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How Do You Know If You Have A Brain Bleed

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What Are The Types And Causes Of A Brain Haemorrhage

Hurt Your Head? How Do You Rule Out A Brain Bleed? Do You Have A Concussion?

There are four types of haemorrhage, named according to where the bleeding occurs. These are:

  • Subdural haemorrhage
  • Extradural haemorrhage

Subdural and extradural haemorrhages are the most common type after TBI, and they are a cause of further brain damage that can lead to more long-term effects.

  • Subarachnoid haemorrhage
  • Intracerebral haemorrhage.

Subarachnoid and intracerebral haemorrhages are more likely to happen spontaneously. Small blood vessels rupture, often causing loss of consciousness.

Sometimes a brain haemorrhage can occur after a seemingly minor head injury. Symptoms can develop rapidly or can take a number of weeks to develop, and urgent investigation and treatment is required.

High Blood Pressure And Bleeding In The Brain

The most common reason for a haemorrhagic stroke is high blood pressure. This produces no obvious symptoms, so someone can have raised blood pressure for a long time without knowing it. Although the person affected may feel fine, the extra force of blood passing through the blood vessels in their brain is causing problems. Arteries can weaken under this pressure, and eventually break down, causing bleeding in the brain.

Reducing blood pressure by taking on a healthier lifestyle, and by taking drugs to lower blood pressure as necessary, can reduce the risk of a haemorrhagic stroke.

Common Warning Signs Of Brain Hemorrhages

Symptoms and signs of brain bleeding vary depending on the extent of the tissue affected, the extent of the bleeding, and the location of the bleeding. The identified signs and symptoms may suddenly appear, or develop gradually, and they could also appear in a sudden manner or worsen with time. Symptoms and signs may include:

  • lethargy and reduced alertness
  • development of an abnormal sense of taste
  • numbness and weakness in the legs or arm
  • seizures that suddenly appear without previous history
  • severe headache
  • difficulties swallowing and speaking, or even understanding spoken words
  • loss of motor skills, and challenges in reading or writing, which may be accompanied by tremors
  • vision change and nausea that may be accompanied by vomiting
  • loss of consciousness, balance, and coordination

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What Are The Causes

  • Aneurysm: a balloon-like bulge or weakening of an artery wall that ruptures, releasing blood into the subarachnoid space around the brain.
  • Arteriovenous malformation : an abnormal tangle of arteries and veins with no capillaries in between. The weakened blood vessels can rupture and bleed.
  • Traumatic brain injury: during the impact of an accident, the brain crashes back and forth inside the skull tearing blood vessels.

Internal bleeding in specific regions of the body may also lead to other symptoms. These include:

Brain and Spinal Cord

Bleeding into the brain often causes a severe headache, nausea, and vomiting. Weakness on one side of the body or changes in vision may occur. As bleeding progresses, changes in mental status such as confusion and disorientation may occur, followed by loss of consciousness. Seizures may also occur.

Chest

Bleeding into the chest may cause a number of different symptoms depending on the specific location. Bleeding into the airways can cause a gasping cough. Coughing up blood , even just a teaspoon, is a medical emergency, and massive hemoptysis has a high mortality rate. Shortness of breath may occur with bleeding anywhere in the chest.

Bleeding between the membranes that surround the heart can restrict the motion of the heart, causing cardiac tamponade.

Abdomen

Certainly, bleeding into the esophagus or stomach may induce vomiting blood, while bleeding in the lower digestive tract may cause rectal bleeding.

Retroperitoneal Area

Do You Recognize The 12 Symptoms Of Brain Hemorrhage

St. Elizabeth Healthcare

Do you experience severe headaches? Do you feel tired easily? You might be showing signs of brain hemorrhage! You should consult a doctor immediately since ignoring brain hemorrhages can lead to stroke, death etc. To treat brain hemorrhage, you should know its symptoms. What are the symptoms of brain hemorrhages? Read on

Brain hemorrhage occurs when an artery in the brain bursts causing localized bleeding.

