I'm a 24-year-old introverted guy from Bangalore who experiences significant anxiety in social interactions and during exams. I've found that regular exercise, particularly gym workouts, and taking Ashwagandha tablets (himalaya) help alleviate my anxiety symptoms to some extent. I typically go to the gym in the early morning. However, I've noticed a concerning pattern where I vomit bile as soon as I wake up, before hitting the gym. This issue doesn't occur when I skip my gym sessions even if I wake up early. I'm seeking medical advice to determine if this is related to my anxiety or if there's an underlying gastrointestinal issue. What's puzzling is that if it was a gastro issue, then why doesn't it happen on the days I don't have to go to the gym in the morning? Ps. I had a history of having anxiety and was under medication a year ago!