How to Stop Vomiting While Brushing Teeth: Tips and Solutions - Internal Medicine

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Vomiting while brushing teeth?


Hello Dr.
Sun: I often gag while brushing my teeth and end up vomiting phlegm and acidic liquid (possibly gastric juice).
I have tried using less toothpaste, but it hasn't helped.
Are there any methods to improve this? Thank you.

tom, 30~39 year old female. Ask Date: 2008/09/28

Dr. Sun Yizhen reply Internal Medicine


Touching the base of the tongue and the soft palate while brushing can easily trigger the gag reflex.
Being gentle and slow when cleaning these areas can help alleviate the issue.
If gagging occurs with contact to any part of the oral cavity, it may indicate heightened oral sensitivity.
This is often related to stress or emotional factors, so it is advisable to moderately adjust one's lifestyle or seek medical attention.

Reply Date: 2008/09/28

More Info


Vomiting while brushing your teeth can be an uncomfortable and distressing experience. It is often caused by a sensitive gag reflex, which can be triggered by various factors such as the toothbrush hitting the back of the throat, the taste or texture of toothpaste, or even the act of brushing itself. Here are some tips and solutions to help you manage this issue effectively.


1. Choose the Right Toothbrush
Using a toothbrush with a smaller head can help minimize the gag reflex. A soft-bristled toothbrush is also recommended, as it is gentler on the gums and teeth. Electric toothbrushes with smaller heads may also be beneficial.


2. Adjust Your Technique
- Brush at an Angle: Instead of brushing straight across, try angling the toothbrush towards the gum line. This can help reduce the sensation of the brush hitting the back of your throat.

- Start with the Front Teeth: Begin brushing your front teeth and gradually work your way to the back. This can help you get accustomed to the sensation without triggering the gag reflex immediately.

- Avoid the Back of the Tongue: If brushing your tongue triggers vomiting, consider using a tongue scraper instead. This can help clean your tongue without the discomfort of brushing.


3. Use Less Toothpaste
Using a smaller amount of toothpaste can help reduce the foaming and taste that may trigger nausea. You might also consider trying a different flavor of toothpaste that is less intense or even a non-foaming toothpaste.


4. Breathe Through Your Nose
Focusing on breathing through your nose rather than your mouth while brushing can help reduce the gag reflex. This technique can help you stay calm and focused, making the experience more manageable.


5. Timing and Environment
- Brush at Different Times: If brushing your teeth in the morning triggers vomiting, try brushing at a different time of day when your stomach feels more settled.

- Avoid Strong Smells: Make sure the area where you brush your teeth is well-ventilated and free from strong odors that might trigger nausea.


6. Stay Hydrated
Sometimes, brushing on an empty stomach can exacerbate nausea. Make sure you are adequately hydrated before brushing your teeth. Drinking water can help settle your stomach.


7. Consult a Dentist
If the problem persists, it may be beneficial to consult with a dentist. They can provide personalized advice and may suggest alternative oral hygiene products that are less likely to trigger your gag reflex.


8. Consider Medical Advice
If your vomiting is severe or accompanied by other symptoms, it may be worth discussing with a healthcare provider. They can evaluate if there are underlying issues contributing to your sensitivity, such as gastroesophageal reflux disease (GERD) or other gastrointestinal conditions.


Conclusion
Managing vomiting while brushing your teeth requires a combination of technique adjustments, product choices, and possibly professional advice. By implementing these strategies, you can make your oral hygiene routine more comfortable and effective. Remember, maintaining good oral hygiene is crucial for your overall health, so finding a method that works for you is essential. If you continue to experience difficulties, don't hesitate to reach out to a healthcare professional for further assistance.

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