Can Hard Stomach Slaps Cause Vomiting or Internal Bleeding?

Forcefully striking the abdomen?

If a friend forcefully slapped your abdomen and you are now feeling some discomfort along with nausea, is it possible that you have a gastric hemorrhage?

Naiyou, 10~19 year old female. Ask Date: 2019/12/04

Dr. Hong Yuanbin reply Internal Medicine

Hello, the common causes of gastric bleeding are gastric ulcers, alcohol consumption, or certain medications.
As for the gastric bleeding you mentioned due to slapping, it is quite rare.
However, slapping the abdomen can still potentially cause injury to the abdominal muscles or nearby organs.
Therefore, if discomfort persists, it is advisable to seek medical attention at a hospital.
Thank you for your inquiry.

Reply Date: 2019/12/04

More Info

When it comes to the potential consequences of hard stomach slaps, it’s important to understand the anatomy and physiology of the gastrointestinal system. The stomach is a muscular organ that can be sensitive to trauma, and while it is well-protected by the rib cage, significant force applied to the abdomen can lead to various complications.

Firstly, hard impacts to the stomach can cause bruising or injury to the abdominal wall and the underlying organs. If the force is severe enough, it can lead to more serious conditions such as internal bleeding, particularly if there is damage to blood vessels or organs like the spleen, liver, or even the stomach itself. Symptoms of internal bleeding may include abdominal pain, swelling, and tenderness, as well as signs of shock such as dizziness, fainting, or a rapid heartbeat.

In your case, experiencing a feeling of heaviness or discomfort in the stomach after being slapped, along with nausea, could indicate a mild injury or irritation. While it is possible for such trauma to lead to vomiting, this is often a reflex response to the discomfort or pain rather than a direct indication of internal bleeding. Vomiting can occur due to various reasons, including irritation of the stomach lining, which may be exacerbated by trauma.

However, if you are experiencing persistent nausea, severe abdominal pain, or any signs of internal bleeding (such as blood in vomit or stool), it is crucial to seek medical attention immediately. Internal bleeding can be life-threatening, and timely intervention is essential.

In summary, while hard stomach slaps can cause discomfort and potentially lead to more serious issues like internal bleeding, the symptoms you describe do not automatically indicate that you are experiencing a severe complication. It is always best to err on the side of caution and consult a healthcare professional if you have any concerns about your symptoms. They may recommend imaging studies, such as an ultrasound or CT scan, to assess for any internal injuries and provide appropriate treatment based on their findings.

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