1. Various Signs of Internal Hemorrhage Depend on Location
Internal hemorrhaging is bleeding on the inside of the body. Internal bleeding can occur almost anywhere in the body. Common sites include the stomach, lungs and brain. Signs of internal hemorrhaging will vary depending on the location of the body and the organ involved. Keep in mind an accurate diagnosis of internal hemorrhaging requires medical tests. However, some indicators of internal bleeding can be spotted without specialized medical tests.
2. Look for Blood
An internal hemorrhage can occur in the chest or abdomen, due to a variety of reasons including trauma. Bruising to the lungs and heart can occur. To assess signs of an internal hemorrhage in the lungs watch for changes in breathing such as shortness of breath, chest tightness and excessive coughing. An internal hemorrhage in the chest may also cause coughing or spiting up blood. If internal bleeding is present in the abdomen, the injured person may vomit up blood.
3. Evaluate Pain
Not everyone who has an internal hemorrhage will have extreme pain. However depending on the location of the bleed and the extent of the hemorrhage pain may be present. Determine if an individual has pain in the abdomen by gently pressing down on it. Ask the injured person if he has pain in the chest or pain when breathing to help assess a hemorrhage in the chest. As the internal hemorrhage continues pain may increase.
4. Signs of Hypovolemic Shock Due to Blood Loss
Loss of blood due to an internal hemorrhage can lead to shock if the bleeding is not treated and does not stop. Look for signs of shock such as fast heart rate and low blood pressure. Exam the skin. Cool, clammy skin may be an indication an internal hemorrhage is becoming severe and leading to shock. Dizziness and an alerted level of consciousness can occur as the condition progresses. Keep in mind hypovolemic shock is a medical emergency and needs immediate treatment.
5. Hospital Tests to Assess
Although there are some basic ways to assess internal bleeding, it is difficult to make an accurate diagnosis without medical equipment. The location and the extent of the bleed needs to be determined through medical testing. Anyone who suspects they may have an internal hemorrhage should seek medical treatment. An MRI or a CT scan can be done to determine the location of bleeding in the body.


