If you notice you are vomiting blood, you should tell your doctor or go to the emergency room as soon as possible , as this is a serious complication and could recur. It is also recommended that you tell people you trust so they can help you. It is especially serious when there is repeated self-induced vomiting that dilates the esophagus and causes reflux and heartburn.

Basic advice if you vomit blood:

• Rest in a seated position, without fully stretching out. Stretching out could increase bleeding.
• In the following days, avoid spicy, heavy, or hard-to-digest foods. Avoid coffee, alcohol, and stimulants to prevent irritating your esophagus and stomach.
• If the bleeding recurs, go to the emergency room.
• If you experience dizziness, chills, rapid heartbeat, or faintness, you may have internal bleeding. In this case, it is also recommended to go to the emergency room immediately.
• Do not eat or take any medication to try to stop or neutralize the bleeding.