Wiktionary
vb. (context colloquial English) To vomit.
Usage examples of "puke up".
Doom would never touch me even if he were that kind of pervert, because he pities me the way you would pity a truck-smashed dog all mangled but still alive on the highway, and he finds my deformities so disgusting that if he dared to kiss me on the cheek, he'd probably puke up his guts.
His room seemed a long way away, but he got there, and even managed to shut the door behind him before he collapsed and began to puke up his guts.
The feeling of having to puke up his guts had begun the moment he'd had her best interest at heart.
The teenager had his forehead pressed to the floor and was trying to puke up meals he'd eaten a week ago.
Foster' one more time, I'm going to throw something solid at you or puke up my guts or both.
I was still overweight, still slow, but I didn't puke up dinner anymore.
The nurse had said he'd puke up his toenails if he drank coffee now.