What Causes Dry Heaving?

Aug 02, 2022 Source: Cainiu Health
Dr. Zhao Haiming
Introduction
Dry heaving may be associated with chronic pharyngitis. In general, consuming spicy foods or smoking may trigger nausea after toothbrushing; young women experiencing “plum pit qi” (a TCM term describing a sensation of a lump in the throat) may also present with dry heaving. Women of childbearing age should be evaluated for early pregnancy symptoms; serum or urine human chorionic gonadotropin (hCG) testing can confirm pregnancy. Dry heaving may also stem from psychological factors.

Every bodily response may signal an underlying health condition. Sometimes, dry heaving is mistakenly attributed to indigestion or consumption of greasy foods. In reality, however, this symptom may stem from dietary factors or physiological abnormalities. So, what causes dry heaving?

Causes of Dry Heaving

Dry heaving may be associated with irritation of the sensitive nerves in the pharynx or gastric mucosa. If dry heaving is triggered by severe coughing or by symptoms such as throat dryness, itching, or pain, it is typically considered a reflexive response resulting from increased pharyngeal nerve sensitivity due to inflammatory irritation. Conversely, if clinical manifestations—including abdominal distension, nausea, and belching—are prominent during episodes of dry heaving, impaired gastric motility is more likely the underlying cause. Conditions such as gastritis or peptic ulcer disease can irritate the gastric mucosa during their course, leading to neurologically mediated clinical symptoms.

Patients may consume carrots to help alleviate vomiting symptoms: wash carrots thoroughly and mash them into a smooth puree. Adding an appropriate amount of honey enhances spleen and stomach function and effectively relieves nausea and vomiting. Domperidone (Motilium®) may be taken to alleviate symptoms; drinking ample water helps neutralize gastric acid, while opening windows to breathe fresh air can also ease nausea and vomiting. Additionally, patients may eat certain foods to relieve vomiting, including oat bread, whole grains, oatmeal porridge, milk, yogurt, and fresh vegetables and fruits.

Patients are advised to maintain a light, bland diet and seek prompt medical evaluation and treatment upon noticing any symptoms—thereby preventing disease progression. We hope this information is helpful to you.