Vomiting Blood|Non-Primary GI Disorders

Your Path

  • Vomiting Blood|Non-Primary GI Disorders


  • Swallowed blood from upper respiratory source→ nose bleed
  • Swallowed blood from oral bleeding site
  • Meds can exacerbate any of above, including: warfarin, heparin, DOACss, anti-plt agents, or other anti-coagulant agents
  • Contribution from primary bleeding disorder (e.g.: hemophilia, von Willebrand's disease, other)
  • Hereditary Hemorrhagic Telangiectasias (HHT): small AVMs that line GI and Respiratory tract, causing chronic low level bleeding (e.g. nose bleeds, slow GI losses)


  • May report bleeding from a nasal/oral site
  • May have bleeding from other locations if related to primary bleeding disorder and/or medication

Physical Exam Findings

  • Evidence of oral, nasal or other bleeding site
  • Stool can be melenotic, guaiac +
  • If significant blood/volume loss, can have tachycardia, hypotension
  • HHT - telangiectasis on tongue, lips, nasal mucosa