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Medical Health Encyclopedia
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Vomiting blood

Alternative Names:
Hematemesis; Blood in the vomit

Home Care:

Although not all situations are the result of a major medical problem, this is difficult to know without a medical evaluation. Seek immediate medical attention.



Call your health care provider if:
Text Continues Below



Call your doctor or go to the emergency room if vomiting of blood occurs -- this requires immediate medical evaluation.



What to expect at your health care provider's office:

The doctor will examine you and ask questions such as:

  • Time pattern
    • When did this begin?
    • Has it ever occurred before?
    • Did it occur after retching or vomiting?
  • Quality
    • How much blood was in the vomit?
    • Was the vomit entirely blood?
    • Was the blood bright red, dark red, or black?
    • Were there clots?
  • Aggravating factors
    • Has there been a recent nosebleed?
    • Has there been recent vigorous vomiting?
    • Has there been a recent episode of gastroenteritis (nausea, vomiting, abdominal pain)?
    • Has there been a recent episode of coughing?
  • Other
    • What other symptoms are also present?
    • Is there bleeding from the nose, rectum, or elsewhere?
    • Is there abdominal pain?
    • Is there blood in the stools or black stools?
    • Is there weakness or fatigue?
    • Is there coughing or coughing up of blood?
  • Additional important information
    • What medications are being taken?
    • Is the patient a drinker of alcohol or smoker?
    • Have there been any recent injuries to the nose, mouth, or abdomen?
    • Have there been any recent surgical procedures?
    • Have there been any recent dental procedures such as tooth extractions?
    • Is there a history of bulimia or self-induced vomiting?
    • Is there a history of ulcers, esophageal varices, or liver problems?
    • Has the patient ever turned yellow (jaundice)?
    • Is there a history of problems with blood clotting?

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