In this guide
Vomiting blood is a medical emergency. It may appear fresh red or like coffee grounds and can come from ulcers, varices, severe gastritis or other upper GI bleeding sources.
Key Takeaways
- Peptic ulcer bleeding
- Esophageal or gastric varices
- Severe gastritis or erosions
- Mallory-Weiss tear after repeated vomiting
- Blood thinner-related bleeding
Possible causes
The cause depends on liver history, painkiller use, alcohol use, ulcer symptoms and bleeding severity.
- Peptic ulcer bleeding
- Esophageal or gastric varices
- Severe gastritis or erosions
- Mallory-Weiss tear after repeated vomiting
- Blood thinner-related bleeding
Emergency signs
These symptoms need immediate medical attention.
- Fresh blood vomiting
- Black stool with weakness
- Fainting, sweating or low BP
- Known cirrhosis or varices
- Severe abdominal pain or confusion
Hospital treatment
Care may include stabilization, blood tests, IV medicines, transfusion if needed and urgent endoscopy for diagnosis or bleeding control.
Prevention after recovery
Prevention depends on cause and may include ulcer treatment, stopping unsafe painkillers, liver care, variceal banding or repeat endoscopy.
