Abdominal Bruising and Unusual Bleeding After Impact

Lower abdomen impact?

Hello, doctor.
Two days ago, I bumped my lower abdomen (on the left side) against a blackboard, and a day later, I noticed a purple bruise about the size of three fifty-cent coins.
On the same day, I experienced bleeding similar to my menstrual period (which is about a week earlier than expected based on my ovulation cycle), but there was bleeding only on that day.
The next day, there was almost no blood on the sanitary pad.
Could this be caused by the impact? Why was there no further bleeding afterward? Thank you.

Xiao Mei, 20~29 year old female. Ask Date: 2024/01/23

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, it seems there is no relevant issue.
If you are currently feeling well, just monitor your condition.
Wishing you good health.

Reply Date: 2024/01/23

More Info

When it comes to abdominal bruising and unusual bleeding following an impact, there are several factors to consider. Based on your description, it appears that you experienced a direct trauma to your lower abdomen, which resulted in a bruise and some atypical bleeding.
Firstly, the bruise you observed, which is about the size of three fifty-cent coins, is likely a result of the impact. Bruising occurs when small blood vessels under the skin break due to trauma, allowing blood to leak into the surrounding tissues. This can lead to the characteristic discoloration associated with bruises, which typically changes color over time as the body reabsorbs the blood.

As for the unusual bleeding that coincided with the bruise, it is important to consider the timing of your menstrual cycle. If you were expecting your period around this time, the bleeding could be related to your menstrual cycle rather than the impact itself. The body can sometimes react to trauma by altering hormonal levels, which might lead to unexpected bleeding. However, since you mentioned that the bleeding was only present for one day and was significantly lighter than a typical menstrual flow, it could also indicate a response to the trauma rather than a normal menstrual period.

The fact that the bleeding stopped after one day is not uncommon. In many cases, light bleeding or spotting can occur due to various reasons, including hormonal fluctuations, ovulation, or even stress. If the bleeding was indeed related to the impact, it might have been a temporary response to the trauma, where the body was adjusting to the injury.

It is essential to monitor your symptoms closely. If you experience any of the following, you should seek medical attention promptly:
1. Severe abdominal pain: If the pain worsens or becomes severe, it could indicate a more serious injury.

2. Persistent or heavy bleeding: If you notice an increase in bleeding or if it becomes heavy, this could be a sign of a more significant issue.

3. Signs of internal bleeding: Symptoms such as dizziness, fainting, or a rapid heartbeat could indicate internal bleeding, which requires immediate medical evaluation.

4. Changes in bowel or urinary habits: If you experience changes in these functions, it could suggest complications.

In summary, while the bruise and light bleeding you experienced could be related to the impact, it is crucial to consider your menstrual cycle and other factors. If you have any concerns or if your symptoms change, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies or blood tests to rule out any underlying issues, especially if there is a concern about internal injuries or complications from the trauma.

Similar Q&A

Abdominal Impact: Should You Worry About Internal Bleeding?

I accidentally bumped into the edge of a table while operating a chair yesterday, and now I have a persistent feeling of bloating and pain in my abdomen (similar to the sensation of drinking too much water). However, I do not have any symptoms such as blood in urine or stool, or ...

Dr. Chen Jiaming reply Surgery
Abdominal contusion can commonly lead to intra-abdominal bleeding. Aside from high-speed, high-energy impacts (such as in car accidents), everyday household items typically require sharper or pointed impacts to have a higher chance of causing such injuries (like hitting a corner ...

Understanding a Lump in the Abdomen After a Fall: Causes and Concerns

Hello Doctor: Four days ago, I fell down the stairs, and when I got home, I noticed a large bruise on the left side of my waist near the front (about the size of a palm). Later, I discovered that there was a circle without bruising in the middle (about the size of a fifty-cent co...

Dr. Ke Fangxu reply Surgery
It should be a subcutaneous hematoma. If it is not continuously enlarging or causing severe pain, it is not a concern. However, you may want to have a physician examine it to check for any other injuries.

Understanding Abdominal Bruises: Causes, Symptoms, and Recovery

A little over a day ago, I was riding my bicycle and accidentally collided with the front of another bike. Although my speed was not fast, my abdomen hit the handlebars, causing some pain initially. Now, there is discomfort in the area about 3-4 fingerbreadths above my navel, and...

Dr. Chen Shidian reply Gastroenterology and Hepatology
If the pain persists for three days, you may visit the outpatient clinic for evaluation.

Post-Surgery Concerns: Understanding Bruising and Healing After C-Section

Hello, doctor. I just had traditional surgery, an abdominal incision due to a cyst, and it has been over two weeks now. However, on May 9th, there was suddenly a large bruise around the wound that hasn't gone away. I have seen doctors, but their opinions differ. One said to ...

Dr. Zhan Deqin reply Obstetrics and Gynecology
A bruise occurs when there is bleeding under the skin. Whether there is a tear is difficult to determine; an ultrasound examination may provide some insight. If there is indeed a tear, it depends on its location. Most of the time, it may require suturing again, but generally, it ...