Internal bleeding: symptoms, causes and treatment

Internal bleeding is bleeding that occurs inside the body, due to ruptured veins or arteries, caused by trauma or fractures, as well as diseases such as hemophilia, gastritis or Crohn’s disease, or even due to the use of anticoagulants or anti-inflammatory drugs , for example.

The symptoms of internal bleeding depend on the place where it occurs and on the severity of the injury, which may not cause initial symptoms. However, there may be symptoms such as seas, weakness, shortness of breath, mental confusion or loss of consciousness.

If there are symptoms of internal bleeding, you should seek immediate medical attention or go to the nearest emergency department, so that the treatment can be carried out as soon as possible, which can be by means of a surgery, application of intravenous fluid or transfusion blood pressure, to avoid complications that can put life at risk.

Symptoms of internal bleeding

The symptoms of internal bleeding are:

  • tides;
  • Weakness, which can be on one side of the body;
  • Sensation of numbness on one side of the body;
  • Strong and sudden headache pain;
  • Severe abdominal pain;
  • Bleed en la orina or en las heces;
  • Cold sweat;
  • Difficulty swallowing or chewing;
  • lack of air;
  • Tos with blood;
  • Pain in the pecho;
  • Nausea and vomiting;
  • Changes in sight and hearing;
  • diarrhea;
  • Loss of balance;
  • Lack of motor coordination;
  • somnolence;
  • Loss of consciousness or fainting.

In addition, symptoms of hypovolemic shock can arise, which is a situation that occurs as a result of the loss of a large amount of blood, and that can put life at risk, which can be observed, such as pale and cold skin, cardiac palpitation, mental confusion , so as fingers and lips inhabited. See how to identify hypovolemic shock.

It is important to seek immediate medical help or to go to the nearest emergency service, in case of symptoms of internal bleeding, so that the diagnosis is made and the appropriate treatment begins.

How the diagnosis is confirmed

The diagnosis of internal bleeding is carried out by the doctor through a physical evaluation, health history, in addition to blood tests to know the severity of hemorrhage.

In addition, the doctor may request imaging tests, such as ultrasound, computed tomography, magnetic resonance imaging or angiography, to identify the area of ​​bleeding, severity of bleeding and analyze blood vessels.

Other exams that can be requested are, blood analysis in las heces, endoscopy or colonoscopy, especially in case of suspicion of gastrointestinal bleeding.

possible causes

Internal bleeding is caused by rupture of veins or arteries, due to:

  • Traumas, such as car accidents, injuries or falls;
  • Fractures, especially of huesos de las piernas, pelvis or arms;
  • Cerebral or aortic aneurysm;
  • Changes in blood clotting such as hemophilia or vitamin K deficiency;
  • Ectopic embarrassment;
  • Chronic high blood pressure;
  • Deep vein thrombosis;
  • Cancer or tumor in the intestine, stomach, esophagus, bladder, lung, uterus or leukemia;
  • Diseases in the liver, gallbladder or kidneys;
  • Use of anticoagulants, such as warfarin, heparin or clopidogrel;
  • Use of anti-inflammatory drugs, such as ibuprofen or acetylsalicylic acid;
  • Consumption of alcoholic beverages in excess in a wide range, which can cause cirrhosis;
  • Use of drugs of abuse;
  • Viral infections such as dengue, chikungunya, ebola, hantavirus or yellow fever.

In addition, gastrointestinal diseases such as polyps in the intestine, ulcers in the stomach, colitis, esophageal varices, Crohn’s disease, celiac disease, gastroenteritis or esophagitis can also cause internal bleeding in the stomach or abdomen.

Internal bleeding can also occur in hours or even days after surgery, and it may be necessary to return to the hospital to stop the bleeding.

How is the treatment performed?

The treatment of internal bleeding must be guided by the doctor with the objective of identifying the bleeding area and stopping the bleeding, and it varies depending on the cause, extent of bleeding, organ, tissue and injured vessel and the health status of it persona

Some internal hemorrhages can stop by themselves without the need for treatment. However, in most cases it is necessary to perform an emergency surgery, since a considerable loss of blood can put life at risk.

In addition, intravenous fluid application or blood transfusion may be necessary to replace the volume of lost blood and prevent complications.

possible complications

Some complications that can arise due to internal bleeding are:

  • Hypovolemic shock;
  • Organic falls, like kidneys, liver, lungs or brain;
  • With the.

For this reason, it is important to seek medical help whenever symptoms of internal bleeding appear, to avoid complications, as they can put life at risk.

Verified by RJ9823 – Public Utility – cc2.0

Consult a Doctor | Translated by User2937

Content for educational purposes only

The translator user relied on the following text:

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Disclaimer – (English version>) This content has been prepared based on information from research, additional publications, or the translation/verification work of a volunteer editor of This is a non-profit service. It is strongly recommended that all details and information published be carefully verified with your trusted doctor, this being just a vehicle for basics about certain healthy behaviors, conscious food consumption and other notions. We never allow medication recommendations, medication package inserts or any medication guidance.

Disclaimer – (Portuguese version>) Este conteúdo foi elaborado com base em informações de pesquisas, publicações adicionais ou pelo trabalho de tradução/verificação de um editor voluntário de Trata-se de um serviço sem fins lucrativos. É fortemente recomendado que todos os detalhes e informações publicadas sejam cuidadosamente verificados com seu médico de confiança, sendo este apenas um veículo para noções básicas sobre determinados comportamentos saudáveis, consumo consciente de alimentos e outras noções. Nunca permitimos recomendação de medicamentos, bulas de remédios ou qualquer orientação medicamentosa.

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