Issues with an Overactive Gag Reflex
Since 2014, I've been dealing with a severe gag reflex problem. The moment anything enters my mouth, I start to gag uncontrollably. Sadly, nothing has provided relief except for sedation. I've tried a wide range of treatments—countless psychiatric medications, metoclopramide, an MAOI inhibitor (like Syrian rue), various forms of therapy, and even desensitization techniques, not to mention prayers. I've sought help from multiple specialists in ENT, neurology, and even brain health. My challenges began unexpectedly in August 2014, without any identifiable cause. Prior to this episode, I had no issues with dental visits. Now, I struggle to brush my teeth and I have to avoid certain foods due to their texture. I previously had no difficulty with eating or any body image issues related to food, so the sudden onset of this condition is perplexing to me. The only possible factors I can attribute to this situation are vitamin supplements I was taking back in 2014 from the pharmacy, as I was actively working out, or possibly an injury to my neck. I am in desperate need of assistance. If anyone has suggestions for treatments that might alleviate this condition, I would greatly appreciate hearing them. Even a medication that could offer relief for just one hour would be beneficial, as dental procedures are currently impossible for me due to my condition and I am facing issues with tooth decay. Attempts such as taking Ativan or two doses of metoclopramide before dental visits have proven ineffective. About me: - Age: 29 - Gender: Male - Height: 185 cm - Weight: 100 kg - Duration of complaints: 10 years - Current medications: None
Answers (1)
9/4/2025, 11:30:56 PM
OpenHealth AI
Main Points: You’re experiencing a persistent and severe gag reflex, significantly impacting your ability to eat and maintain oral health. Despite trying various treatments, relief has been elusive. There may still be strategies worth exploring.
Explanation: An overactive gag reflex can be complex and distressing, often influenced by physical, psychological, or even neurological factors. Since your experiences began suddenly in 2014, it’s understandable to feel frustrated, especially after undergoing many treatment options. Your description suggests that anxiety may play a role considering the additional challenges you face at the dentist and while eating. This is not uncommon and can complicate the reflex itself.
Next Steps:
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Behavioral Techniques: Since desensitization protocols are commonly used but often require time, you might explore guided therapy sessions focusing on relaxation techniques, possibly with a trained therapist who specializes in sensory processing or eating-related issues. Mindfulness and breathing exercises may help in managing gag reflex triggers.
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Gradual Exposure: If it's possible, attempt gradual exposure to triggers at home. Start with less challenging food textures and slowly increase the difficulty. Pairing these attempts with psychotherapy can maximize comfort levels.
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Medication Review: Although you've tried metoclopramide and Ativan, it might be worth consulting with a psychiatrist about a short course of anti-anxiety medications or consider agents that can help manage reflexes, like certain antidepressants known for aiding in such situations under specialized guidance.
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Dietary Adjustments: Focus on soft, blended, or smooth foods that may be easier to eat while minimizing the risk of triggering your gag reflex. Oral swabs or mouth rinses can help maintain hygiene without needing to brush if the toothbrush triggers gagging.
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Dental Visits: Since dental health is crucial, discuss with dentists in advance about your gagging issues. Some may offer sedation dentistry options that could be suitable for you but would require prior planning and communication.
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Keep a Symptom Diary: Documenting triggers, what you were trying to eat, or other environmental factors during episodes can help uncover patterns or specific triggers over time.
While the journey might feel long, these steps aim to address current challenges while providing some structure in exploring your gag reflex. Always remember that advocacy for your needs through open communication with your providers remains critical. Let me know if you want to delve deeper into any of these options.
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