Throwing up during intense workouts

Hi there,

I’ve always had issues with feeling nauseous when pushing my body to it’s limits and if I don’t back off on the throttle I inevitably throw up. My max heart-rate is 191 and it exclusively happens around the 185 mark.
It’s not really that big of a deal since I rarely end up with that high of a heart-rate during TR workouts but the ‘Ramp test’, that’s a different story. To my understanding I’m supposed to pedal until my legs cannot pedal any longer, however, it’s always my stomach that throws in the towel first resulting in me abandoning the test.

Anyone else with similar issues who has found a solution? I’d like to finish my ramp test in style!

Thanks!

I don’t have this issue on ramp tests, but sprinting it can happen.

Make sure I’m hydrated and there is as little in the stomach as possible before race worked for me.

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I have a pretty sensitive stomach too, so I feel your pain! For me it’s hard efforts on the TT bike. I notice that if I eat too close to my workout that is most likely going to cause :nauseated_face:. I also have to be careful with taking large swigs of drink mix right before an interval as well. Not sure if you are drinking fluids during the ramp test or not, but if you are, maybe cut them out next time. It’s a short enough effort that you won’t need them, and might help with the stomach issues.

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I’ve thrown up in my mouth previously (nothing major) and that was when I had an underlying health issue (bowel/colon cancer). Now the latter is sorted I don’t have a problem. We are all different but I usually follow the guide of not having a meal 1-2h before an effort and sip fluid and eat a banana during it. Although I will sometimes have a banana or energybar/gel closer to the start.

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I need 3-4h minimum for a meal before a maximal effort like a crit, less for a road race as it’s not as intense. Being well hydrated has helped, I’ve cut down on coffee consumption generally, but use caffeine pre race. Also repeating the efforts has reduced the effects, so now at the end of the season I’m a bit safer than at the beginning.

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This could be an outside possibility, but worth considering. I have exercise-induced asthma and as my breathing gets more laboured, I often feel sick. It can be linked to coughing during exercise, but sometimes I just feel sick anyway. Using an inhaler before exercise and very regular breathing helps, but not always. Cycling is actually less of a problem for me than rowing where I’ve puked many times.

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I get the same thing if I have anything on my stomach during anaerobic/sprint/Ramp Test efforts.
No food, and I mean nothing, for at least 3h before a truly hard workout, then use mix during the efforts helps. I prefer to always start a workout with a little something on my stomach (like a banana or a piece of toast with a smear of jelly), but for these workouts, stomach has to be totally empty for me.

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It’s a fine balance between being fuelled and not. I find that mix during hard sessions and races is ok, as long as I’m going in relatively empty. Normally I can tell the morning of the event if I’m going to have issues and that helps.

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Agree. You have to nail the pre-workout meal 3-4 hours before so that you don’t have the empty feeling. Might as well not even workout in that state. I’ve screwed it up so many times lol

Have you considered a different testing protocol?

This isn’t something I experience, but if I did I would consider the 20 minute and/or 2x8, or something else.

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Means you are doing it right. Honest.

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I second this^
I’m not seeing the problem. Protocol says to go deep, seems like you’re doing it right.
Lots of weird stuff happens when I go really hard, sometimes vomit in mouth, sometimes need to lie down and might pass out, sometimes feel like I might poop myself.

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Well for a start it isn’t pleasant. Two, It’s a pain to clean up - have you ever had to pick spaghetti out of the ventilation holes of your Bonts in the shower? I have, didn’t enjoy it. Stomach acid, not great for the teeth, or the paint on the bike either.

I’ve had a problem with this either when I have too much in my stomach, or more commonly, I gag on phlegm. I have mastocytosis, which means I produce histamines at a high rate when exercising. I’ve fixed that through EIB treatments and taking a nasal anti-histamine before hard workouts. It keeps the phlegm production manageable.

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