Hi, I'm Doctor Robert, a Medical Internist (MD) who deals with diseases of all organ systems. All my education has been completed in the US.

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Vomiting is never normal if it contains blood.

If you are bloated with heartburn, chances are it is acid related. Too much gives you the burning, and the bloated feeling is because your stomach is not prepared to deal with that much acid.

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So, if you've had indigestion, this might represent a bleeding ulcer, which is quite serious.

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Here's my plan of action in a numbered list. So, here it goes...
1. Go to the Emergency Room and tell them you vomited blood
2. They'll measure a complete blood count (CBC) to see if you're losing more than a small amount
3. They'll likely give you an intravenous needle to treat the stomach acid and bloating with proper medication.
4. They may need to explore further the issues that caused you to have blood in the vomit (called emesis).

You see, hematemesis (bloody vomit) is a real warning sign that cannot be ignored.

Chronic indigestion may have ruled the day and burned a hole in the stomach lining, causing an ulcer that is now bleeding.

And your stomach can hold a LOT of blood, believe me.

Your next episode of vomiting can be a bucket full.

Of blood, that is.

Alcohol increases the risk of bleeding ulcers three fold or more, so that is not good either.

Does this make sense?

Any other questions I can answer for you today?

Are you still there?

Yes, it could be. The stomach can hold a lot of blood and cause vomiting a day or more later.

I'm not saying it definitely is, but I tend to err on the side of safety.

And in this case, that means the Emergency Room for evaluation. They tend to worry about blood vomiting as much as I do.

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