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What causes blood in vomit during pregnancy?

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Posted on Thu, 4 Dec 2014
Question: Hello, I am 14 weeks pregnant with twins. Just wondering the steps I should take for throwing up blood ? Maybe like 2 tablespoon fulls, may not be a lot to you but I am a little worried.
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Answered by Dr. Noble Zachariah (39 minutes later)
Brief Answer:
Usually a tear in the esophagus or peptic ulcer

Detailed Answer:
Hello,

Welcome to HCM and thank you for the query.
I understand your concern.
The vomiting that you experience is most probably due to the 'morning sickness' associated with pregnancy.
With repeated vomiting there can be a small tear where the food pipe ( esophagus) joins the stomach (Mallory-Weiss tear). The other possibility is a bleeding peptic ulcer.
The correct management would be to go to the ER and get an upper GI endoscopy done, if you have the facility. This would help in making the proper diagnosis and endoscopic treatment if required. This is very important if your stools are black also.
If this is not possible let me know and I shall advise you on what are the other options.
Take Care
Dr Noble Zachariah
Above answer was peer-reviewed by : Dr. Prasad
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Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2320 Questions

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What causes blood in vomit during pregnancy?

Brief Answer: Usually a tear in the esophagus or peptic ulcer Detailed Answer: Hello, Welcome to HCM and thank you for the query. I understand your concern. The vomiting that you experience is most probably due to the 'morning sickness' associated with pregnancy. With repeated vomiting there can be a small tear where the food pipe ( esophagus) joins the stomach (Mallory-Weiss tear). The other possibility is a bleeding peptic ulcer. The correct management would be to go to the ER and get an upper GI endoscopy done, if you have the facility. This would help in making the proper diagnosis and endoscopic treatment if required. This is very important if your stools are black also. If this is not possible let me know and I shall advise you on what are the other options. Take Care Dr Noble Zachariah