How to Recognize Symptoms of Internal Bleeding? All You Need To Know

Internal bleeding is a serious health condition. It is often masked and occurs silently inside us. Internal injuries do not have visible symptoms at the onset. This is why awareness and early detection is critical. This article will inform readers about its causes, signs and symptoms, and the required measures for prompt assistance.

Internal bleeding occurs due to blood leakage from the blood vessels inside the body to the internal spaces. Bleeding may be as simple as leaks unnoticed to life-threatening conditions. Internal bleeding differs from external bleeding since it does not show blood outside the body. Hence, its detection is challenging. This could emanate from physical injury, medical disease, or drug side effects. It is, however, necessary to know the signs of internal bleeding since it can damage one’s health.

Common Cause Of Internal Bleeding

The causes of internal bleeding are manifold, including:

Causes of Internal Bleeding

  • Physical Trauma: For instance, Car accidents, falls, and sports injuries can result in internal bleeding.
  • Medical Conditions: Bleeding might be caused by ulcers, hemorrhoids, and aneurysms, amongst others.
  • Medications: Blood loss also increases with drugs like blood thinners and some inflammatory drugs.

Internal bleeding can be a result of direct injury or other medical complications. Knowing such causes could result in a faster approach to medical assistance.

Symptoms Of Internal Bleeding

Symptoms of internal bleeding vary depending on the affected area:

Abdominal Area

  • Sharp or resistant pain.
  • Abdominal bloating or tenderness.
  • Occasional nausea and vomiting with blood.

Brain (Intracranial Hemorrhage)

  • Severe, sudden headache.
  • Confusion, dizziness, or fainting.
  • Blurred vision or slurred speech.
  • Loss of coordination or balance.

Chest (Thoracic Area):

  • Chest pain or discomfort.
  • Shortness of breath or difficulty in breathing.
  • Rapid heart rate.

Muscles or Joints:

  • Unexplained swelling or bruising.
  • Pain increases with movement.
  • It has a limited range of motion in the affected area.

General Signs

  • Unexplained fatigue or weakness.
  • Pale or clammy skin.
  • Cold hands or cold feet.
  • Hypotension and tachycardia.

Depending on the degree of bleeding, the symptoms can be progressive or develop suddenly.  However, internal bleeding may occur without external injuries.

When To Seek Medical Help

Internal bleeding should be dealt with urgently. In case you observe the described symptoms, seek immediate medical assistance. Regardless, patients should also seek medical help even without physical trauma if they feel unexplained abdominal pain, severe headache, or sudden weakness. It may result in severe health conditions due to lack of medical attention.

Diagnosing Internal Bleeding

The diagnosis of internal bleeding may be done through clinical evaluation plus diagnostic tests. Most often, medical professionals start with a complete physical examination. They look for symptoms of trauma, pain, or swelling. The location and gravity of bleeding can be revealed by diagnostic tests such as CT scans, Ultrasounds, or MRI scans. Blood tests are vital as they show decreases in red blood cells, making blood leak. In some instances, internal organs may be visually inspected through endoscopy. 

Treatment Options For Internal Bleeding

The treatment of internal bleeding depends upon the cause, location, and seriousness. Observation, resting, and fluids might be sufficient in less critical conditions. These conditions are treatable through medication such as reversal of ulcer-related bleeding and blood thinners. The more severe cases may require surgery to repair the damage to blood vessels and internal organs. Blood replacement may be needed in an emergency of lost blood through blood transfusion.

Preventive Measures And Awareness

Preventing internal bleeding involves a combination of lifestyle choices, awareness, and medical management.

  • Avoid High-Risk Activities: Injury-related internal bleeding is preventable through safe behavioral practices such as using protective gear when playing sports.
  • Manage Medical Conditions: This will help to detect high blood pressure and ulcers, amongst other conditions that lead to complications. 
  • Medication Awareness: patients need to know the side effects of drugs, particularly blood thinners, and stick to the prescribed dose to minimize the danger. The risk of encountering internal bleeding can be significantly reduced by taking preventive measures.


Identifying and responding immediately to internal bleeding is crucial. And since internal bleeding is invisible, it is hard to detect it. Knowledge and vigilance can help identify and treat internal bleeding. Always take care of your health and get immediate medical help in case of internal bleeding.

About the Author

Nicole Carter is a dedicated and passionate nutritionist, committed to helping individuals achieve their health and wellness goals through the power of proper nutrition. With a Bachelor's degree in Nutritional Science and years of practical experience.

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