But lighting a cigarette forced me back into the bathroom to puke again.

If it's not cold, you'll puke again.

Without a drink I would start puking again or pass out.

Even if I could, I didn't see any possibility of swallowing it without puking again.

His stomach heaved and he puked again.

And then David succumbed to his gag reflex: he briefly puked into the pooling fluids, and puked again.

"I think I'm going to puke again."