Internal Bruising

Internal bruising can be dangerous if you don’t deal with it when it occurs. What are the signs associated with internal bleeding? It’s important to know them, so you can deal with bruising that occurs internally. We’ll show you how to heal it, too.

Are Bruises caused by Internal Bleeding?

Is that bruise a symptom of internal bleeding? Bruises are caused when bleeding under the skin occurs, after a trauma that caused an injury. You may also have spontaneous bruising. The elderly are especially vulnerable to this type of bruising, since their skin is thinner and more fragile.

Typically, blunt trauma causes internal bruising. The blood vessels are damaged by the physical compression of the injury. This can be due to falls, accidents or surgery. In addition, an insufficient platelet count may lead to bruising internally. If a trauma is strong enough that it allows blood to escape the tissues of the body, this is bleeding, rather than bruising.

Internal Bleeding Described

If bleeding can’t be seen outside your body, but you ARE bleeding, it is termed internal bleeding. It may occur in body cavities, including the head, stomach and chest. It can also occur in tissues and organs.

As an example, bruised lungs can bleed internally. The symptoms you see will include bruised or fractured ribs, but there may not always be contusions on the exterior of the body.



Tissues of the muscles, eyes and joints may also become injured. This occurs when arteries or veins are damaged, which allows blood to escape the circulatory system. It will eventually collect within the body.

Exterior bleeding is very easily recognized. Internal bleeding may not be. It could occur for hours with anyone noticing. The symptoms may not occur until after you have significant internal bleeding, or a blood clot forms that prevents an organ from functioning.

Internal Bleeding Signs

The signs of bleeding internally depend on what caused the bleeding, including the amount and location of this bleeding. The signs of bruising internally include:

  • Purple skin coloration – A large area that has purple coloring can result from internal bleeding.
  • Pain – The area affected will usually be painful. Any blood leaking from capillaries is irritating to the body and leads to inflammation. If there is heavy internal bleeding, the pain will be greater. It could be difficult to locate, too. If the diaphragm is injured, the pain may be felt in the shoulder, as well as the usual pain in the chest.
  • Swelling – This may be accompanied by pain and tightness, particularly in leg trauma. Bleeding may be in the thighs. In many cases, it could be caused by a thigh bone fracture.
  • Orthostatic hypotension – This refers to dizziness when standing. It may occur in people with internal bleeding.
  • Shock – This is seen in someone with sweaty, cool skin, a rapid heartbeat and low blood pressure. Mental functionality may decrease. The affected person may act like he is confused. This happens because too much blood has been lost and it has decreased the available amount in the circulatory system.
  • Dizziness, light-headedness and fainting – When a lot of blood is lost, these may be experienced.

article-2-pic-1Internal bruising or internal bleeding

Symptoms of Internal Bruising

Bruising occurs under the skin, but it can also occur in organs, deep tissues and bones. If you suspect that you may be bruised internally, see your physician or go to an urgent care center or emergency room, especially if you have just been involved in an accident, or suffered an injury.

Deep bruising often shows these symptoms:

  • A sensation or external irritation without bruising visible
  • Swelling of soft tissue
  • Excessive pain
  • Difficulty in walking if the bruise is in the leg.

Internal Bleeding & Bruising

These take some time before they are usually noticed. There are some signs you can watch for, though. If the internal bleeding is in the urinary tract, the urine will have blood in it. This sometimes occurs in males after surgery on the prostrate.

The muscles of the body can also suffer from bruising internally. It occurs when too much pressure is exerted on them. This causes lack of blood flowing beyond muscle cells. It can cause extreme difficulty in moving and severe pain.

If you take an anti-coagulation medication like warfarin, you could experience bleeding in your joints. This is also painful, and can be experienced even without any contributing injury.

Internal Bruising of the Stomach

Abdominal bleeding causes internal stomach bruising. It may be hidden, and only detectable by pain. If you lose a great deal of blood, you will become weak and experience light-headedness, shortness of breath and decreased blood pressure.

In very serious cases of internal stomach bruising, you may vomit blood. If the bruising is not new, the vomit may have an appearance like coffee grounds. You could experience blood in your stool, as well. Your stomach may feel tense and rigid to the touch.

Healing Bruising that Occurs Internally

Treatment for this bruising depends on the part of the body that is bruised, the situation involved and how stable you and your vital signs are.

The most effective way to begin healing internal bruising is to seek help immediately. Have a physician check out your bruising to make sure your injury is not severe. This is especially important if you experience severe swelling and pain.

After you have the proper treatment and medication, be sure to get lots of rest. This will help with the healing process.

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