The best replacement for puke is throw up.

The best alternatives to puke are rated as following:
★★★★★  throw up
★★  poop
★★  vomit
★  tite
★  gag
★  hairball
★  titi

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Google Trends

Scale is based on the average worldwide traffic of puke in all years. Click on graph for more.
puke
throw up
poop