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You don't hear it too often where I live because people don't often discuss retching, but it is a euphemism in my area of the USA too. Even without the slang term, Ralph sounds like an onomatopoeia for the act of vomitting.

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Prior to getting on this website, I hand never heard that Randy was a slang term for anything, but from what I've heard on here it is pretty common in Britain and parts of the US.