08.07.2021 – 19:28
Signs and symptoms of internal bleeding include dizziness, pain, shortness of breath, rapid heartbeat, and difficulty breathing. These symptoms can occur no matter where the bleeding occurs, but there are a number of other symptoms you may experience based on the specific location of the bleeding, such as bruising around the navel or arm with abdominal bleeding. Internal bleeding can be especially challenging in children and pregnant women. Without urgent treatment, complications of internal bleeding can include stroke and, ultimately, tissue death
Internal bleeding can vary tremendously between cases. It can be slow and localized, or massive. It may occur with little or no symptoms, or be accompanied by tremors and loss of consciousness. There may not be any clear cause or source, or, if there is trauma, the causes of internal bleeding may be obvious. Unfortunately, even in the case of trauma, internal bleeding may not be immediately apparent, and a high level of examination may still be necessary.
With internal bleeding, the amount of bleeding does not necessarily reflect the severity of the condition. Large amounts of blood may collect in certain areas of the body (such as the retroperitoneum in the event of a kidney injury) before symptoms or complications occur. Conversely, even small amounts of bleeding in areas such as the brain can cause major symptoms or even death.
Causes of internal bleeding
Being aware of some of the conditions that can cause internal bleeding can help you recognize the symptoms, if they occur. Some of the possible causes of internal bleeding include:
There are a number of mechanisms by which trauma can cause internal bleeding, and sometimes more than one of them are present at the same time. Mechanisms include:
Penetrating Trauma: When an object enters the body, it can damage any structure in its path and also cause compression of surrounding structures.
Vague trauma: Dark trauma may be more insidious and may not cause symptoms initially. However, it is a common cause of internal bleeding.
Attenuation Injuries: When rapid bleeding occurs, such as during a car crash, ruptures can occur in the blood vessels or “veins” from which the organs are connected to each other.
Fractures: Some fractures bleed more than others. Fractures of the long bones of the arm, leg, pelvis are often associated with significant blood loss. Broken bone fragments can also tear blood vessels and other tissues.
Dilution and enlargement of blood vessels can lead to rupture. Sometimes, rupture is preceded by intense activity, while in other cases rupture can occur at rest or even during sleep. Aneurysms can occur in almost any blood vessel, with the most common aneurysms including those in the brain (cerebral aneurysms), aorta in the chest, and aorta in the abdomen
* Bleeding disorders and blood thinners
Bleeding disorders can cause spontaneous bleeding or increase the likelihood of internal bleeding when combined with other known causes. Some of these disorders, such as hemophilia, are usually evident from birth, while some minor bleeding disorders may not become apparent until adulthood.
Medications such as anticoagulants and platelet inhibitors may also increase the risk of internal bleeding. With the increasing use of these drugs, awareness of the signs of internal bleeding is more important than ever.
Medications such as aspirin and nonsteroidal anti-inflammatory drugs such as Advil (ibuprofen) also increase the risk. Certain vitamins and dietary supplements can increase the risk of bleeding.
Internal bleeding can be life threatening, and often times obvious treatment can be life-saving. It is important to call the emergency room if you have severe abdominal or chest pain, if you are experiencing severe shortness of breath, if you feel faint (as if you may be falling) or if you are experiencing any neurological symptoms such as changes in vision. If you are with someone who shows any signs of internal bleeding, call the emergency again.
Keep in mind that delayed bleeding after trauma is not uncommon, this may be due to a partially ruptured spleen or due to a slow-flowing subdural hematoma. It is always best to be safe and make an appointment with your doctor if you have any concerns.