In some instances, you may even be able to see blood moving towards the skin on your abdomen. If you notice this, call an ambulance immediately. Blood in the abdomen can be a sign that you have ruptured one of your internal organs, which can be incredibly dangerous if not treated promptly.

If the pain is more severe than what you may expect from the visible injuries, there’s a chance that there is a more serious injury that you cannot see. It’s always safer to assume something more is wrong than it is to assume you are overreacting to an injury. Significant pain in an area may also be a sign of a broken bone or another ailment. You should always seek help if you’re in a lot of pain, but it’s not necessarily due to internal bleeding. If you’re taking a blood thinner, you may have an increased risk of bruising and internal bleeding.

These symptoms may become more severe and more obvious if you try to stand up or move around too much.

If you cannot breathe easily, find someone who is able to keep you calm, help you breathe and watch over you while you wait for help to arrive. Breathing difficulties can be incredibly dangerous if not resolved quickly. Depending on how you’ve injured yourself, you may have just had the wind knocked out of you. Stay calm and your breathing may return to normal soon after.

Other symptoms of cerebral bleeding may include trouble speaking, loss of coordination, and a sudden severe headache.

Going into shock after an injury can also sometimes cause confusion. While it doesn’t necessarily mean you have internal bleeding, confusion is a sign of a serious injury.

On the other hand, if you suspect internal bleeding and your vomit looks like coffee grounds, call an ambulance. Vomit that looks like coffee grounds can indicate internal bleeding in your GI tract.