Internal bleeding is a condition in which blood leaves the veins, but instead of exiting the body, collects inside the tissues, organs, or cavities of the body. This invisibility makes internal bleeding one of the most dangerous medical problems, as it may go undetected for a long time. Unlike external bleeding that can be seen with the eye, internal bleeding often has vague symptoms; such as weakness, unexplained pain, or dizziness. This makes many people go to the doctor late and the diagnosis is delayed. In this article, we are with you from your doctor to examine the causes and symptoms of internal bleeding in detail.
What are the symptoms of internal bleeding?
Symptoms of internal bleeding depend on the location and severity and are different for different people. Fatigue and weakness can be seen with internal bleeding, but alone are not sufficient to suspect internal bleeding and should be evaluated along with other warning signs. Some people may experience severe pain or a sudden drop in blood pressure. Common symptoms include pallor, dizziness, palpitations, cold sweats, and nausea. If gastrointestinal bleeding occurs, black stools or bloody vomit may be seen.
The important point is that the symptoms are not always sudden and clear, and sometimes they develop gradually. This gradual process makes the person attribute the symptoms to stress, lack of sleep or simple problems. Timely diagnosis requires careful medical care and examination. Knowing these symptoms can save a person's life. As a result, even minor changes in physical condition should not be ignored and immediate follow-up is recommended.
Some people just feel tired or weak, while others experience severe pain or a sudden drop in blood pressure.
emergency warning signs of internal bleeding
Some symptoms are a serious alarm and need to go to the emergency room immediately. Including severe and sudden pain in the abdomen, chest or head that is caused for no apparent reason. Decreased level of consciousness, fainting, blurred vision, rapid breathing or feeling very cold can be signs of loss of large amount of blood.
These situations should never be ignored. Also, if you experience severe weakness or general deterioration after an accident, severe trauma or surgery, even without external bleeding, there is a possibility of internal bleeding.
Does internal bleeding cause death?
Yes, internal bleeding can lead to death if diagnosed late or untreated. The main reason is a sharp decrease in blood volume and insufficient oxygen reaching the vital organs. Severe internal bleeding may cause shock, organ failure, and cardiac arrest.
Internal bleeding has different categories that help doctors better assess its severity and risk. These categories are usually based on the location and amount of bleeding. Knowing the types of internal bleeding is also important for patients, because it makes them take the symptoms more seriously and not act later. In the following, we examine the most common classifications of internal bleeding.
1. Internal bleeding by location
Internal bleeding can occur in the brain, abdomen, chest, muscles, or gastrointestinal tract. Each has its own symptoms and the degree of danger is different. For example, cerebral hemorrhage is often associated with severe headache, nausea, and impaired consciousness, while abdominal hemorrhage may present with pain, bloating, and hypotension. Bleeding in the muscles is usually seen as pain, swelling and bruising and is often less dangerous, but still needs to be investigated.
2. Internal bleeding according to severity
In terms of severity, internal bleeding is divided into mild, moderate and severe. Even mild internal bleeding should be evaluated by a doctor, as it may be a precursor or symptom of an underlying problem. Moderate bleeding usually causes more obvious symptoms and requires medical follow-up. At this stage, testing and imaging may be necessary. Heavy bleeding is an emergency situation and without quick intervention, it can threaten a person's life.
Type of internal bleeding
Short description
Internal cerebral bleeding
Severe headache, nausea, impaired consciousness
Internal abdominal bleeding
Pain, bloating, pressure drop Blood
Be
Moderate bleeding
Clear symptoms, need for medical follow-up
Severe bleeding
Emergency, life-threatening
This table shows the types of internal bleeding.
cause of internal bleeding
Strike and accident are the most common causes of internal bleeding, especially in car accidents or falls from a height. In this situation, bleeding may appear immediately after the accident or even several hours later. This delay can make diagnosis difficult. In addition to trauma, some diseases such as stomach ulcer symptoms, ruptured blood vessels, liver problems and coagulation disorders play an important role in causing internal bleeding.
The use of blood thinners also increases the probability of this problem. In some people, internal bleeding occurs with an unknown primary cause. These cases are often related to underlying problems hidden in the body. For this reason, careful medical examination is very important. Correct diagnosis of the cause plays an important role in choosing the right treatment.
English text: Internal bleeding happens when your blood vessels burst or break and blood collects inside your body. It can be minor and temporary or severe and require immediate medical treatment. Persian translation: Internal bleeding occurs when blood vessels are torn or damaged and blood accumulates inside the body. This bleeding can be mild and temporary or severe and require immediate medical treatment.
