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May 23, 2013
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Internal Bleeding (cont.)

Medical Author:
Benjamin Wedro, MD, FACEP, FAAEM

Dr. Ben Wedro practices emergency medicine at Gundersen Clinic, a regional trauma center in La Crosse, Wisconsin. His background includes undergraduate and medical studies at the University of Alberta, a Family Practice internship at Queen's University in Kingston, Ontario and residency training in Emergency Medicine at the University of Oklahoma Health Sciences Center.

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Medical Editor:
Charles Patrick Davis, MD, PhD
Charles Patrick Davis, MD, PhD
Charles Patrick Davis, MD, PhD

Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.

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When to Seek Medical Care

Internal bleeding may occur in a variety of ways depending upon where the bleeding occurs and under what circumstances. Situations in which one should seek medical care include individuals who:

  • appear cool, clammy, sweaty, and are confused may have significant internal bleeding if there has been recent injury or illness;
  • have signs of a stroke, including confusion, lethargy, loss of vision, change in speech, facial droop, or weakness of one side of the body;
  • are vomiting blood or bleeding from the rectum (rectal bleeding is not normal and could signal the potential of significant blood loss); or
  • has blood in the urine; blood in the urine is not normal but may be due to non-emergent issues such as a bladder infection, or kidney stone and the person should be seek medical care within a reasonable time frame.

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