Endocrinology Questions? Ask an Endicrinologist for Answers ASAP
Good morning, I am Dr Elliot and hope that I can help. Wretching can be caused by local causes such as reflux, a sore throat (bacterial and viral) as well as a Upper respiratory infection. It can also be caused by systemic problems such as liver or kidney issues.
How long have you had this for? Do you have any other symptoms?
Hello again, what else do you think it could be if this mainly occurs in social situations? Other underlying causes seem unlikely, a blood test would be useful to exclude and renal or liver causes, however in the absence of symptoms, what it could be is reflux related. Anxiety would certainly exacerbate acid symptoms, you don't need to have heart burn, but increase acid near the throat would very easily make you wretch.
An option to test this is by using a PPI (Omeprazole, Lansoprazole or Esoemprazole). You can buy low dose Esomeprazole from a pharmacy, but the other options and longer duration will need a prescription, I would suggest that if you try this, if at 2 weeks there may be some benefit, continue to 4 weeks and then judge if it helped at all.