Diagnosis of internal bleeding usually begins with a clinical examination and examination of the patient's general condition. The doctor monitors vital signs such as blood pressure and heart rate. Skin color and level of consciousness are also checked to assess the severity of the condition. Blood test is one of the important stages of diagnosis and can show a decrease in hemoglobin or signs of anemia. These findings help the doctor estimate the amount of blood lost.
If internal bleeding is suspected, imaging methods play a key role. Ultrasound, CT scan and MRI are used to identify the exact location of bleeding. The choice of imaging method depends on the condition of the patient and the possible location of bleeding. Accurate diagnosis is the main basis for choosing the right treatment.
Internal Bleeding Treatment
The treatment of internal bleeding depends on its location, cause and severity. In mild cases, only rest and monitoring may be sufficient. In more serious cases, hospitalization and special care are required. The main goal of treatment is to stop bleeding and compensate for lost blood volume. The earlier the treatment starts, the less likely complications and risks.
In emergency situations, the priority is to save the patient's life. Fluids and blood are injected to prevent shock. Oxygen therapy and continuous monitoring of vital signs are essential measures. Sometimes there is a need for immediate transfer to the intensive care unit. In some cases, quick surgery is the only way to save the patient.
English text: If internal bleeding is caught, diagnosed, and treated appropriately, the outlook is positive... Depending on the severity, untreated internal bleeding can lead to organ failure, coma, and in some cases death. Persian translation: If internal bleeding is detected, diagnosed, and treated early, the outlook for recovery is positive. But depending on the severity, untreated internal bleeding can lead to organ failure, coma and, in some cases, death.
1. Emergency treatments for internal bleeding
In emergency situations, the priority is to save the patient's life. Fluids and blood are injected to prevent shock. Oxygen therapy and continuous monitoring of vital signs are essential measures. Sometimes there is a need for immediate transfer to the intensive care unit. In some cases, quick surgery is the only way to save the patient.
2. Medical and surgical treatment of internal bleeding
Medicines that enhance blood coagulation are used in some cases. Also, the patient's previous medications that caused the bleeding may be discontinued. Surgery is performed when the bleeding does not stop on its own or when a vital organ is in danger. The goal of surgery is to close the source of bleeding. In some situations, less invasive methods such as angiography treatment are used.
complications and risks of internal bleeding
Internal bleeding can cause complications and serious risks for a person's health. Its most important complication is severe anemia, which reduces oxygen delivery to vital organs. In such conditions, the brain, heart and kidneys are the most damaged and their normal function is disturbed.
If bleeding continues, the risk of shock increases, which is a life-threatening condition. In severe cases, organ failure may also occur. Even after the bleeding is controlled and treated, the complications are not completely resolved. Some patients need long-term follow-up and care. Examining late complications is very important to prevent future problems.
The most important complication of internal bleeding is severe anemia and shock.
Conclusion
Internal bleeding is a serious and sometimes hidden problem that can develop without obvious warning. It is very important to recognize the symptoms and pay attention to body changes. Timely action and quick visit to the doctor can save a person's life and prevent irreparable complications. Never take severe weakness, unusual pain, or suspicious symptoms lightly; The body always shows signs before a crisis.
Your doctor takes care of your health!
Frequently Asked Questions
Internal bleeding should be suspected with symptoms such as severe weakness, dizziness, unusual pain, pallor or loss of consciousness. and went to the doctor.
Is internal bleeding dangerous? Unlike external bleeding, which is visible, internal bleeding (inside the body, such as in the abdomen, chest, brain, or pelvis) is often hidden and can quickly cause loss of blood volume, hemorrhagic shock (a severe drop in blood pressure), organ damage (such as lack of oxygen to tissues), organ failure, coma, or even death.
No, internal bleeding is not always painless, but it can be painless or with mild pain. Many cases of internal bleeding (especially in the early stages or slow bleeding) are painless, or their pain is masked by adrenaline (in trauma), so the person may feel "fine" while the bleeding continues.
Yes, a bruise can be a sign of internal bleeding, especially if there is no obvious trauma. appear suddenly, widely, spreading, or in specific areas (such as around the belly button or flanks); Because bruising occurs when blood leaks from damaged vessels under the skin, and this leakage is often the result of mild to moderate internal bleeding.
No, internal bleeding does not always require surgery. Many cases of mild to moderate internal bleeding (such as some slow or small traumatic bleeds) can stop on their own or improve with nonsurgical treatments such as blood transfusions, intravenous fluids, anticoagulants (such as vitamin K or tranexamic acid), correction of coagulation disorders, and close hospital monitoring.
Yes. Unexplained anemia, especially if it is sudden, can be a sign of occult internal bleeding. In some cases, the cause of internal bleeding is unclear at first, but there is always an underlying factor that should be investigated.
