I've had trouble purging. today, i was able to purge and there was bright red spots in my vomit. no red foods at all. blood? is it a concern? any er?

Doctor visit.: First of all, purging is a symptom of a medical problem which needs attention all on its own. Purging is not normal or healthy, and can have massive consequences not only to your teeth and stomach but your mental health and entire body. Second, people who purge are at high risk for esophageal injury as well as stomach lining injury. Please see your primary care doctor or visit the ER.