For ten or more years I have vomited without a specific reason. It started in the early morning, usually an hour before I get up. I would wake up feeling like I needed to use the bathroom. I start to have a bowel movement and then I will begin vomiting. The vomiting can get very violent and leave my muscles sore for an entire day. I never vomit without having a bowel movement. The feces is not hard or loose, for the most part it is normal but when I bare down I begin vomiting. I went to a specialist and he said he couldn't see any physcial reason on why I would vomit other than stress. I go to bed feeling fine and wake up only feeling like I have to use the bathroom. I don't vomit everytime I have a bowel movement so I don't have a clue on when it will happen. I use to use the bathroom, vomit and be done. Now it happens during the day and night. I also no longer only vomit once but I will vomit off and on for an hour or so. I carry zip-loc bags with me at all times because there never is any warning of when it will happen. I have lived with it for a long time and it is slowly getting more frequent and severe. I actually have gotten use to this but I worry that this might not just be stress related. The last time I went to a specialist for it he didn't even run a single test. What are the long term effects of vomiting like this?