Signs of Internal Bleeding After a Fall: What to Watch For - Internal Medicine

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My mother fell and her entire front body hit the stairs?


If the abdominal cavity experiences internal bleeding due to trauma, symptoms may include abdominal pain, swelling, and a sensation of fluid in the abdomen.
Your mother’s description of feeling a "pool of water" and experiencing pain while breathing and speaking could indicate the presence of internal bleeding or fluid accumulation.
It is crucial to seek immediate medical attention for a proper evaluation, which may include imaging studies such as an ultrasound or CT scan to determine the cause of her symptoms.
Depending on the severity of the internal bleeding and her overall condition, surgical intervention may be necessary.

Miss Hsu, 20~29 year old female. Ask Date: 2007/04/08

Dr. Li Huixiong reply Internal Medicine


Intra-abdominal bleeding is an emergency.
If your mother is feeling very unwell, it is advisable for her to see a hepatobiliary specialist for an abdominal ultrasound, which can quickly determine if there is any intra-abdominal bleeding.
If there is no significant bleeding causing shock or severe abdominal pain, surgery may not be necessary.
Since she is already experiencing discomfort, please take her to see a doctor as soon as possible.

Reply Date: 2007/04/08

More Info


When it comes to the signs of internal bleeding, especially after a fall or trauma, it is crucial to be vigilant and aware of the symptoms that may indicate a serious condition. Internal bleeding can occur in various parts of the body, including the abdominal cavity, and can be life-threatening if not addressed promptly.

Symptoms of Internal Bleeding:
1. Abdominal Pain and Distension: One of the most common signs of internal bleeding in the abdomen is pain. This pain can be sharp or dull and may be accompanied by a feeling of fullness or distension in the abdomen. If your mother feels as if there is "a pool of water" in her abdomen, this could indicate fluid accumulation due to bleeding.

2. Swelling or Bruising: If there is visible swelling or bruising in the abdominal area, this could be a sign of internal bleeding. Bruising may not always be visible, especially if the bleeding is deeper within the abdominal cavity.

3. Changes in Vital Signs: Internal bleeding can lead to a drop in blood pressure and an increase in heart rate. If your mother feels lightheaded, dizzy, or faint, these could be signs that her body is struggling to compensate for the blood loss.

4. Nausea and Vomiting: Some individuals may experience nausea or vomiting, which can be a response to pain or the body’s reaction to internal bleeding.

5. Difficulty Breathing: If your mother is experiencing pain while breathing or has difficulty taking deep breaths, this could indicate that the bleeding is affecting her diaphragm or other structures in the chest or abdomen.

6. Feeling of Weakness or Fatigue: A significant loss of blood can lead to weakness, fatigue, or a general feeling of malaise. If your mother feels unusually tired or weak, this could be a sign of internal bleeding.

7. Fluid Movement Sensation: The sensation of fluid moving in the abdomen, as described by your mother, could be concerning. This may indicate that there is indeed fluid accumulation, which could be blood or other fluids due to injury.

What to Do:
Given the symptoms your mother is experiencing, it is essential to seek medical attention immediately. Internal bleeding can escalate quickly and may require urgent intervention. A healthcare professional will likely perform a physical examination and may order imaging studies, such as an ultrasound or CT scan, to assess the extent of the bleeding and determine the appropriate course of action.

Surgical Intervention:
Whether surgery is needed depends on the severity and location of the bleeding. If the bleeding is significant and poses a risk to her health, surgical intervention may be necessary to stop the bleeding and repair any damage. In some cases, less invasive procedures may be sufficient, but this will be determined by the medical team based on the findings.

In conclusion, it is crucial to take any signs of internal bleeding seriously, especially after a significant impact or fall. Prompt medical evaluation is essential to ensure your mother receives the appropriate care and treatment. Do not hesitate to take her to the emergency room or contact a healthcare provider for immediate assistance.

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