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Overview

Bleeding: Treatment, Procedure, Cost and Side Effects

What is the treatment?

The loss of blood externally through an opening in the body is known as external bleeding while the flow of blood within an organ or anywhere outside the veins and into the body is known as internal bleeding. Bleeding can be caused by numerous reasons, and therefore the treatment options for the same also vary. One of the most common reasons for bleeding is an injury. If you have gotten hurt and have suffered an injury, you will end up bleeding. In this case, the right course for treatment is the application of gauze. Similarly, bleeding can be caused due to an internal condition. In that case, once the condition is assessed properly, the course of treatment will be determined. Most internal bleeding is caused due to an internal injury. There are a few ways to treat this. The first is the administration of various medications that can stem the flow of blood and also stop the cause of bleeding. If that does not work, surgery might be required to stitch up the opening from where blood is coming out.

Some people suffer from nosebleeds when they are stressed out. In this case, the treatment is to just tilt your head back and try to stop the flow like that.

How is the treatment done?

To start the treatment, the diagnosis must first be done. If your bleeding is caused by an injury, then your doctor will first assess the injury to see how deep it is. Superficial injuries can be treated with bandages or gauze bandages, if needed. Sometimes, a wad of cotton is inserted between the bandage and the wound to further aid with the stemming of the blood. If the injury is deep, the treatment will take a few additional steps. Stitches are often used to bind the wound together. Internal stitches can be used to sew together muscles or tissues if the wound cut through them. External stitches are used to close the wound by sewing the skin together. When administered, this treatment is very effective for stopping bleeding.

Internal bleeding is normally treated with medications as the bleeding is often caused due to another condition such as peptic ulcers, typhoid, and so on. Thus, treating the actual condition is the only way to treat the bleeding. However, if the internal bleeding is caused by an injury, then surgery may be required to assess and control the damage to the body. Again, stitches are administered along with medication that can stem the flow of blood.

Bleeding caused by stress, such as nosebleeds, are usually combatted by tilting your head back until the blood stops. Often, this needs to be accompanied with exercises that combat stress.

Who is eligible for the treatment? (When is the treatment done?)

If you are bleeding, it is advisable to seek treatment. No matter how minor the injury may be, getting proper care and ensuring the wound is cleaned and blood flow is properly stopped is the best thing to do for your health.

Who is not eligible for the treatment?

If you are not bleeding, you are not eligible to seek treatment for the same.

Are there any side effects?

There are no side effects to the treatment. Although, if you do not change your bandages as instructed or keep them clean, you will run the risk of getting an infection. If the infection reaches your bloodstream, you can suffer from blood poisoning or sepsis as well, which is very dangerous. If you have undergone surgery, you can expect a few common side effects such as bruising, swelling, and pain.

What are the post-treatment guidelines?

The most important thing to do once your treatment is over is to ensure your bandages are clean and changed as and when they are supposed to be. This ensures hygiene and also helps your body heal properly and effectively.

How long does it take to recover?

Bleeding can be stopped immediately once the cause is identified. Often, it stops as the bandage is applied as wounds are usually cleaned with something that can help with clotting the blood.

What is the price of the treatment in India?

The price of getting treated can range anywhere between Rs. 100 – Rs. 200.

Are the results of the treatment permanent?

The results of the treatment are permanent unless the bleeding is caused by something other what the treatment was for. If you have an underlying condition that has not been diagnosed and treated, then it is likely that the bleeding will occur again and again.

What are the alternatives to the treatment?

A mixture of turmeric and ghee can be smeared over a wound to treat it. However, antiseptics are the most effective way to treat wounds.

Safety: High Effectiveness: High Timeliness: High Relative Risk: Low Side Effects: Low Time For Recovery: High Price Range: Rs 100 - Rs. 200

Popular Health Tips

Excessive Bleeding During Pregnancy - Things You Need To Be Aware Of!

DNB, DGO, MD
Gynaecologist, Delhi
Excessive Bleeding During Pregnancy - Things You Need To Be Aware Of!

Bleeding during pregnancy is relatively common and doesn’t always mean there is a problem. It can be daunting and scary. However contrary to common beliefs, bleeding need not be a necessary harmful to a pregnant woman. However, it is important to take bleeding seriously at any stage of the pregnancy.

What are the possible causes of vaginal bleeding during pregnancy?

