
Treatment varies greatly depending on the cause of hematemesis. Any underlying cause must be treated upon diagnoses. After this cause is identified and removed, if vomiting is no longer excessive, recovery may continue at home. For severe internal bleeding, ulcer perforation, or excessive vomiting, in-patient care may require emergency treatment for hemorrhage or shock, or there may be the need for blood transfusions or IV treatment to replace fluids lost in excessive vomiting.
A delicate diet of highly digestible foods is recommended after incidents of hematemesis. Foods should be low in dietary fat and low in fiber so that the digestive system is not stressed. Further care is dependent upon the cause and consequent treatment given for hematemesis.
Hematemesis due to the ingestion of toxic substances can be avoided by ensuring that animals do not have access to poisonous plants and foods. In other instances, a healthy diet may aid against illnesses related to hematemesis.