Internal Bleeding: Causes, Symptoms, And First-Aid Tips: Internal bleeding occurs when there is bleeding inside the body, away from the surface.

It can be a serious and potentially life-threatening condition that requires prompt medical attention. Here are some causes, symptoms, and general guidelines for first aid:

Causes of internal bleeding:


  • Blunt force trauma (car accidents, falls, physical assault).
  • Penetrating trauma (stab or gunshot wounds).

Medical conditions:

  • Gastrointestinal bleeding (ulcers, diverticulitis, Crohn’s disease).
  • Organ rupture (spleen, liver, kidneys).
  • Aneurysm rupture.
  • Certain medications (anticoagulants, aspirin).

Medical procedures:

  • Surgery complications.
  • Diagnostic procedures (biopsies, endoscopies).

Symptoms of internal bleeding:


  • Severe, localized pain, or generalized discomfort.
  • Pain may be aggravated by movement.


  • Visible swelling or distension in the affected area.

Changes in skin color:

  • Pallor (paleness).
  • Cool, clammy skin.

Weakness and fatigue:

  • Feeling lightheaded or dizzy.
  • Rapid heart rate.

Blood in urine or stool:

  • Gastrointestinal bleeding may result in bloody vomit, urine, or stool.


  • Lack of mental clarity.
  • Fainting or loss of consciousness.

First aid for internal bleeding:

Call for emergency medical help:

  • Call for an ambulance or medical assistance, because moving victims can cause further complications.
  • Provide your location and follow their instructions.

Stay calm and keep the person calm:

  • Reduce stress, as an increased heart rate can worsen bleeding.

Monitor vital signs:

  • Check for signs of shock (pale skin, rapid breathing, weak pulse).
  • If the person loses consciousness, begin CPR if you are trained to do so.

Do not give food or drink:

  • In case surgery is needed, the person may require an empty stomach.

Keep the person warm:

  • Use a blanket to prevent hypothermia.

Elevate legs:

  • If there are no suspected leg injuries, elevate the person’s legs about 12 inches to improve blood flow to vital organs.

Reassure and comfort:

  • Offer reassurance and keep the person calm.

What not to do:

Do not offer pain medication:

  • Pain medication may mask symptoms and delay proper diagnosis

Avoid giving fluids:

  • In case surgery is necessary, an empty stomach is preferred.

These first-aid measures are temporary and do not replace professional medical care. Internal bleeding requires immediate attention from healthcare professionals. Always seek medical assistance promptly.


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