User Profile name is Danny and I have a problem thats been bothering me for a few years. I like training in martial arts and boxing, however I keep gagging every time I have to breathe out (like when you expel air through your nose when you punch). I noticed it happens mostly when I try to punch really fast or workout out with intensity. I started smoking when I was 18 and noticed the problem happening after about a year. I used to smoke cigarettes just fine until one day I just started gagging every time I tried to smoke one so I had to smoke and always have a drink at hand to stop the gagging sensation. I am 20 right now, going on 21, and havent been smoking for about a week (i started using the patch). I noticed that the gagging feeling is still there. Ive researched acid reflux and I thought it was that but im not sure. I burp alot and sometimes find myself yawning alot when I work out. I dont know if its a mental problem, physical, or possibly maybe breathing wrong. I dont suffer

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replied August 15th, 2010
Ear, Nose and Throat Disorders Answer A15302
Hi, welcome to the ehealth forum and I am glad to help you.
You seem concerned by the constant gagging while trying to exercise and workout.
There are many factors which can lead to this problem. Use of alcohol or medication can heighten the gag reflex. Obesity and smoking are also factors that can be eliminated. Dental problems, systemic illness and psychological factors can be contributors. Yours sound very much like anxiety equivalent rather than an organic physical problem, but you can never be sure, so you should consult an ENT specialist. If nothing is found then consider a short bout of counseling rather than medication to deal with your problem.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.

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