A member asked:

I'm bulimic and have been since i was 15 (i am now 23). today i threw up blood for the first time and have recently been passing blood in my stool. what could be the reason?

5 doctors weighed in across 3 answers

Urgent: You are describing potentially life-threatening complications that can arise from uncontrolled symptoms of bulimia. I suggest you obtain an immediate evaluation from either urgent care or your pcp, whichever is faster.

Answered 8/31/2013

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Dr. Rita Corona answered

Specializes in Internal Medicine

Bulemia: You probably have torn your esophagus from all the retching that occurs forcing yourself to purge. The fact that isn't is being passed in your stools indicates you are bleeding steadily especially if its bright red. Go to urgent careor emergency care now!

Answered 9/23/2013

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Dr. Theresa-Ann Clark answered

Specializes in Family Medicine

Intestinal Bleeding: Frequent vomiting, (especially induced) can cause a very dangerous tear in the esophagus called a mallory-weiss tear. Gastroenterologists will use an endoscope to assess tissue damage. Bright red blood in stool is usually means hemorroids. Darker blood usually comes for higher in the intestinal tract. See a gastroenterologist asap. Treatment for the eating disorder is critical or it may be fatal.

Answered 9/20/2013

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