September 4, 2015
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Hematoma (cont.)

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What are the symptoms and signs of a hematoma?

Symptoms of a hematoma generally depend on its size and location. Pain, swelling, redness, and disfiguring bruises are common symptoms of hematoma in general. Some symptoms specific to the location of a hematoma are:

  • Subdural hematoma symptoms: headache, neurologic problems (weakness on one side, difficulty speaking, falling), confusion, seizures
  • Epidural hematoma symptoms: back pain, weakness, loss of bowel or bladder control
  • Subungual hematoma symptoms: nail pain, nail weakness, nail loss, disfiguring nail
  • Splenic, hepatic, or peritoneal hematoma symptoms: abdominal pain, flank pain

Sometimes there are not any symptoms at all associated with even a very large hematoma. For example, if bleeding happens to be inside the abdominal cavity, it can expand into a very large size before it causes any symptoms. This can happen because the hematoma can spread in a relatively free space without pressing on any organs to cause pain or other symptoms.

On the other hand, a small hematoma under the nail can present with a lot of pain because the blood expands into a very tight space under the nail bed and causes inflammation and irritation of the nearby nail and skin, resulting in pain and swelling.

Depending on the location of the hematoma, a mass or lump can sometimes be felt.

Medically Reviewed by a Doctor on 2/24/2015


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