Abdominal Bruising and Irregular 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 the bleeding only occurred that day.
The next day, there was almost no blood on the 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: 2024/01/24

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, I have responded to your questions.
Wishing you good health.

Reply Date: 2024/01/24

More Info

When it comes to abdominal bruising and irregular bleeding following an impact, it's essential to understand the body's response to trauma and the potential implications of such injuries. Based on your description, it seems that you experienced a direct impact to your lower abdomen, which resulted in a bruise and some irregular bleeding.

Firstly, the bruise you observed, which is about the size of a fifty-cent coin, is likely a result of the trauma from the impact. Bruising occurs when small blood vessels under the skin break, allowing blood to leak into the surrounding tissue. This can happen from a direct blow, and the size and color of the bruise can change over time as the body heals. The purple color you see is typical of a bruise, indicating that the blood is being broken down and reabsorbed by the body.

Regarding the irregular bleeding you experienced, it is possible that the trauma could have caused some disruption in the normal menstrual cycle. The timing of the bleeding, occurring around your ovulation period, could suggest that it was related to your menstrual cycle rather than the impact itself. However, trauma to the abdomen can sometimes lead to bleeding from the reproductive organs, especially if there was any underlying condition or if the impact was severe enough to cause injury.

The fact that the bleeding stopped after one day is not uncommon. In many cases, if the bleeding was due to a minor injury or disruption, the body can quickly resolve the issue, leading to a cessation of bleeding. If the bleeding had been more significant or persistent, it would warrant further investigation.

It is important 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 unbearable, it could indicate a more serious injury.

2. Persistent or worsening bruising: If the bruise continues to grow or if new bruises appear without additional trauma, it may indicate a bleeding disorder or other issues.

3. Continued or heavy bleeding: If you experience heavy bleeding that soaks through pads or tampons, or if you have blood clots, this could be a sign of a more serious condition.

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

In conclusion, while the bruise and irregular bleeding you experienced could be related to the impact, it is essential to consider the timing with your menstrual cycle. If symptoms persist or worsen, it is advisable to consult a healthcare professional for a thorough evaluation. They may recommend imaging studies, such as an ultrasound, to assess for any internal injuries or complications. Always prioritize your health and seek medical advice when in doubt.

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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 earli...

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