Blood Vomiting
Blood admixtures in vomit are not normal even after excessive alcohol consumption and should be further clarified. Years of excessive alcohol consumption may result in the formation of vascular bulges in the esophagus in the form of so-called esophageal varices (also known as varicose veins in the esophagus). These can rupture during vomiting due to the strong increase in pressure, so that blood admixtures can be found in the vomit.
This situation is usually an emergency, as active bleeding from such a varicose vein can become life-threatening under certain circumstances. Alternatively, the blood can come from the stomach lining itself, if it has already been damaged, for example by chronic gastritis or an ulcer. In the probably worst case, a spontaneous rupture of the esophagus, the so-called Boerhaave syndrome, can occur. This clinical picture is rare, but if it occurs, it can quickly become fatal due to the high blood loss. In addition to excessive alcohol consumption, a very large food intake can also cause this symptomatology under certain circumstances.
Bile vomiting
If the vomit is rather yellowish to greenish and a clear liquid, one speaks of bilious vomiting. However, the term is used here rather only for external description, since it is usually the stomach contents when the stomach is empty and not real bile fluid. Even in the context of excessive alcohol consumption, bile is usually not vomited.
The reason for so-called gall-bladder vomiting with alcohol is that it is usually vomited several times until the stomach contents have been emptied and clear gastric fluid is visible. However, this is different in the case of secondary diseases of chronic alcohol consumption. Cirrhosis of the liver or chronic inflammation of the pancreas can be accompanied by other complications, which in certain cases can lead to bilious vomiting.
Vomiting after alcohol and the effectiveness of the pill
The active ingredients in the pill are absorbed by the body after about 4 hours. If vomiting after alcohol occurs within 4 hours after taking the pill, the active ingredients have not been completely absorbed. The situation is similar to forgetting to take the pill.
Therefore in case of vomiting within 12 hours another pill should be taken from a reserve pack. If the symptoms persist (vomiting even the day after alcohol consumption), additional contraceptive measures should be taken. In general, special caution should be exercised in this case, regardless of the time of the cycle, and for safety’s sake a condom, for example, should also be used.
