It is possible that sometimes you notice bruises and spots on your skin that look as if you got hurt, but you have no recollection of when you got them or how. A bruise shows up on your skin when the blood vessels that are under your skin get ruptured or torn.

In most cases, internal bleeding can happen when you accidentally bump against something or take a fall. When that happens, the blood can leak into your tissues and show up as a blue or black bruise on your skin. Your bruise from this type of an internal bleeding will usually heal between two and four weeks of getting hurt, and may even change color from mild to dark.

What Can Cause Internal Bleeding
Internal bleeding can happen after any bump or fall you may have had, but here are the most obvious causes:

  • Blunt trauma: When you get injured in an accident or get hit by an object at a very high speed such as a fall or a physical assault.
  • Penetrating trauma: When your body suffers a tear by a foreign object as in the case of stabbing, gun injury, and other such cases.

Here are some other reasons that could cause those blood spots or bruises to appear on your skin, even when you are not really hurt.

  • Infections such as sepsis that can lead to toxins building up in your tissues or in your blood
  • Blood clotting or bleeding disorders, such as hemophilia, thrombocytopenia or others that could cause the spots
  • Various diseases that could affect your body’s ability of clotting, such as lupus, cirrhosis (which is a type of liver disease), some types of cancers such as leukemia or multiple myeloma, inflammation in your blood vessels.
  • Any specific medication that you are taking and that can lead to cause your blood to thin, such as aspirin.
  • Bad eating habits that result in a deficiency of vitamins B12, C or K, as well as folic acid.

Spot The Signs

  • Pain or swelling in the abdomen that may result from internal bleeding as a result of trauma to the spleen or liver.
  • Dizziness or fainting that occurs when a lot of blood has been lost due to internal bleeding.
  • A big purplish bruise can form on the skin as a result of internal bleeding in the skin and soft tissues.
  • Internal bleeding in the thigh can lead to pain, swelling and even tightness in the leg, mostly caused by a fracture.
  • Internal bleeding in the brain can cause fainting as well as a severe headache.
  • Blood in the urine or stool and large bruises on the skin can all point towards hemophilia, a condition in which the blood fails to clot and causes heavy bleeding and leads to easy bruising.

If you notice any of the above symptoms, make sure you speak to your doctor, as internal bleeding is treated as a medical emergency.

Treatment
If not treated on time, internal bleeding can lead to severe blood loss as well as place a lot of extra pressure on other organs of the body.

  • If there is a sudden drop in your blood pressure as a result of internal bleeding, your doctor will put you on an IV fluid. Blood transfusions may be required in severe cases.
  • The doctor may also refer a CT scan or ultrasound to assess how much blood has been lost and if it is still going on. The results will help determine whether surgery is required or keeping the patient under observation can work for the time being.

For more interesting stories, visit our Health page. Read more about Diseases & Conditions here.

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A pregnancy & babycare writer as well as wellness believer, Debolina is always trying to bring in health and wellness into her family’s, especially her kids’, lives. With a Master’s degree in English literature, she has worked with several mothercare and babycare brands. In her free time, she helps with campaigns that work towards promoting the health and well-being of women and babies. Her experiences as a mother help her talk about busy modern-day parenting and its changing trends.