 [ Symptoms ] advice for first gyno visit  i am 18 and going for my first gyno visit tomorrow as recommended by my endocrinologist any advice i am kind of nervous because i am getting a pelvic exam and pap test [ Disease ] is he drinking a lot of coffee perhaps that is causing the brown color bright blood means either a broken blood vessel in the esophagus or a bleeding ulcer in the stomach that last can be life threatening he needs to go to a doctor or possibly the er once stomach acid eats through the lining of the stomach and you start getting bleeding you run the risk of opening a larger blood vessel and bleeding to death so when he wriggles about it tell him you are not willing to see him risk his life and get him some help if at all possible