Causes and Treatment involved for Internal Abdominal Bleeding

Internal abdominal bleeding can happen for a number of reasons. In most cases, internal bleeds require surgical intervention.

  • When a person bleeds into the abdominal cavity, blood loss occurs.

  • The blood pooling in the cavity can put pressure on the organs and can make proper functioning difficult.

What are the Symptoms of Internal Abdominal Bleeding

  • Board like stomach – the stomach will feel rigid to the touch

  • Pain – the pain may be sharp, dull, or throbbing

  • Tenderness – patient can complain of pain when the stomach is pressed on

  • Shock – if the bleeding is severe, the patient can hemorrhage into the abdominal cavity causing hypovelmic shock.

    The symptoms of that include:

    • Pallor

    • Cold Clammy Skin

    • Weakness

    • Lethargy

    • Syncope or Collapse

  • Blood in the stool – it could be hematochezia or melena.

Causes of Abdominal Bleeding

  • Trauma – Blunt Force Trauma is one of the main causes of internal bleeding. This type of trauma can be acquired from car accidents, falls, contact sports, etc.

  • Cancer – In its late stages, abdominal cancers can present with bleeding tumors.

  • Gastric Ulcers

  • Puncture Wounds

  • Aneurysms – Abdominal aneurysms can rupture can cause a sudden onset of abdominal bleeding.

Treatments Involved for Abdominal Bleeding

  • Surgery is the main treatment for abdominal bleeding.

  • Laparoscopic surgery may be used, but more often than not, doctors are going to opt for exploratory laparotomy in order to look for the bleed, contain it, and suction out the excess blood that that has pooled in the cavity.

  • Patients will also be given transfusions in order to replenish the blood lost.

  • Once the bleed is contained, it also becomes necessary to look for any infracted tissues and cut them out before closing the incision.


Recovery from abdominal bleeding is going to depend on the severity of the bleed, how early it was caught, the effects of the bleed, and the surgery performed.

  • Exploratory laparotomy is an invasive procedure and patients will need some time to recover from it.

  • Mobility is encouraged in patients.

  • Food and drink may be withheld until the patient has shown signs that bowel movement has returned to normal.

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