The 56-year-old male was a history of alcoholism , liver cirrhosis and type 2 diabetes mellitus via ER due to tarry stool and bloody vomitus note dthis morning. According to the patient, he taken alcohol last night. Vomitus 2-3 times after intaking alcohol. The tarry stool and much bloody vomitus noted this morning. He came to our ER for help. The anemia and BUN elevated noted on the lab. data. Arranged EGDscopy for further