This dye poisoning causes your internal organs to ride from within, and it is really painful until you puke up your guts and die.

这种染料中毒会令你的一些内部器官如脱缰野马欲从内向外奔驰而出，这会是相当痛苦不堪的，直到你把内脏全部呕吐一空死亡为止。

youdao

I figured, why eat when I was going to puke it up again?

我在想，既然我马上就会再吐，那为什么还吃呢?

《柯林斯英汉双解大词典》

Whether you call it spit-up, puke or barf mulch, there's simply no denying the fact that every article of clothing you own will eventually start to smell like baby vomit.

不管你管他叫吐出来的东西还是呕吐物什么的，不可否认的是你身上的每件东西都开始闻起来像婴儿呕吐物。

youdao

The smell was so scunnering it made him want to puke up, and the lassies on the next bench thought it a great joke to throw fish eyes in his face.

ECONOMIST: Stanley Robertson