
Author: Maysoun Fletcher
Maysoun Fletcher is the principal attorney and founder of The Fletcher Firm, a personal injury and criminal defense law firm based in Las Vegas, Nevada. For more than 20 years, she has been helping people who have been injured due others wrongdoing.



What Are the Signs of Internal Injuries After a Car Accident?
Car accidents can cause more than visible injuries; sometimes, the most dangerous harm lies beneath the surface. Internal injuries often don’t present immediate symptoms, making them difficult to detect. Recognizing the signs and seeking prompt medical attention is crucial for protecting your health and your legal rights.
Understanding Internal Injuries After a Car Accident
Internal injuries refer to damage inside the body, such as organ damage, internal bleeding, or fractures that aren’t immediately apparent. They can result from blunt force trauma, sharp object penetration, or even the intense impact of a collision. If left untreated, these injuries can lead to severe complications or even death.
For an overview of injuries often caused by accidents, check out What Are the Different Types of Auto Accident Injuries?.
Common Signs of Internal Injuries
1. Abdominal Pain or Swelling
Abdominal pain, tenderness, or swelling may indicate internal bleeding or organ damage. If you experience unexplained discomfort in this area, seek immediate medical attention.
2. Bruising
Bruising, especially in the abdominal or chest areas, could be a sign of internal bleeding or broken ribs. The appearance of large, dark bruises may warrant further investigation.
Explore how soft tissue injuries can manifest in What Should I Know About Soft Tissue Injuries in Car Accidents?.
3. Dizziness or Fainting
Feeling lightheaded or faint may indicate a significant loss of blood due to internal bleeding. This is particularly concerning if it occurs along with rapid heartbeat or fatigue.
4. Shortness of Breath
Difficulty breathing can result from punctured lungs, broken ribs, or diaphragm injuries. Immediate medical intervention is essential in such cases.
5. Blood in Urine or Stool
These symptoms often point to damage in the kidneys, bladder, or intestines. Any blood in excretions after a car accident should not be ignored.
6. Nausea or Vomiting
Nausea and vomiting—especially if they include blood—may signal trauma to internal organs or bleeding in the gastrointestinal tract.
7. Chest or Shoulder Pain
Pain in the chest or referred pain in the shoulder area could indicate damage to internal organs, such as the liver or spleen.
8. Cognitive or Behavioral Changes
Confusion, slurred speech, or drowsiness can be signs of a traumatic brain injury (TBI) or internal bleeding in the brain. Learn more about head injuries in What Are the Signs of a Concussion After a Car Accident?.
9. Swelling or Tightness
Unexplained swelling or tightness in any part of the body may indicate fluid buildup due to internal injuries.
10. Pale or Cold Skin
Symptoms like pale or clammy skin may signal shock caused by internal bleeding. This is a medical emergency.
Steps to Take if You Suspect Internal Injuries
1. Seek Immediate Medical Attention
Even if you don’t feel hurt immediately after the accident, visit a doctor for a thorough examination. Some internal injuries, like organ damage or internal bleeding, may not show symptoms right away.
2. Document Your Symptoms
Keep track of any physical or emotional changes you experience in the days and weeks following the accident. This documentation can strengthen your personal injury claim.
For advice on documenting injuries, visit How to Document Whiplash for an Auto Accident Claim.
3. Follow Up with Specialists
Consult specialists, such as neurologists or orthopedic doctors, to assess potential long-term impacts. For example, injuries to the brain or spinal cord may require ongoing treatment.
For more about proving long-term effects, check out How Can I Prove the Long-Term Impact of My Injuries After an Accident?.
Why Internal Injuries Can Complicate Your Case
Delayed Symptoms
Internal injuries often take hours or even days to manifest, which can complicate both your medical treatment and your legal claim. Insurance companies may argue that delayed injuries are unrelated to the accident.
Learn how to counteract these tactics in What Are the Common Tactics Used by Insurance Companies to Deny Claims?.
Proving the Severity of Internal Injuries
You’ll need thorough medical records, diagnostic tests (like MRIs or CT scans), and expert testimony to establish the seriousness of your injuries.
For guidance on gathering evidence, visit What Evidence Do I Need to Support My Auto Accident Claim?.
Compensation for Internal Injuries
If your accident caused internal injuries, you might be entitled to compensation for:
- Medical Expenses: Covering diagnostics, surgeries, and ongoing treatment.
- Lost Wages: If your injuries prevent you from working.
- Pain and Suffering: For the physical and emotional toll of your injuries.
Learn more about damages in What Damages Can I Recover in an Auto Accident Claim?.
Final Thoughts
Internal injuries are not always obvious, but they can have life-altering consequences if left untreated. Recognizing the signs and acting quickly can protect both your health and your legal rights. If you suspect internal injuries after an accident, seek medical attention immediately and consult an experienced attorney to ensure you receive fair compensation.
For help navigating your claim, visit How Can an Attorney Help Maximize My Auto Accident Settlement?.
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