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Dear Betty,

Brown vomit coffee type granules, what does it mean?

 
Answer
 

Dear Reader,

Vomiting brown coffee type granules may be a sign of gastrointestinal bleeding.  If you are vomiting either bright red or this brown granular material you should proceed to the ER for evaluation.  This bleeding may originate from a number of sources such as peptic ulcer disease, portal hypertension, a laceration of the gastroesophageal junction (from retching or heavy alcohol use), vascular anomalies, gastric neoplasm, erosive gastritis, erosive esophagitis, or other less frequent sources.  This is something you should have checked out immediately.