Causes of vaginal bleeding during early pregnancy include

  1. Implantation bleeding: It is a harmless light bleeding that often occurs around the time your period would have been due. It occurs when the developing embryo implants itself in the wall of the womb.
  2. Cervical changes: Cervical changes due to pregnancy may sometimes cause bleeding specifically after sex.
  3. Miscarriage: During early pregnancy vaginal bleeding can be a sign of miscarriage. About 1 in 5 pregnancies miscarry and usually, the cause is in the fetus and not the mother or the partner. At the same time, it is important to note that many women who bleed at this stage of pregnancy go on to have normal and successful pregnancies.
  4. Ectopic pregnancy: An ectopic pregnancy is when fertilized egg implants outside the womb, for example in the fallopian tube. It can cause bleeding and is dangerous.

Early detection and appropriate management is a must in this case, so as to prevent any life-threatening complication. Other less common causes are molar pregnancy (a mass that forms inside the uterus that does not result in a baby) and problems with the cervix such as a cervical growth or cervical or vaginal infections. Vaginal bleeding might also occur during the later second or third trimester of the pregnancy.

Some of the commonly occurring includes

  1. Placenta praevia (low lying placenta): This is when the placenta is attached in the lower part of the womb, near to or covering the cervix. Bleeding from a low lying placenta can be very heavy and put you and your baby at risk
  2. Placental abruption: It is a serious condition in which the placenta starts to come away from the womb wall.
  3. Vasa praevia: A rare condition where baby’s blood vessels run through the membranes covering the cervix. When your water breaks, these vessels are torn and cause vaginal bleeding.

Vaginal bleeding towards the end of the pregnancy is normal. Often bleeding mixed with mucous (which is called show) can be a sign of the starting of the labor. 

When to visit a doctor?

It is important to keep the doctor informed about any bleeding that may have occurred at any stage of the pregnancy. A woman should carefully note details such as the type of bleeding, its texture, whether it included any tissue or clots, other symptoms such as pain and dizziness To work out what is the causing the bleeding, you may need to have a vaginal or pelvic examination, an ultrasound scan or blood tests and according to the cause and how many weeks pregnant you are it would be advised whether you need to be admitted to hospital or not and further treatment would be planned and advised.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3869 people found this helpful

Upper Gastrointestinal Bleeding - Common Reasons Behind It!

MBBS, M.S. (Gold Medalist), MCh - Surgical Gastroenterology/G.I. Surgery
Gastroenterologist, Agra
Upper Gastrointestinal Bleeding - Common Reasons Behind It!

It is gastrointestinal bleeding in the upper gastrointestinal tract, commonly defined as bleeding arising from the esophagus, stomach, or duodenum. Blood is often observed in vomit (hematemesis) or in stool (melena). Upper gastrointestinal bleeding denotes a medical emergency and typically requires hospital care for primary diagnosis and treatment. The incidence of upper gastrointestinal bleeding is 50-150 individuals per 100,000 annually. Depending on its severity, it carries an estimated mortality risk of 11%.

The causes of upper gastrointestinal bleeding are as follows:

Esophageal causes (gastrorrhagia):

  • Esophageal varices
  • Esophagitis
  • Esophageal cancer
  • Esophageal ulcers
  • Mallory-Weiss tear

Gastric causes

Dieulafoy's lesions

  • Duodenal causes
  • Duodenal ulcer
  • Vascular malformation, including aorto-enteric fistulae
  • Hematobilia or bleeding from the biliary tree
  • Hemosuccus pancreaticus or bleeding from the pancreatic duct
  • Severe superior mesenteric artery syndrome

The signs and symptoms of upper gastrointestinal bleeding are as follows:

  • Hematemesis - Vomiting of blood
  • Melena - Blood in the stool
  • Hematochezia - Passage of fresh blood through the anus, usually in or with stools
  • Syncope - Loss of consciousness (fainting)
  • Presyncope - State of lightheadedness, muscular weakness, blurred vision, and feeling faint
  • Dyspepsia – IndigestionEpigastric painHeartburnDiffuse abdominal pain
  • Dysphagia - Difficulty in swallowing. Weight lossJaundice - Yellow discoloration of the skin, mucous membranes, and sclera

The diagnosis of upper gastrointestinal bleeding is made when hematemesis is present. In the absence of hematemesis, an upper source of GI bleeding is likely in the presence of at least two factors among - Black stool, age < 50 years or blood urea nitrogen/creatinine ratio 30 or more

