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Should I get a scope after coffee ground vomit?

Good day, I am a 23 year old female.
I have been vomiting persistently for about 11 months now. Initially I had a depressive episode and thought the vomiting was due to anxiety and after being placed on SSRIs figured it was one of the side effects of those. After going off the meds and recovering quite well from the depression I have continued to vomit (about 3-10 times a day). I was referred to a gastroenterologist and my bloods came back normal so he speculated a serotonin imbalance affecting my gut and was meant to book me for a scope to rule out any conditions that would be contraindicated in taking old age SSRIs to balance out the serotonin and hopefully rid me of the vomiting.
I was not called for the scope but was not concerned as my condition did not worsen. However, after 1-2 weeks of being sick a lot less frequently (only once every few days) I vomited coffee-ground vomit (none of the food or liquids I had eaten before getting sick came up). Since then, I have not had any blood in my vomit and I am getting sick as frequently as I was before.
Should I go for a scope to see if this is something other than a serotonin imbalance or would that not be necessary as it has not happened again and I have no other concerning symptoms.

*my vomiting is always a passive process. The coffee-ground appearing vomit just popped into my mouth as most the other vomit does. It is normally large amounts of liquid containing oils or fatty foods left behind. The longer I hold back getting sick (often after trying to keep water down) the more acidic it is.
I often have a slight sharp, pinching pain under my left or right rib and nothing in between.

I am so sorry for this terribly long winded story, any advice would be greatly appreciated.
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683231 tn?1467323017

Vomiting blood

By Mayo Clinic Staff

Vomiting blood (hematemesis) refers to significant amounts of blood in your vomit. Small streaks or flecks of blood in material you spit up may come from the teeth, mouth or throat and isn't usually considered vomiting blood. Blood in vomit may be bright red, or it may appear black or dark brown like coffee grounds.

Swallowed blood, as from a nosebleed or forceful coughing, may cause bloody vomit, but truly vomiting blood usually represents something more serious and requires immediate medical attention. Bleeding in your upper gastrointestinal tract (mouth, esophagus, stomach and upper small intestine) from peptic ulcers or torn blood vessels is a common cause of vomiting blood.

Call 911 or your local emergency number if vomiting blood causes dizziness after standing, rapid, shallow breathing or other signs of shock.

Sept. 03, 2014
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