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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Black Vomit During Pregnancy?

I m currently 31weeks pregnant and my 28wk blood results came back that I was borderline anaemic the doctor prescribed me to take 305mg 2X a day and since then I ve been being sick this morning is only drunk water or tea (no food) and vomitied however my vomit was black is this something that is happening due to the iron tables as I know it can cause black stools.
Tue, 11 Oct 2016
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General & Family Physician 's  Response
Hello,

I read your message and I understood your concern.

During pregnancy, vomiting is quite often and usual symptom.

Black vomit may have many causes and it means that some bleeding may be present in the bottom of stomach or duodenum. Black color indicates for coagulated blood.

You became borderline anaemic because you slowly lost blood from your stomach which has made your red blood cells to decrease.

Now, you say to have black vomit. While vomiting, the acidic liquid of the stomach will cause laceration of upper GI tract mucosa. This continuous laceration will be associated with little bleeding. Next time you vomit, the coagulated blood in the lacerated mucosa will come out as black vomit.

If the quantity is so small and you do not have it continuously, then, there is nothing worrisome. Drink plenty of water, take good hygiene of your oral mucosa.

If the quantity of black vomit will increase, and you'll have more frequently, then, should discuss with your doctor for further evaluations.

Blood tests must be redone and the dose of iron taken must re-evaluate.

I hope this was helpful for you.
Dr.Albana
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What Causes Black Vomit During Pregnancy?

Hello, I read your message and I understood your concern. During pregnancy, vomiting is quite often and usual symptom. Black vomit may have many causes and it means that some bleeding may be present in the bottom of stomach or duodenum. Black color indicates for coagulated blood. You became borderline anaemic because you slowly lost blood from your stomach which has made your red blood cells to decrease. Now, you say to have black vomit. While vomiting, the acidic liquid of the stomach will cause laceration of upper GI tract mucosa. This continuous laceration will be associated with little bleeding. Next time you vomit, the coagulated blood in the lacerated mucosa will come out as black vomit. If the quantity is so small and you do not have it continuously, then, there is nothing worrisome. Drink plenty of water, take good hygiene of your oral mucosa. If the quantity of black vomit will increase, and you ll have more frequently, then, should discuss with your doctor for further evaluations. Blood tests must be redone and the dose of iron taken must re-evaluate. I hope this was helpful for you. Dr.Albana