is often the most painful part of the process.  For some people, retching is so minor that they don't feel it or remember it.  Retching is basically making a motion of breathing in without taking in air.  It builds up pressure in your chest above your diaphragm, and then when the diaphragm relaxes, this pressure shifts from the chest to the abdomen and forces the stomach contents up and out.

If you expelled a lot of vomit (like more than a mouthful), then you definitely vomited.  If it came up in one motion, then you vomited.  But if you only brought up like a mouthful to your throat and then spit it out (which would be two motions), then you didn't vomit.

You ought to be glad that you don't retch forcefully when you vomit.  People who do really hate it.

Nausea and Vomiting

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Gumdropper

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I will try to answer all questions about nausea, vomiting, and emetophobia. I know many ways of preventing vomiting (or bringing it on). I have not vomited in over 40 years.

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For over 19 years, I have answered questions about nausea, vomiting, and emetophobia on the internet. I wrote the Emetophobia FAQ (Frequently Asked Questions About Emetophobia) and the Vomiting FAQ (Frequently Asked Questions About Vomiting). I wrote the first website about emetophobia and started the first mailing list about emetophobia. Both are still in existence. I am moderator of the largest emetophobia site.

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I have a bachelors degree in computer science. I have studied nausea, vomiting, and emetophobia for over 30 years and have read many scientific articles about everything from morning sickness to space sickness.

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I have helped thousands of people with questions about nausea, vomiting, and emetophobia, either directly or through my website.

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