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Color of vomit [16] Bright red in the vomit suggests bleeding from the esophagus Dark red vomit with liver-like clots suggests profuse bleeding in the stomach, such as from a perforated ulcer Coffee-ground-like vomit suggests less severe bleeding in the stomach because the gastric acid has had time to change the composition of the blood Yellow or green vomit suggests bile, indicating that the pyloric valve is open and bile is flowing into the stomach from the duodenum

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