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If bleeding is happening deep inside the digestive system, upon vomiting the blood will look more black than red. Similarly, blood from the upper digestive system that comes out in diarrhea looks black or dark purple rather than bright red. (Bright red blood in the latter case is usually from hemorrhoids or anal fissure.)

That said, some reddish blood can be present in the vomitus if an acute inflammation or abrasion of the upper stomach or esophagus is present. Usually there will be a metallic ("coppery") taste as well.

In any case, it's really better to call your primary care physician or your gastroenterologist if you have one. If not, a prompt-care or ED unit visit is a good idea, even if you don't continue to vomit or taste blood.

However, if you have recently suffered a blow to the abdomen, and then this happens, consider it an emergency and go to the ED.

And if you are experiencing these signs along with dizziness, weakness, spots in your vision, difficulty breathing, a bluish tinge to your lips and/or under your fingernails (cyanosis), low blood-pressure, rapid and thready heartbeat, and/or loss of consciousness (fainting; syncope), then CALL 911 RIGHT AWAY.

Bloody vomit or bloody diarrhea ought never to be taken lightly. If perforation takes place in the esophagus, the stomach or the intestines, and peritonitis sets in, death can follow very quickly even in a fairly healthy adult. In children and babies, the danger escalates far more rapidly.

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18y ago

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