Bleeding inside the body, particularly in the chest cavity, stomach cavity or muscles, that may be caused by major trauma.
Internal bleeding is considered a leading cause of trauma-associated mortality globally. If untreated, severe or chronic hemorrhaging might lead to organ failure, seizures, coma, external bleeding, and eventually death. Even with treatment, severe internal bleeding is often fatal.
Internal bleeding is a symptom of an injury, condition, or disease. You won’t have internal bleeding without an underlying reason.
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Recognizing the symptoms of internal bleeding can help you and your doctor understand what’s bleeding, why it’s bleeding, and what conditions could be contributing to the problem.
The signs and symptoms that suggest concealed internal bleeding depend on where the bleeding is inside the body, but may include:
pain at the injured site.
swollen, tight abdomen.
nausea and vomiting.
pale, clammy, sweaty skin.
breathlessness.
extreme thirst.
unconsciousness.Image source
Causes of internal bleeding
Sometimes, identifying what’s causing internal bleeding can be simple. If you’ve been involved in an accident or had a recent injury, the bleeding is likely the result of that event.
Also, diagnosing the cause may be easier if you have a condition that can lead to internal bleeding, such as gastritis.
However, not every case of internal bleeding is so clear-cut. Finding the source of internal bleeding may take some time and require a thorough physical examination.
General causes
These can include:
Damage to a blood vessel. Minor tears can occur with an injury.
Clotting factors. Your body makes proteins to stop any bleeding if you’re cut or injured. If your body doesn’t make enough clotting factors, you may bleed freely.
Certain medications. Certain medications, like blood thinners, can prevent clotting and lead to severe bleeding if you’re injured or have an accident. Some over-the-counter medications, including aspirin, can damage the lining of your stomach.
Chronic high blood pressure. High blood pressure weakens blood vessel walls. Weak walls can form aneurysms that can rupture and bleed.
Inherited bleeding disorders. Hemophilia is a genetic condition that prevents your blood from properly clotting. A minor injury may bleed heavily if it’s not properly treated.
Gastrointestinal (GI) causes. Bleeding in your abdomen, or stomach, may be caused by one of several GI conditions. These include colon polyps, colitis, Crohn’s disease, gastritis, esophagitis, and peptic ulcers.
Endometriosis. Endometriosis is a condition where endometrium-like tissue grows outside the uterus in areas like the ovaries, abdomen, and bowel. The uterus will shed its lining and cause bleeding in a separate place, such as the pelvis. Diagnosis is made with the help of biopsies, a CT scan, an MRI, and an ultrasound.
Lifestyle factors. Alcohol, smoking, and illicit drugs can irritate the lining of your stomach.


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