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Information About Internal Bleeding

Information About Internal Bleeding

Blood is meant to be circulated by heart through blood vessels to supply the body’s organs oxygen and nutrients. These blood vessels do include arteries veins and capillaries. When the integrity of the blood vessel wall is damaged, there will be a clotting mechanism to repair the damage and minimize the amount of blood that does leave the injured blood vessel.

There are two types of bleeding which are external bleeding and internal bleeding. The external bleeding is usually easy to recognize as it occurs as a laceration of skin bleeds or a person may cough blood or vomit blood or a woman may develop a vaginal bleeding. This is quite different from the internal bleeding as we will find below.

The first thing that does come to mind when general public hears the term internal bleeding which is known as hemorrhaging as well  is the bleeding that can’t be seen on the outside of the body, but for a medical personnel the term does describe a damage of a blood vessel and more precisely the location inside the body where the bleeding is found , as that the internal bleeding may occur within tissues , organs or in cavities of the body.

The seriousness and the danger of the internal bleeding lies in difficulty of identifying as it may not be evident for hours after its beginning and symptoms may not occur as well.

Also, the complications of the internal bleeding depend upon where does it occur, as it may cause organ failure, shock and death. In case if the symptoms and signs of internal bleeding did occur , it will depend on where does the bleed come from but it may include ( headache, stiff neck , confusion, stroke symptoms as vision loss and weakness ,lightheadedness , shortness of breath, low blood pressure , blood in stool , rectal bleeding and blood in urine.

The internal bleeding usually occurs due to injury or wound and also from the causes of this bleeding (blunt trauma , deceleration trauma , fractures , pregnancy, spontaneous bleeding , medications and alcohol abuse,….ect

Treatments for minor or mild internal bleeding (hemorrhages) typically involves rest and hydration as a clot will develop that temporarily limits bleeding while the blood vessel repairs itself. Over time, the surrounding bodily tissues will reabsorb the excess blood.

Treatments of moderate internal bleeding requires vitamin k, fresh frozen plasma and plates.

Treatments of large uncontrolled internal bleeding, depends upon where the bleeding is coming from , the patient’s situation and stability but the initial treatment plan of any patient with internal bleeding starts with assessing the patient’s stability , this does include certain that the patient has an open airway (as patients with altered or decreased mental status may not be awake enough to breathe on their own) ,breathing (as even if the airway is open the lungs may not adequately be functioning and the patient may need help with their breathing so oxygen can be transferred from lungs to bloodstream) and circulation ( as the body does require blood to circulate to all its cells to provide oxygen and nutrients and to remove waste products , treatment is aimed to maintain blood pressure and circulation only intravenous fluids are required and sometimes blood pressure is needed a few patients will require immediate transfusions with universal blood) which does mean that the patient has a stable pulse rate and stable blood pressure. Consequently, the basic treatment goals for internal bleeding are to find out where the bleeding is coming from, and repair any damage that the bleeding may have caused.

It’s important to find and treat the cause and risk factors that may lead to internal bleeding without taking any quick treatments. Except for minor cases such as those involving small blood vessels close to the surface of the skin, internal bleeding requires immediate medical attention, as even a small internal bleeding can become life threating, in severe cases internal bleeding can cause death within six hours of hospital admission.

Finally, we can find that it is critical to go to a hospital or call emergency service as soon as a suspicion of internal bleeding.

Managing Editor
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