Potential Bleeding from Sacral Fractures After a Fall

Q: Potential Bleeding from Sacral Fractures After a Fall

Dear Netizen： If it is merely a fracture of the coccyx or sacrum, there should be localized swelling and pain, but there should not be any reddish-brown foreign material. <br>Unless there is an epidermal injury or associated damage to the reproductive or digestive systems. <br>I

The possibility of bleeding due to a sacral fracture resulting from a car accident?

Hello, Dr.
Chen: I would like to ask you about a bruise caused by landing on my buttocks (without visible bruising).
After two X-ray examinations, a crack was found on my coccyx and sacrum.
The orthopedic doctor determined that it was not serious and only prescribed anti-inflammatory and pain relief medication.
However, when I was taking a shower at home, I noticed what appeared to be dark red-brownish discharge at the bottom of my pants.
Is this considered a normal occurrence? I suspect it might be menstrual, but according to the timing, that is not possible.

yanse, 20~29 year old female. Ask Date: 2010/10/16

Dr. Chen Xingyuan reply Orthopedics

Dear Netizen: If it is merely a fracture of the coccyx or sacrum, there should be localized swelling and pain, but there should not be any reddish-brown foreign material.
Unless there is an epidermal injury or associated damage to the reproductive or digestive systems.
I suggest you observe the situation; if you find any epidermal injuries or reddish-brown foreign material and they do not recur, you can feel more at ease.
However, if the production of reddish-brown foreign material continues, I recommend that you visit a gynecologist or colorectal surgeon for further examination.
Wishing you health and safety! Sincerely, Dr.
Chen

Reply Date: 2010/10/16

More Info

When it comes to understanding potential bleeding from sacral fractures, especially after a fall, it's important to consider several factors. In your case, you experienced a fall that resulted in a fracture of the sacrum, which is the triangular bone at the base of the spine. While the orthopedic doctor deemed the fracture not serious and prescribed anti-inflammatory and pain relief medications, the appearance of dark red or brownish discharge from your underwear raises some questions.

Firstly, it's essential to differentiate between bleeding that may be related to the fracture and other potential causes. The sacrum is located near several vital structures, including the pelvic organs, and trauma to this area can sometimes lead to complications. However, if the discharge is not accompanied by other symptoms such as severe pain, fever, or significant changes in bowel or urinary function, it may not be directly related to the fracture itself.

The dark red or brownish color of the discharge could suggest old blood, which might indicate a few possibilities:
1. Menstrual Cycle: If you are close to your menstrual cycle, it could be that the discharge is related to your period. Sometimes, menstrual blood can appear darker when it is older, especially if it has taken longer to exit the body.

2. Hormonal Changes: Physical trauma can sometimes affect hormonal balance, leading to unexpected bleeding or spotting. This could be due to stress or changes in your body’s response to the injury.

3. Injury-Related Bleeding: While less common, it is possible that the trauma from the fall could have caused some minor bleeding from nearby structures, such as the vaginal walls or cervix, especially if there was any internal bruising or injury that was not immediately apparent.

4. Infection or Other Conditions: If the discharge continues or is accompanied by an unpleasant odor, itching, or other symptoms, it could indicate an infection or another gynecological issue that may need further evaluation.

Given these possibilities, it is crucial to monitor your symptoms closely. If the discharge persists, increases in volume, or is accompanied by other concerning symptoms, it would be advisable to consult with a healthcare provider. They may perform a pelvic examination or additional imaging studies to rule out any complications related to the fracture or other underlying conditions.

In summary, while the appearance of dark red or brownish discharge after a fall resulting in a sacral fracture can be concerning, it may not necessarily indicate a serious issue. However, due to the complexity of the pelvic region and the potential for various causes of bleeding, it is always best to err on the side of caution and seek medical advice if you have any doubts or if your symptoms change. Your health and peace of mind are paramount, and a healthcare professional can provide the necessary guidance and reassurance.

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