If these findings are absent, consider a nasogastric aspirate to determine the source of bleeding. If the aspirate is positive, an upper GI bleed is greater than 50%, but not high enough to be certain. If the aspirate is negative, the source of a GI bleed is likely lower. The accuracy of the aspirate is improved by using the Gastroccult test. Also, the following diagnostic tests are done:

  • Orthostatic blood pressure
  • Complete blood count with differential counts
  • Hemoglobin level
  • Type and crossmatch blood
  • Basic metabolic profile, BUN,
  • Coagulation profile
  • Serum calcium
  • Serum gastrin
  • Endoscopy
  • Chest radiography
  • Nasogastric lavageAngiography (if bleeding persists and endoscopy fails to identify a bleeding site)

Upper gastrointestinal bleeding can be managed in the following ways:

  • Airway management and fluid resuscitation using either intravenous fluids and or blood
  • Medications to stop the bleeding (Proton-pump inhibitors are often given in the emergency)
  • Surgical intervention
  • Treating the consequences (like anemia) that the bleeding may have caused
  • Precautions are taken to prevent rebleeding

In case you have a concern or query you can always consult an expert & get answers to your questions!

3632 people found this helpful

Dysfunctional Uterine Bleeding - How To Deal With It?

MD - Obstetrtics & Gynaecology, MBBS
Gynaecologist, Mumbai
Dysfunctional Uterine Bleeding - How To Deal With It?

As a woman goes through life, her hormonal levels change quite dramatically and this can be quite impactful. However, sometimes the impact is not a good one! This can be said to be the cause when it comes to dysfunctional uterine bleeding. This sort of bleeding occurs when the levels the hormones are at cause the menstrual cycle of the woman to become erratic.

Understanding the Diagnosis
When it comes to the diagnosis of an issue such as this, the process must include the ruling out of other more serious problems such as fibroids, a miscarriage, or even cancer which has affected the cervix or the uterus of the woman.

Treatment options
A doctor, post-ruling out these situations, will inform the patient, if dysfunctional uterine bleeding is what is being experienced. When it comes to the matter of how dysfunctional uterine bleeding is to be dealt with, it can be said that the best thing which is to be done is to sit down with the doctor and have a comprehensive chat with respect to what the solutions which are available at hand are.

  1. One of these solutions happens to be hormone treatment. However, it is to be kept in mind that this is usually only made use of in order to stop dysfunctional uterine bleeding which is very severe.
  2. If the woman is not experiencing bleeding which is this bad, a good solution could be non-steroidal anti-inflammatory drugs, which are also known by their abbreviation, which is NSAIDs. Drugs such as ibuprofen are used quite widely when it comes to treating the issue of dysfunctional uterine bleeding. That being said, the matter of the best solution is something which is very subjective and the best judge of the same is only the doctor who has been apprised of all the facts which pertain to the case at hand.
  3. It is only in extreme cases that the uterus as a whole is removed, a process which goes by the name of hysterectomy. This sort of solution is only recommended when a woman does not wish to have any more children.
  4. If a woman who has been experiencing the problem of dysfunctional uterine bleeding is aged between the years of 19 and 39, a good and apt solution would be a combination of low dose hormonal contraceptive treatment along with progestin therapy.

A dysfunctional uterine bleeding is something which can mar a woman’s daily life, but it really needs not be the case!

In case you have a concern or query you can always consult an expert & get answers to your questions!

2553 people found this helpful

Bleeding During Pregnancy - Know The Best Ways You Can Deal With It!

MBBS, MS - Obstetrics and Gynaecology, Gynae-Laproscopy
Gynaecologist, Delhi
Bleeding During Pregnancy - Know The Best Ways You Can Deal With It!

Are you experiencing vaginal bleeding during pregnancy? This is known as spotting when the bleeding is light and the color of the blood can vary from red to brown. However, bleeding during pregnancy can occur due to several other factors as well, which can indicate serious conditions.

Serious causes of bleeding during pregnancy

  1. Bleeding during early pregnancy may indicate miscarriage or an ectopic pregnancy. Abdominal pain and cramps are likely to be experienced in both the cases.
  2. Early miscarriage occurs when your baby is not developing normally, making bleeding heavy. Some women experience early miscarriage even before knowing about their pregnancy. When the bleeding signifies a miscarriage, tummy cramps are common and the bleeding is subjected to becoming abnormally heavy.
  3. An ectopic pregnancy occurs when the fertilized egg implants itself outside your uterus. Dark, continuous bleeding with a watery appearance is likely in case of this condition. An ectopic pregnancy can cause severe complications and should be removed.
  4. Molar pregnancy is another condition in which vaginal bleeding during pregnancy is likely to occur. It is not very common, but should be removed immediately. It occurs when the embryo does not develop properly, but some placenta-forming cells continue to grow and multiply.
  5. A blow to your abdomen as a result of a fall or any kind of injury may also cause bleeding during pregnancy.

