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Prevention of Vomiting Blood Avoid alcohol. Stop smoking. Speak with your doctor about limiting aspirin intake. Stay vigilant after surgery. Avoid foods that irritate the stomach or cause acid reflux. Vomiting blood serious Blood in vomit may be bright red, or it may appear black or dark brown like coffee grounds. Swallowed blood, as from a nosebleed or forceful coughing, may cause bloody vomit, but truly vomiting blood usually represents something more serious and requires immediate medical attention.
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