• Monday July 13,2020

Internal bleeding

Internal bleeding is bleeding that remains in the body, ie it is internal and not visible from the outside. They are extremely dangerous, so at the slightest sign of internal bleeding the doctor must be consulted immediately. Severe internal bleeding can lead to circulatory problems, shortness of breath and even death if left untreated.

What are internal bleeding?

Once an organ that causes the bleeding is found, the bleeding is stopped by surgery.

Internal bleeding is always present when it comes to bleeding, which does not occur to the outside, but remain within the body. Bleeding is defined by the leakage of blood from the bloodstream or from the bloodstream.

Both the vessels of the systemic circulation and the vessels of the pulmonary circulation may be affected by bleeding. Where this blood exits is irrelevant to the definition of internal bleeding. For an internal bleeding, the two criteria of blood leakage in general and the retention of the leaked blood must be given inside the body. The blood loss caused by internal bleeding can quickly become critical depending on the amount of bleeding.

On average, humans have between five and six liters of blood. If you lose more than 1.5 liters, the first symptoms such as general weakness, dizziness and increased respiratory rate set in. The person concerned is often afraid and realizes that something is wrong.

However, since the bleeding is not visible externally, many patients do not notice the causes of the symptoms. If you lose more than two liters of blood, you may experience severe confusion, increased dizziness and loss of consciousness. The patient eventually loses consciousness through the internal bleeding.

causes

Internal bleeding can have many causes. The most common causes include serious injuries to the internal organs, which can be caused for example by traffic accidents or other serious accidents. Even tumors can be responsible for causing the affected organ to start bleeding.

Internal bleeding is also sometimes caused by improper handling of anticoagulants such as aspirin. This occurs, for example, when a patient has taken too large a dose of these drugs, or when he belongs to a high-risk group with a congenital blood coagulation disorder that is exacerbated by such drugs.

Diseases with this symptom

  • head injuries
  • broken nose
  • Milzruptur
  • Hamstring
  • dislocation
  • cerebral hemorrhage

Diagnosis & History

Internal bleeding can be detected by blood in the stools and urine, or vomiting blood. Vomit partly resembles the coffee grounds. The other physical symptoms of internal bleeding are similar to the symptoms of anemia. However, unlike anemia, they suddenly appear and worsen rapidly depending on the degree of bleeding.

The symptoms include: severe dizziness, a strong sensation of coldness in the limbs, a reduced flow of urine, severe drowsiness and in severe cases also consciousness clouding or unconsciousness. Anyone who detects these symptoms of internal bleeding must go to a doctor immediately.

complications

Internal bleeding describes the leakage of blood inside the body. Depending on the localization and quantity, various complications and consequences arise. A blood loss of 1.5 liters will cause panic symptoms and dizziness, as well as weakness. From two liters, it can lead to fainting.

Bleeding into the body tissue due to trauma can be seen as a bruise or hematoma. These are very painful, but in most cases quite harmless and disappear again after a few days to weeks. If the bruises are larger, they can easily infect and form clots that can remain permanently in the tissue.

Very rarely, the bruise is so large that it presses on blood vessels and narrows them. If this occurs in the area of ​​muscles, the so-called compartment syndrome can occur, an increased pressure arises in the area of ​​the muscle chambers. This can lead to severe pain to the death of muscle tissue. The muscles then healed and stiffen the joints.

Other typical internal bleeding involves gastrointestinal bleeding in the gastrointestinal tract. This often leads to massive blood loss in gastric ulcers. In the worst case, this can lead to hypovolemic shock characterized by hypotension and increased heart rate. This usually leads to death if left untreated. Chronic gastrointestinal bleeding usually causes anemia.

When should you go to the doctor?

Internal bleeding can occur in varying degrees of severity, requiring medical treatment. However, there are often internal bleeding that goes completely unnoticed. Even minor tears in the gastric mucosa can cause such bleeding. However, a doctor's visit is unnecessary, because such small bleeding heal by itself.

A treatment or the intake of appropriate medication is not necessary. It is different, however, when it comes to internal bleeding, which are due to a underlying diseases. Even stronger bleeding does not heal on its own, so that a visit to the doctor is inevitable. Anyone who refrains from visiting the doctor at this point must expect serious complications.

Not infrequently, affected persons suffer from severe dizziness, nausea and stabbing pain. At the latest when the symptoms mentioned, then a visit to the doctor should not be put off. In the worst case even threatens the threat of death if a treatment by a doctor fails. Thus, if the above complications occur suddenly and for no apparent reason, then a visit to the doctor is highly recommended. Only early treatment can prevent serious consequential damage.

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Treatment & Therapy

In order to stop the internal bleeding professionally, its cause must be known.

The doctor will first determine where the bleeding occurred. Once the organ that causes the bleeding is found, the bleeding is stopped by surgical measures.

The patient receives iron infusions to rebalance iron deficiency caused by blood loss. Depending on the severity of the blood loss caused by the internal bleeding, he additionally requires a blood transfusion.

Patients suffering from internal bleeding need to be monitored for several days in the hospital to prevent bleeding from recurring and blood loss leading to circulatory or respiratory problems.

Outlook & Forecast

For internal bleeding, the patient's prognosis depends on the severity of the bleeding and its cause. Roughly distinguishing between small, but recurring and massive, acute internal bleeding. The former forms, for example, in diseases that gradually damage the internal organs, such as stomach or colon cancer.

The internal bleeding is initially very small, but they occur with increasing frequency. In the long term, the affected patient may develop anemia and have other symptoms depending on the organ involved. Since the underlying disease is usually not recognized and treated alone, symptoms initially worsen. As the disease progresses, there may be severe internal bleeding - with all the potential complications.

First, blood loss occurs in internal bleeding. Often they are not noticed immediately. In the worst case, the inner wound can no longer be closed in time and the person bleeding to death. Depending on the origin of the internal bleeding, severe pain, unconsciousness, vomiting of the blood and significant cardiovascular complications can occur. Such internal bleeding occurs, for example, severely damaged organs or injuries.

The earlier an internal bleeding can be detected and treated, the better the prospects of the patient.

prevention

To prevent internal bleeding, all persons suffering from coagulation disorders should abstain completely from anticoagulants. You also have to be extra careful to avoid injury. Strong bumps and the like can cause internal bleeding in them. Patients who have been iron deficient for a long time should also be checked to see if any internal bleeding is behind it. So they prevent stronger internal bleeding.

You can do that yourself

In case of internal bleeding, a doctor must be consulted immediately. It is a dangerous condition for the body that can only be treated by a doctor. In the worst case, the internal bleeding can lead to anemia and ultimately death. Therefore, no direct self-help with this symptom is possible. The doctor must first stop the internal bleeding, which may include surgery. Depending on the type of internal bleeding, blood transfusion may be necessary in some cases. In most cases, the person has to stay in the hospital for a few more days to ensure that the internal bleeding does not recur.

Whether the treatment of internal bleeding is successful or not depends very much on the cause of the bleeding. To prevent internal bleeding, people should not take anticoagulant medication if they have blood clotting disorders. This can increase the internal bleeding because the blood can not clot fast enough. Likewise, these people must be aware that even minor injuries and accidents can lead to severe internal bleeding. If a patient suffers from iron deficiency, it may be a sign of internal bleeding. This condition must be investigated immediately to avoid major bleeding.


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