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    When there is more than a small streak of blood or you are not sure the blood came from your mouth or nose, a visit to a health professional is needed.

    A moderate to large amount of blood in vomit indicates bleeding in the digestive tract (gastrointestinal tract [GI tract]), usually from the esophagus, stomach, or upper part of the small intestine (duodenum).

    Digestive tract bleeding can be caused by inflammation, peptic ulcer disease, gastritis, or tears in the esophagus. If bleeding is severe, the vomit will be mostly blood or material that looks like coffee grounds (partially digested blood).

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