Where's it from?
Upper versus lower. Hematemesis, coffee-ground emesis, and melena all point to an UPPER GI bleed, from the esophagus, stomach, or duodenum. Common causes: burst esophageal varices, a bleeding peptic ulcer, esophagitis or gastritis, and stomach or esophageal cancer. NSAIDs, aspirin, or steroids often set them off.