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Vomiting often can throw your electrolytes out of balance. Low levels of potassium, magnesium, and sodium are not uncommon. This is hard on the heart and can cause irregular heartbeat (arrhythmia), weakened heart muscle, and heart failure. Bulimia can cause low blood pressure, weak pulse, and anemia. Throwing up can be a violent event. The sheer force of it can even cause blood vessels in the eyes to rupture.
Lets look at this simple drawing to see how you throw up blood. This is our upper digestive system. You can see the mouth, it connects to the food pipe at our throat and the food pipe goes down and meets our stomach. The stomach opens into the upper part of our intestines.