Dealing with bleeding during pregnancy

  1. It is important for you to call your doctor, midwife, or hospital healthcare professional and let them know, even if the bleeding stops. You may need to visit the hospital for undertaking examinations and tests.
  2. A gentle examination of the insides of your vagina is carried out. You may also be recommended to undertake an ultrasound scan. An ultrasound scan is effective in ruling out ectopic pregnancies.
  3. Certain routine tests may also be prescribed by your doctor. Blood tests and urine tests are undertaken for checking out the levels of your pregnancy hormones. A test for finding the rhesus status and blood group is also required.

In case of light vaginal bleeding or spotting during pregnancy, your baby is most likely to be unaffected in any way. A lot of pregnancies carry on and turn out to be successful in spite of bleeding. Such cases of light bleeding commonly stop on their own.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3225 people found this helpful

Abnormal Vaginal Bleeding - Reasons Behind It!

FRCOG (LONDON) (Fellow of Royal College of Obstetricians and Gynaecologists), Certificate of Completion of Training (CCT) - Nephrology, MD - Obstetrtics & Gynaecology, DNB, MBBS
IVF Specialist, Chennai
Abnormal Vaginal Bleeding - Reasons Behind It!

Monthly menstrual cycles become a part of woman’s life after a certain stage. They get accustomed to it and adapt their lifestyle too. However, there could be abnormal vaginal bleeding, which is defined as:
Bleeding that is outside of the menstrual cycle (bleeding outside of the expected dates). This is also known as intermenstrual bleeding or metrorrhagia.

  • Menstrual bleeding that is abnormally low or high as compared to your regular flow
  • Before menarche (before 9 years of age), during pregnancy, or after menopause

Causes: It is important to realise that abnormal vaginal bleeding is only a symptom and not the disease per se. In most women, there are underlying reasons that lead to abnormal bleeding, some of them are listed below.
In some women, ovulation can cause a mid-cycle bleeding, which becomes a pattern for most women, and they know it is nothing to worry about.

  1. Miscarriage or ectopic pregnancy: Vaginal bleeding is the most common symptom of miscarriage and requires immediate medical attention.
  2. Hormonal imbalances: This can be caused due to starting and stopping of birth control pills, thyroid abnormalities, or ovarian malfunctions. This requires investigation and management based on the underlying cause.
  3. Polycystic ovarian syndrome (PCOS): This presence of multiple cysts in the ovaries also has hormonal changes and can cause bleeding in affected women.
  4. Infections: Infections along the gynecologic tract including the vagina, cervix, uterus, fallopian tubes, and ovaries can cause bleeding. Sexually transmitted infections including gonorrhoea and chlamydia are also causes for bleeding
  5. Pelvic inflammatory disease (PID): It can cause inflammation of the entire gynecologic tract and induce bleeding
  6. An abnormally placed intrauterine device (IUD): It can also alter the regular menstrual flow.
  7. Other reasons: Fibroids, endometriosis, cancers of the uterine cavity are other reasons for abnormal vaginal bleeding.

Prevention/Management of vaginal bleeding: Abnormal bleeding requires investigation to find out the underlying cause and needs to be treated accordingly.

  1. Birth control: When using birth control measures, be it pills or patches, expect some bleeding during the first 3 months before things settle down. Similarly, intrauterine devices can cause some bleeding (foreign body effect).
  2. Pregnancy complications: Bleeding during pregnancy requires immediate medical attention. In most cases, it indicates a miscarriage or ectopic pregnancy (where the embryo is planted in the fallopian tubes and not the uterus).
  3. Infections: While STDs can be prevented, once acquired, like other infections, they also require antibiotics and supportive care.
  4. Medical conditions: Be it polycystic ovaries, fibroids, endometriosis, cancer, or PID, all these require detailed investigation and management on a case-to-case basis.

