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throwing up blood

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If someone throws up food etc the first time then in a matter of 20 min starts throwing up blood mixed with what looks like coffee grounds what can be the cause.
The doctor said could be a tare at the bottom of the esophgus. Can this be possible?
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replied September 5th, 2010
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Throwing up something that looks like coffee grounds but is not is something that needs to be evaluated asap.

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