If patients vomit fresh blood when they get up in the morning, they usually have digestive system diseases, systemic diseases, and digestive system diseases are the most common, such as acute esophagitis, reflux esophagitis, esophageal cardia mucous membrane tear syndrome, and acute esophageal injury. In addition, gastric and duodenal ulcers, acute erosive bleeding of the stomach, and gastric cancer, can lead to the above symptoms, and patients with ruptured esophagogastric fundal varices caused by portal hypertension may also vomit large amounts of fresh blood in the morning. Upper gastrointestinal tract, such as biliary tract stones, gallbladder cancer, can also have the above situation, acute pancreatitis, pancreatitis combined with rupture of abscess can also lead to vomiting blood. Systemic diseases, such as hematologic diseases, acute infectious diseases, connective tissue diseases, acute pulmonary heart disease, as well as acute heart failure, respiratory failure, acute cerebrovascular injury, can cause stress ulcers, resulting in vomiting blood.