If you experience abnormal vaginal bleeding, do not ignore it and reach out for medical help.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2625 people found this helpful

Popular Questions & Answers

Hi, I got my period on 23 october. I do not have bleed for three days just spotting present, since 4th day bleeding started and it continuous upto today. Yesterday I thought there was no bleed and I had intercourse with my husband. And later spotting of bleed present. Can I take ipill now.

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
You can but remember After taking high hormonal emergency pill like I pill one gets withdrawal bleeding 5 to 10 days later, and then new cycle starts. For future learn about other family planning methods as I pill like treatment is only for emergency not for family planning

I was operated laparoscopic myomectectomy 3 months ago. From past 2 months I have heavy menstrual bleeding why is this. Only fibroid was removed. I was taking sampristal but now Dr. Has suggested to take dinomac. Please tell me the reason for heavy clots.

MBBS, MD - Obstetrics & Gynaecology, Diploma in Reproductive Medicine (Germany)
Gynaecologist, Navi Mumbai
Please get a sonography of pelvis. There can be multiple fibroids. Since the effect of medicine is not there, possibility of hormonal imbalance is there.
2 people found this helpful

Hi, I am 28. I went through follicular scan on saturday and I am facing bleeding issue after that. Spot bleeding till yesterday night. Can any one please let me know its normal? Or any problem?

MD - Obstetrtics & Gynaecology, FMAS, DMAS, Fellowship in Assisted Reproductive technology, MBBS Bachelor of Medicine and Bachelor of Surgery
Gynaecologist, Noida
Hello, Bleeding post tv scan is indicative of possible cervicitis. You need to get a per speculum examination done as well.

On August 27th I had 2nd miscarriage and bleed for 10 days and after my periods came back on regular basis. And now whenever we are having intercourse I start bleeding. I just wanted to know the reason for this. Could I get a perfect information regarding this. Please help.

Mbbs, MS(obstetrics and gynecology), Fellowship in laproscopic gynecological surgery
Gynaecologist, Delhi
That is called post coital bleeding. Usually occurs in any cervical lesion. Like erosion, polyp, and other changes. You should visit your gynec for examination and pap smear.

Yesterday I got my BETA HCG test done. It was 60 now today I started light bleeding. I had history of miscarriage in August. As it was Chemical pregnancy. Now I am worried.

MBBS, DGO, MD - Obstetrtics & Gynaecology
Gynaecologist, Chennai
Dear Mrs. Nehagupta, Thanks for your enquiry. Repeat your Beta HCG day after tomorrow and see

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Abnormal Uterine Bleeding
Abnormal Uterine Bleeding - Causes and Symptoms
Play video
Symptoms and Treatments for Uterine Bleeding
Here are some treatments and symptoms of uterine bleeding

Symptoms and Treatments for Uterine Bleeding
I m Dr. Sharda Jain, Director of Life Care Centre. I m going to talk today about uterine bleeding.
Uterine bleeding is a very common problem. Every fifth woman after she starts having periods is troubled because of altered heavy bleeding pattern. Now, if she is less than 20 years then, in that particular case, if the cycle is coming less in 21 days and she is bleeding for more than five days and if she does see passage of clots she should, you should not delay it because her haemoglobin is going to dropped out, her studies are going to get suffered, so, please see gynaecologist as early as possible.

Between 20 to 40 years, this time, the bleeding is usually related to pregnancy because these people are married and anytime in case if there is a lapse in using a contraceptive, effective contraception then, in that particular case it is all related to pregnancy. After your doctor s visit and examination a trans-vaginal sonography is done and we find out what is the cause and the treatment is done early.
After 40 years, when the woman has got problems, we have to be worried about it, because at that particular time the chance is we think that they can be uterine malignancy or it can be genital malignancy. Again, it is a very simple procedure.

After doctor s examination, after an ultrasound, opsis, endometrial biopsy is done and that sorts out everything. So, the diagnosis right on the day 1 is done in 90 percent of cases at the end of 48 hours, you find you have a full diagnosis. Sometime the bleeding comes after the stoppage of period that is after menopause and that time we view it just like that it can be, it is cancer unless proved otherwise.
Again, we have to be aggressive here, along with ultrasound, along with endometrial biopsy, hysteroscopy is also done at that particular stage and then we want to find out that there is no underlying malignancy.
Do not ignore the bleeding problem in your wife, in your daughter, in your daughter-in-law.
Seek the doctor s help early.
You can visit us on the site of Lybrate.

Having issues? Consult a doctor for medical advice