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Internal Bleeding

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Internal Bleeding

Internal Bleeding

This is a condition that occurs when blood escapes the circulatory system and accumulates inside the body due to damage to the artery, other body cavities, vein, organs, tissues or joints. Notably, other patients also experience intrinsic blood clotting system due to internal bleeding.


Internal bleeding may be caused due to blunt trauma to the interior organs causing damage and bleeding for instance, damage to the spleen or liver of a football player due to abdominal injury. Further to this, deceleration trauma may cause the body organs to be shifted inside the body, shearing off the pedicle and tearing the blood vessels leading to intracranial bleeding.

Bleeding may also be due to fractures. Bones have the marrow in which the production of blood occurs. Bone marrows are rich in blood supplies which when fractured may lose significant amount of blood. Moreover, internal bleeding may be due to pregnancy, side effects of some medications, long-term alcohol abuse and spontaneous bleeding.

Signs and symptoms

The signs and symptoms of internal bleeding are dependent on the location of the bleeding, what structures and functions are affected in the body and the amount of bleeding. For instance, the blood in the heart and other blood vessels is usually so irritating to tissues and causes severe pain and redness.

Intracranial bleeding is often accompanied by pain and altered mental function, confusion, coma, stroke including weakness, loss of vision and a slurred speech. A person with Intra abdominal bleeding will exhibit signs and symptoms such as weakness, shortness of breath, shock, light-headedness and decreased blood pressure. If bleeding in the stomach is present, the victim may vomit bright red blood. Consequently, bleeding that occurs deep within the muscles after injury is recognized by intense pain, loss of sensation and problems moving the joints beneath the wound.


Consider the ABCs of life when commencing treatment of any patient with internal bleeding. Ensure the Airway is open, that the patient is Breathing and there is enough air, and the Circulation indicates a stable pulse rate and blood pressure. The most effective treatment of internal bleeding depends upon the location of bleeding, the situation of the individual with internal bleeding and the stability of the victim. One ought to identify and stop the bleeding source and repair any damage that may have been caused by such bleeding.


Depending on the location of internal bleeding and if it is not urgently known, this condition is most likely the cause organ failure, shock and even death of such victims. For instance, when an individual has uncontrolled bleeding in the abdomen, his or her body may lose sufficient circulating blood cells necessary to deliver oxygen to other body cells. In turn, the cells will shift from aerobic using oxygen to anaerobic metabolism. Should enough cells stop functioning, the organs of the body will also fail leading to shock that may be fatal.

Comparatively, internal bleeding occurring in the brain may cause negligible damage or may lead to symptoms of stroke such as coma and even death. However, the above signs and symptoms are dependent on the location of the bleeding, the amount of bleeding and whether such bleeding increases the pressure inside the cranium, destabilizing the normal functioning of the person's brain.

Thus, internal bleeding being a condition that comes about due to escape of blood from circulatory system due to damage of vital body organs like tissues and joints, should be immediately addressed since the signs and symptoms might lead to a more severe condition to the victims like stroke and even death.