vomiting blood treatment

Overview

Vomiting blood (hematemesis) refers to significant amounts of blood in your vomit. Small streaks or flecks of blood in material you spit up may come from the teeth, mouth or throat and isn't usually considered vomiting blood. Blood in vomit may be bright red, or it may appear black or dark brown like coffee grounds.

Swallowed blood, as from a nosebleed or forceful coughing, may cause bloody vomit, but truly vomiting blood usually represents something more serious and requires immediate medical attention. Bleeding in your upper gastrointestinal tract (mouth, esophagus, stomach and upper small intestine) from peptic (stomach or duodenal) ulcers or torn blood vessels is a common cause of vomiting blood.


Causes

Vomiting blood may be caused by:

  1. Acute liver failure
  2. Aspirin
  3. Benign tumors of the stomach or esophagus
  4. Cirrhosis (scarring of the liver)
  5. Defects in gastrointestinal tract blood vessels
  6. Dieulafoy's lesion (an artery that protrudes through the stomach wall)
  7. Duodenitis (inflammation in the first part of the small intestine)
  8. Esophageal cancer
  9. Esophageal varices (enlarged veins in the esophagus)
  10. Esophagitis (inflammation of the esophagus)
  11. Gastric erosions (breakdown of tissue lining the stomach)
  12. Gastric varices (enlarged veins in the stomach)
  13. Gastritis (inflammation of the stomach lining)
  14. Mallory-Weiss tear (tear in the esophagus associated with pressure caused by vomiting or coughing)
  15. Nonsteroidal anti-inflammatory drugs
  16. Pancreatic cancer
  17. Pancreatitis (pancreas inflammation)
  18. Peptic ulcer
  19. Portal hypertension (high blood pressure in the portal vein)
  20. Prolonged or vigorous vomiting
  21. Stomach cancer

In infants and young children, vomiting blood may also result from:

  1. Birth defects
  2. Blood-clotting disorders
  3. Milk allergy
  4. Swallowed blood, such as from the nose
  5. Swallowed object
  6. Vitamin K deficiency

When to see a doctor

Call  emergency medical assistance

Cal if vomiting blood causes signs and symptoms of severe blood loss or shock, such as:

  • Rapid, shallow breathing
  • Dizziness or lightheadedness after standing up
  • Blurred vision
  • Fainting
  • Confusion
  • Nausea
  • Cold, clammy, pale skin
  • Low urine output

Seek immediate medical attention

Ask someone to drive you to the emergency room if you notice blood in your vomit or begin vomiting blood. It's important to quickly identify the underlying cause of the bleeding and prevent more-severe blood loss and other complications, including death.

More information on:

Esophageal varices

Food poisoning

Helicobacter pylori (H. pylori) infection

Peptic ulcer

Yellow fever