"Spew" and "vomit" both refer to expelling contents from the stomach, but they differ in connotation and usage. "Vomit" is a clinical term specifically describing the act of forcefully ejecting stomach contents, often associated with illness. In contrast, "spew" is more informal and can describe a rapid or forceful expulsion of not just food but also other substances, like Words or emotions, and often implies a less serious context.
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