A brain hemorrhage kills the brain cells. Brain hemorrhage is also known as cerebral hemorrhage, intracranial hemorrhage or intracerebral hemorrhage.

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How Is A Brain Hemorrhage Treated

Once you see a doctor, they can determine which part of the brain is affected based on your symptoms.

Doctors may run a variety of imaging tests, such as a CT scan, which can reveal internal bleeding or blood accumulation, or an MRI. A neurological exam or eye exam, which can show swelling of the optic nerve, may also be performed. A lumbar puncture is usually not performed, as it may be dangerous and make things worse.

Treatment for bleeding in the brain depends on the location, cause, and extent of the hemorrhage. Surgery may be needed to alleviate swelling and prevent bleeding. Certain medications may also be prescribed. These include painkillers, corticosteroids, or osmotics to reduce swelling, and anticonvulsants to control seizures.

Seek Treatment From Board

Brain bleeding, also called a brain hemorrhage or brain bleed, can be caused by a head trauma, a brain tumor, stroke, or other health conditions. Bleeding in the brain can cause permanent disability or death, as it can reduce delivery of oxygen-rich blood to areas of the brain, killing brain cells in the process. The brain relies on a steady stream of oxygen and nutrients, carried by the blood through the arteries , and when a brain bleed happens, oxygen can no longer reach brain tissue because the arteries are torn or damaged.

A brain bleed is a life-threatening medical emergency. If you suspect you or someone you know has suffered a brain hemorrhage, immediately call 9-1-1 for prompt transportation to the nearest hospital do not drive or let someone else drive you.

Our team of neurology specialists at The Department of Neurosurgery at Rutgers Health and RWJBarnabas Health have extensive clinical experience in diagnosing and treating brain hemorrhages. We encourage you to contact us to learn more about our facility and how we can help you cope with a brain bleed.

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What Causes Brain Hemorrhages

Brain bleeding primarily results from the irritation of brain tissues, which leads to swelling or cerebral palsy. The swelling increases pressure on arteries causing them to burst and create hematomas that prevent blood flow to the affected brain parts, thus damaging or killing the brain cells. Causes may include, but or not limited to:

  • chronic high blood pressure over a long period of time
  • trauma, such as a blow to the head
  • aneurysms that weaken the walls of blood vessels may also make the arteries swell and burst into the brain
  • malformations in brain arteries and blood vessels
  • amyloid angiopathy which is an abnormality of the walls of blood arteries often related to high blood pressure and aging
  • bleeding disorders such as sickle cell anemia and hemophilia
  • brain tumors and liver disease may also lead to brain bleeding

Recovery From A Hemorrhagic Stroke

Meet Ella: From Brain Bleed to Coma to Survivor

The duration of recovery and rehabilitation depends on the severity of the stroke and the amount of tissue damage that occurred. Different types of therapy may be involved, depending on your needs. Options include physical therapy, occupational therapy, or speech therapy. The primary goal of therapy is to restore as much function as possible.

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Brain Bleed More Than Three Weeks After Hitting Your Head

In such a case the bleed will already in progress its just that it took more than three weeks to finally start causing symptoms.

But heres why you should not panic: This is not a situation where you must rush to the ER in a panic and fear youll die.

In fact, when my mother was diagnosed around the dinner hour in the ER, she was scheduled for surgery for the next morning!

She was under observation and medical staff was not concerned that her brain might suddenly hemorrhage out.

If youre more than three or four weeks out, and you begin developing symptomsdont panic.

Have someone drive you to the ER. Do not even THINK about Natasha Richardson.

Another reason not to panic: The corrective surgery takes 15-20 minutes and is non-invasive. Its a draining procedure. Sometimes the patient remains awake.

Dont be afraid to fall asleep at bedtime. A buzzed brain needs sleep to help heal.

Its a myth that sleep will cause a coma in someone who got hit in the head.

Dr. Dean, in practice for 35+ years and author of The Magnesium Miracle, is also a naturopath, nutritionist, herbalist, acupuncturist, lecturer and consultant.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. Shes also a former ACE-certified personal trainer.

