Hematemesis (bloody vomitus) can result from straining while vomiting (what we call a Mallory Weiss tear, which occurs at the level of the lower part of the esophagus or upper part of the stomach, near the point where they join, and is usually associated with intense or forceful vomiting or coughing), or could come from a bleeding stomach ulcer in case the triple therapy has failed to treat the existing stomach disease. The amount of blood is typically the main indicator of the source of bleeding, and tends to be smaller in case of a Mallory Weiss tear and larger in case of a bleeding gastric ulcer, but this is not always the case. Additionally, if there is indeed a bleeding gastric ulcer that continues to ooze blood, you will notice that your stools are tarry black and shiny (what is known as melena) because as the blood passes through the stomach and intestines it turns black due to the exposure to the digestive juices. Whatever the cause of the bloody vomitus, you need to re-consult your treating physician.
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