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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It An Emergency If You Have Black Tarry Vomit?

Is it an emergency if you have black tarry vomit? My boyfriend got sick threw up several times. Around the fifth time he threw up bright red blood. After dry heaving a few times he threw up a black tarry substance. He chews tobacco and the night before he had gutted his chew.
Tue, 3 Jun 2014
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Geriatrics Specialist,  's  Response
Hi,
black tarry vomit could be due to the gutted chew or internal bleeding mixing with acid. Vomitting with blood is uncommon and indicates a tear somewhere in the esophagus or stomach. Tear inside could have lead to blood loss in stomach and after mixing with acid could have led to black tarry vomit. Unless vomit is examined, difficult to say the cause.
If there is associated dizziness, then its definitely an emergency or if vomitting continues, then again it could be an emergency.
An Upper gastrointestinal endoscopy might be necessary to rule out any internal bleed. If symptoms exaggerate or persist, go to the doctor at once.

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Is It An Emergency If You Have Black Tarry Vomit?

Hi, black tarry vomit could be due to the gutted chew or internal bleeding mixing with acid. Vomitting with blood is uncommon and indicates a tear somewhere in the esophagus or stomach. Tear inside could have lead to blood loss in stomach and after mixing with acid could have led to black tarry vomit. Unless vomit is examined, difficult to say the cause. If there is associated dizziness, then its definitely an emergency or if vomitting continues, then again it could be an emergency. An Upper gastrointestinal endoscopy might be necessary to rule out any internal bleed. If symptoms exaggerate or persist, go to the doctor at once. Hope I have answered your query. If you have any further queries, happy to help