How Does Prompt Care Affect Brain Hemorrhage Recovery Time

Not all brain bleeds result in death. In fact, death is generally caused by the most extreme cases. Most patients can survive if treatment is sought in due time. How well an affected person responds to brain bleeds is determined by the size of the severity of the bleeding, its location, and the amount of swelling that result from the bleeding. Some patients recover fully after the bleeding if proper treatment is provided, but others survive with various complications.

Possible complications that the patients could endure include loss of brain function, stroke, and adverse reactions to medications. Sadly, death is also still a possibility even after treatment, but the sooner you seek treatment, your odds greatly improve. Bottom line, if you have any of the symptoms listed earlier in this piece, or if you have recently suffered a traumatic injury to the head, don’t wait. Seek treatment as soon as possible. It could save your life.

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Immediate Symptoms Of Bleeding Brain

An intracerebral hemorrhage, likewise referred to as a stroke, takes place when your brains capillary burst and leak into your brain. StrokeCenter.org says that this increases the pressure in your brain and causes such instant symptoms as trouble seeing, confusion, trouble speaking and a sudden and severe headache. An intracerebral hemorrhage can also cause issues understanding speech, numbness of your arms, legs or face, dizziness, problem walking, absence of coordination and unsteadiness.

How Not To Panic Over A Brain Bleed

How do you know when it has gone??

The first three days are critical. This is the acute subdural hematoma period. Get past these three days and you are out of the dense part of the woods.

Dont continue panicking two or three weeks out because this is the sub-acute phase any brain bleed that becomes symptomatic during this time is not immediately life-threatening.

To put it another way, this would not be a Natasha Richardson situation remember her?

She was actor Liam Neesons wife and had sustained fatal head trauma from skiing and later that day had lapsed into a coma.

Get past three or four weeks, and you can breathe a heavier sigh of relief as far as immediately life-threatening.

Its extremely unlikely that in a middle aged or younger adult, getting your head hit by the car door frame, or a table after getting up from the floor, will tear a vein.

But what if you fell to the ground and slammed into the back of your head, like I did one day?

I slipped on ice backwards and never had time to break the fall.

My head snapped back and hit the concrete hard. I sprung to my feet and felt fine, never had any symptoms other than a headache six days later , and numerous more mild headaches that followed.

Once I was past the three week mark, I felt a lot more reassured, but I had also put myself on a 90 day grace period.

A chronic subdural hematoma can take 90 days to start causing symptoms.

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Signs And Symptoms Of Internal Bleeding

Internal bleeding is a symptom of an injury, condition, or disease. You wont have internal bleeding without an underlying reason.

Recognizing the symptoms of internal bleeding can help you and your doctor understand whats bleeding, why its bleeding, and what conditions could be contributing to the problem.

Types Of Bleeding And A Traumatic Brain Injury

There are many different types of brain injuries and various brain bleeds go along with these injuries. One of the more common types of brain bleeds is called an epidural hematoma. Someone who suffers trauma to the side of their skull can cause blood to leak out from the middle meningeal artery. This gradual bleed can cause someone to pass out several minutes after the event. Other times, people could already have a brain aneurysm and a traumatic event is just the spark that causes the aneurysm to burst. Finally, ruptures of the veins can be just as serious as arterial ruptures and can also place someone in a dire situation.

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How Serious Is A Brain Hemorrhage

A brain bleed is a life-threatening condition that requires immediate medical attention. If an individual has a persistent headache or loses consciousness, its critical to get it checked out. A nursing home abuse lawyer will advise you that this is a critical step because it creates a medical record that you may need to use for evidence in court.

Unfortunately, because the bleeding occurs inside the brain, or in the space between the brain and skull, it can go undiagnosed. This is more likely when a persons caregivers are inattentive or negligent.

This CT scan of a brain hemorrhage shows how serious a traumatic brain injury can be.

