Ectopic Pregnancy

Internal Bleeding: Signs, Symptoms, Causes & Treatment

Facts in Internal Bleeding Blood is meant to be circulated by the heart through blood vessels to supply the body s organs with oxygen and nutrients. These blood vessels include arteries, veins, and capillaries. When the integrity of the blood vessel wall is damaged, there is a clotting mechanism in place to repair the damage and minimize the amount of blood that leaves the injured blood vessel.External bleeding is usually easy to recognize. A laceration of the skin bleeds, a person may cough or vomit blood, or a woman develops vaginal bleeding.The symptoms of internal bleeding vary depending upon what part of the body is involved or what organ system is damaged. Symptoms may be dramatic, arise gradually, or the patient may have no initial complaints. For example, a patient may complain of total loss of vision in an eye if bleeding occurred within the globe; or a patient with a ruptured abdominal aortic aneurysm may be unconscious, in shock with no blood pressure, and a feeble pulse; occasionally small subdural hematomas are found in people getting a CT scan for other reasons and the patients will have no symptoms at all.Some internal bleeding may cause significant pain and then gradually resolve spontaneously. For example, an ovarian cyst rupture is quite common and usually very painful and causes some blood to leak into the peritoneal cavity (the space that contains the abdominal organs). Blood outside of blood vessels can be very irritating and the patient will complain of acute onset of pain. However, the treatment for most ruptured cysts is time and symptom control until the body absorbs the blood and the inflammation resolves.The amount of bleeding and the location are associated with the presentation and outcome. A small amount of blood (1 or 2 ounces) under the skull can cause significant loss of brain function due to an increased build up of pressure, since it is like a solid box and doesn t have the ability to expand to accommodate extra volume. Should that same small amount of blood accumulate quickly in the pericardium (the sac that surrounds the heart) it might prevent the heart from adequately beating but should the internal bleeding take days or weeks to accumulate, the heart could adjust and continue to function.When the internal bleeding begins to form a clot, it is called a hematoma. Medically Reviewed by a Doctor on 10/19/2016 Medical Author: Benjamin Wedro, MD, FACEP, FAAEM Medical Editor: Charles Patrick Davis, MD, PhD Next Page:What Causes Internal Bleeding? 1 23...Next (Page 1 of 7)GlossaryInternal Bleeding Topic Guide Must Read Articles Related to Internal Bleeding Blood Clots Blood is supposed to clot to help repair a blood vessel that is injured. Clots or thrombi become a problem when they form inappropriately. There are a variety o...learn more >> Colonoscopy Colonoscopy is a procedure used to view the inside of the learn more >> Complete Blood Count (CBC) Complete blood count (CBC) is one of the most common blood tests. The complete blood count test provides valuable information about the quantity of the differen...learn more >> See the Entire Internal Bleeding Topic Guide Patient Comments Reviews The eMedicineHealth doctors ask about Internal Bleeding: Internal Bleeding - Causes What caused your internal bleeding? View 5 Comments Share Your Story Internal Bleeding - Symptoms What were the symptoms of your internal bleeding? View 3 Comments Share Your Story Internal Bleeding - Treatment What was the treatment for your internal bleeding? Share Your Story 1481$#Internal Bleeding - Causes$#1|1482$#Internal Bleeding - Symptoms$#1|1483$#Internal Bleeding - Treatment$#0EndQuestionInfo--> 3EndNumberOfQuestions--> Hematoma A hematoma is a collection of blood, usually clotted, outside of a blood vessel that may occur because of an injury to the wall of a blood vessel allowing blood to leak out into tissues where it does not belong. The damaged blood vessel may be an artery, vein, or capillary; the bleeding may be very tiny, with just a dot of blood, or it can be large and cause significant blood loss. It is a type of internal bleeding that is either clotted or is forming clots. Hemorrhage is the term used to describe active bleeding and is often graded on a severity score of one to four (representing 15% to >40% of total blood volume). Hematoma describes bleeding that has already started to become clotted. However, the distinction sometimes is not clear as some hematomas enlarge over time and active bleeding can add to the mass of the hematoma. 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