Hi! I m a 17 year old female, over the past 3 years I ve had some bulimic tendencies, not throwing up for several months, then throwing up maybe twice a month. For the past several months, even when I am sick and extremely nauseated I can t throw up without assistance from myself. When I try to throw up on my own, it feels like the throw up travels into the start of my throat but it just doesn t come out. I have a very weak gag reflex, there s only a certain part of my throat that makes me throw up, and lets say I can take things of substantial length without gagging. In the last 3 weeks I ve started smoking again and I ve been eating more sugar, and for the last week have been drinking more coffee. I ve been experiencing acid reflux at least 2x a week now, and I ve been burping a lot. Today I felt very nauseous and made myself throw up, I noticed some blood on my fingers but not in my vomit which was very very acidic. Afterwards I threw up twice more without assistance and it felt VERY acidic. My throat is now in a lot of pain it feels dry and it feels like I have a lump in my throat when I swallow, swallowing is very painful, I tried eating soft food and it s still very painful. What should I do to ease my throat pain, get rid of this lump, ease swallowing? What s wrong?