Mallory-Weiss tear?: A mallory-weiss esophageal tear may develop after vigorous retching. Brisk red bleeding however should not be ignored or dismissed. Old blood may look like coffee-grounds, and be dark-colored. Oozing, small volume bleeds may be diluted by other stomach contents and may look like streaks, clots, or pink-tinged material. Any of these descriptions deserve evaluation--bleeding is never "normal.".
Answered 10/30/2015
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