Internal Bleeding in Limbs After an Accident - Neurology

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Hemorrhage in the extremities?


I was hit by a car and thought it was just a bruise, so I didn't see a doctor.
The next day, I woke up with severe pain in my arms and legs, but there are no obvious external injuries.
Which department should I see?

Xiao, 20~29 year old female. Ask Date: 2016/12/26

Dr. Jiang Junyi reply Neurology


Hello, based on your description, if a contusion caused by external force has resulted in a hematoma, it is advisable to first consult an orthopedic specialist to rule out acute issues such as fractures.
Wishing you good health and peace.
Dr.
Tao cares about you.

Reply Date: 2016/12/26

More Info


Experiencing pain in your limbs after an accident, especially if you initially thought it was just a bruise, can be concerning. Internal bleeding, which may not always present with visible external injuries, can occur after trauma and lead to significant complications if not addressed promptly. Given your symptoms, it is essential to seek medical attention as soon as possible.

When you visit a healthcare provider, you should consider going to an urgent care center or an emergency department, especially since you are experiencing significant pain. These facilities are equipped to handle acute injuries and can perform the necessary evaluations, including physical examinations and imaging studies like X-rays or CT scans, to assess for internal bleeding or other injuries.

Internal bleeding can occur in various forms, such as hematomas (localized collections of blood outside of blood vessels) or more serious conditions like compartment syndrome, where swelling from bleeding increases pressure within a muscle compartment, potentially leading to muscle and nerve damage. Symptoms of internal bleeding may include swelling, pain, and sometimes changes in skin color or temperature in the affected area.

In your case, since you mentioned that there are no visible external injuries, it is crucial to communicate all your symptoms to the healthcare provider. They will likely perform a thorough assessment, which may include:
1. Physical Examination: The doctor will check for tenderness, swelling, and any signs of bruising or discoloration in your limbs.

2. Imaging Studies: Depending on the findings from the physical examination, the doctor may order imaging studies such as X-rays to rule out fractures or CT scans to check for internal bleeding or other injuries.

3. Blood Tests: These may be conducted to assess your overall health and check for signs of bleeding or anemia.

If internal bleeding is confirmed, treatment will depend on the severity and location of the bleeding. Minor cases may require rest, ice, compression, and elevation (the RICE method), while more severe cases might necessitate surgical intervention to stop the bleeding and repair any damaged tissues.

It is also essential to monitor for any worsening symptoms, such as increasing pain, swelling, or changes in sensation in your limbs. If you experience any of these symptoms, seek immediate medical attention.

In summary, given your situation, it is advisable to see a healthcare provider as soon as possible. They will be able to evaluate your condition thoroughly and determine the appropriate course of action. Ignoring the pain or delaying medical attention could lead to complications, so it is better to err on the side of caution. Your health and safety are paramount, and timely intervention can make a significant difference in your recovery.

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