Internal bleeding

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Internal bleeding
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Pain, swelling, bruising, shock
Complications	Hypovolemic shock, organ failure, death
Onset	Sudden
Duration	Variable
Types	N/A
Causes	Trauma, aneurysm, coagulopathy, cancer
Risks	Anticoagulant use, hypertension, blood disorders
Diagnosis	Medical imaging, blood tests
Differential diagnosis	N/A
Prevention	N/A
Treatment	Surgery, blood transfusion, medication
Medication	N/A
Prognosis	Depends on location and severity
Frequency	Common
Deaths	N/A

Internal bleeding or internal hemorrhage refers to the loss of blood from a blood vessel that collects inside the body, which is not visible from the outside. It constitutes a serious medical emergency, with the severity depending on the rate of bleeding and the location (e.g., head, torso, extremities). Severe internal bleeding into areas such as the chest, abdomen, retroperitoneal space, pelvis, and thighs can lead to hemorrhagic shock or death if not promptly and properly treated.

Internal Bleeding

Introduction

Internal bleeding involves the leakage of blood from the vascular system into internal body spaces. Unlike external bleeding, where blood exits the body through a natural orifice or an external wound, internal bleeding remains concealed within the body, making it more difficult to diagnose and treat.

Causes

The causes of internal bleeding include but are not limited to:

• Trauma, resulting from accidents, falls, or injuries
• Rupture of blood vessels due to medical conditions like aneurysms
• Bleeding disorders such as hemophilia
• Erosion of blood vessels by tumors or ulcers

Symptoms

Symptoms of internal bleeding vary based on the location and severity of the bleed but may include:

• Pain and swelling in the affected area
• Pale complexion, dizziness, and fainting due to blood loss
• Shortness of breath
• Nausea or vomiting
• Blood in urine, stool, or vomit
• Decreased blood pressure and increased heart rate

Diagnosis

Diagnosis of internal bleeding involves a combination of medical history, physical examination, and diagnostic tests, including:

• CT scans
• Magnetic Resonance Imaging (MRI)
• Ultrasound
• Blood tests to check for anemia and other abnormalities

Treatment

Treatment for internal bleeding depends on the cause, location, and severity of the bleed:

• Emergency medical intervention to stabilize the patient
• Surgery to repair damaged blood vessels or tissues
• Blood transfusions to replace lost blood
• Medications to control blood pressure, prevent further bleeding, and treat underlying conditions

Importance of Immediate Medical Attention

Immediate medical attention for internal bleeding is crucial to prevent complications such as hemorrhagic shock, organ failure, and death. Early detection and treatment can significantly improve outcomes.

See Also

• Hemorrhagic Shock
• Trauma
• Bleeding Disorders
• Emergency Medicine

External Links

• Mayo Clinic - Internal Bleeding
• Medscape - Internal Hemorrhage

References

• "Internal Bleeding: Causes, Diagnosis, and Treatment." Healthline. [1]
• "Understanding Internal Bleeding in Trauma Patients." Journal of Emergency Medicine. [2]

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