Hi, dear I have gone through your question. I can understand your concern. She have hematemesis and severe bleeding leads to anemia, iron deficiency and difficulties in breathing. She should be given blood transfusion till exact diagnosis. She may have some liver pathology or portal hypertension. She need endoscopy examination and routine blood test. Then take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you. Thanks for using health care magic. Wish you a very good health.