While nausea and vomiting (morning sickness) are normal during pregnancy, vomiting blood is not. Cryoviva Singapore encourages you to see your doctor right away if you see blood in your vomit.

Pregnancy comes with many common symptoms that are normal, including symptoms such as a missed period, fatigue, frequent urination, nausea, tender breasts, mood swings, and food cravings or aversions. But if you see blood in your vomit, do not brush it off as normal symptoms. 

Vomiting During Pregnancy With Blood | What it Means & Indicates

Blood in vomit during pregnancy is a medical condition known as hematemesis. You may vomit blood along with your stomach contents, or blood alone.

Many women ask, “Is a little blood in vomit normal?” You have to understand that blood in your vomit is never normal, as it may indicate a more benign cause or a potential problem needing medical evaluation.

What Hematemesis Indicates

It signals internal bleeding from the upper portion of your digestive tract (the esophagus, stomach, and first portion of your small intestine called the duodenum).

Also Read: Top 5 Pregnancy Apps Every Mum-to-Be Should Download in 2026

What are the Possible Causes of Hematemesis (Bleeding Inside Your Upper GI Tract)?

Here are the possible causes of puking up blood from your upper GI tract during pregnancy.

• Mallory-Weiss Tear (Mallory-Weiss Syndrome)

Mallory-Weiss tears can occur when you vomit super hard and often, like from severe morning sickness. This tears the lining where your esophagus meets your stomach, and blood leaks out and mixes with your puke, often looking bright red.

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• Peptic Ulcers

These are open sores in your stomach or duodenum that get worse from pregnancy stress, spicy foods, or bacteria like H. pylori. They damage the blood vessels of the stomach or small intestine, and the blood mixes with stomach acid and is expelled as vomit.

• GERD or Esophagitis (Inflammation of the Food Pipe)

Hormonal changes during pregnancy relax the valve between the esophagus (food pipe) and stomach, letting acid splash up and irritate the lining. If this happens constantly, it burns the tissue raw, so it bleeds when you cough, eat, or vomit.

• Gastritis (Inflammation of the Stomach Lining)

Your stomach lining can get inflamed from medicines such as painkillers, infections, or even stress, making the lining super fragile. In case of any irritation, it causes little spots to bleed, turning your vomit bloody.

• Esophageal Varices (Enlarged Veins in the Food Pipe)

Swollen veins in your esophagus from liver issues or blood clots get stretched by extra blood flow from pregnancy. They may burst open, leading to heavy, life-threatening bleeding in vomit.

• Hiatal Hernia

Part of the stomach pushes up through your diaphragm (a muscle that helps you breathe), worsening reflux and rubbing the esophagus raw. This can lead to bleeding during meals or vomiting.

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What Does Blood in Vomit Look Like in Pregnancy?

It may look like:

1. Fresh blood is bright red.
2. Dark brown or coffee grounds (blood that looks brown and lumpy)
3. Large blood clots.
4. It can be mixed with food or appear as just blood.

Conclusion 

If you notice blood in your vomit, do not wait; immediately call your doctor. Your doctor may focus on immediate resuscitation (IV fluids, blood), securing the airway, and rapid diagnosis, generally with urgent endoscopy to find the source (ulcers, varices). All you need is to follow their advice for a healthy pregnancy.

Looking for a stem cell preservation bank for your baby’s health from potential future health conditions? 

You can contact Cryoviva Singapore, a choice already trusted by many parents across Singapore.

Speak to our dedicated team to guide you further in the stem cell preservation services.

• Phone number: (65) 8339 8482
• Address: Corporate Office 37 Jalan Pemimpin, #01-06 Mapex, Singapore 577177
• Write Us: enquiry@cryoviva.com.sg

Disclaimer: This blog is for informational purposes only. For vomiting blood during pregnancy (hematemesis) treatment, you must contact your healthcare professional only.

Note: This content is medically reviewed by the Cord Blood Collection Team of Cryoviva Singapore, a leading private cord blood bank in Singapore that has successfully stored over 10,000 umbilical cord blood and cord tissue units. All content is medically reviewed to ensure reliability and clinical accuracy.