How Are Brain Hemorrhages Treated

Symptoms Of A Brain Bleed

Any type of bleeding inside the skull or brain is a medical emergency. If you or a loved one have experienced a blow to the head or have symptoms that may indicate a brain bleed, call 911. It is important to get to a hospital emergency room immediately to determine the cause of the bleeding and to begin medical treatment.

If a stroke has occurred, the cause must be determined so that the appropriate treatment can be started. Prompt medical treatment can help limit damage to the brain, which will improve your chance of recovery.

Surgery may be needed in the following situations:

  • Bleeding may require immediate decompression of the brain to release pooled blood and relieve pressure. Decompression may be done through a burr hole procedure , a craniectomy incision , or a craniotomy .
  • A cerebral aneurysm that has not ruptured may require clipping or filling of the aneurysm through a craniotomy surgical procedure, or an angiography-type procedure to prevent a future rupture.
  • An arteriovenous malformation that has not ruptured is treated by direct removal of the AVM through surgery, use of computer-guided radiation to close off the abnormal vessels or use of a special glue or other filler to block the blood flow from smaller blood vessels into the AVM or the vessels that supply the AVM.
  • Some brain hemorrhages do not require surgery. The decision depends on the size, cause and location of the bleed and other factors.

Other treatments may include:

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What Is A Haemorrhagic Stroke

If blood leaks from a blood vessel in or around the brain, this is called a haemorrhagic stroke. You may also hear it called a brain haemorrhage or a brain bleed.

In the UK, around 15% of strokes are haemorrhagic , and about 85% are ischaemic .

Haemorrhagic stroke tends to affect younger people than ischaemic stroke, and is most common in people aged between 45 and 70. Most strokes in the UK happen over the age of 70.

There are two main types of haemorrhagic stroke:

  • Bleeding within the brain: called an intracerebral haemorrhage, or intracranial haemorrhage .
  • Bleeding on the surface of the brain: called a subarachnoid haemorrhage .

Bleeding within the brain

When an artery inside the brain bursts its called an intracerebral haemorrhage. About 10% of all strokes are of this type.

The blood leaks out into the brain tissue at high pressure, killing brain cells and causing brain swelling.Bleeding on the surface of the brain

The brain sits inside a fluid-filled cushion of membranes that protects it from the skull, called the subarachnoid space. If blood vessels near the surface of the brain burst and blood leaks into the subarachnoid space, this is called a subarachnoid haemorrhage .

SAH accounts for around 5% of all strokes, and it is most often caused by a burst aneurysm .

How A Subarachnoid Haemorrhage Is Treated

A person with a suspected subarachnoid haemorrhage needs a CT scan in hospital to check for signs of bleeding around the brain.

If a diagnosis of subarachnoid haemorrhage is confirmed or strongly suspected, you’re likely to be transferred to a specialist neurosciences unit.

Medication will usually be given to help prevent short-term complications, and a procedure to repair the source of the bleeding may be carried out.

Read more about:

Read more about the causes of subarachnoid haemorrhages.

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Treating Infant Intracranial Hemorrhages

Treatment of brain bleeds is mostly of a supportive nature, although neurosurgical intervention may be necessary to manage certain types. The prognosis varies depending on the severity and location of the bleed. Some infants do very well with little or no residual effects. More severe bleeds can result in mental and physical impairments such as developmental delays, learning disabilities, and cerebral palsy . Diagnosing an intracranial hemorrhage is crucialthe earlier a baby is diagnosed with an intracranial hemorrhage, the earlier treatment and therapy can begin.For more information on treatments for intracranial hemorrhages, please visit this page.

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Can People Recover From Brain Hemorrhages And Are There Possible Complications

Can You Tell if You Have a Brain Aneurysm?

How well a patient responds to a brain hemorrhage depends on the size of the hemorrhage and the amount of swelling.

Some patients recover completely. Possible complications include stroke, loss of brain function, seizures, or side effects from medications or treatments. Death is possible, and may quickly occur despite prompt medical treatment.

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