Hemorrhage Blood Test

What is Hemorrhage?

Hemorrhage is significant bleeding that occurs internally or externally due to injury, medical conditions, or surgical procedures. It is caused by damage to blood vessels combined with potential clotting factor deficiencies that prevent proper blood clot formation. The Fibrinogen Activity test is the most important test for diagnosing hemorrhage because it measures the critical protein essential for stopping bleeding.

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What causes hemorrhage?

Hemorrhage is caused by damage to blood vessels from trauma, surgery, or underlying medical conditions combined with inadequate clotting function. Specific causes include physical injuries that tear blood vessels, gastrointestinal ulcers that erode into arteries, ruptured aneurysms, complications from surgery, or bleeding disorders like hemophilia and von Willebrand disease. Additionally, medications such as anticoagulants (warfarin, heparin) and antiplatelet drugs (aspirin, clopidogrel) can impair the blood's ability to clot properly, increasing hemorrhage risk. During active bleeding, the body rapidly consumes clotting factors like fibrinogen to form clots, which can deplete these essential proteins and worsen the bleeding.

What is the best test for hemorrhage?

The Fibrinogen Activity test is the most important test for hemorrhage because it measures the level of fibrinogen, a critical protein that forms the structural framework of blood clots. During significant bleeding episodes, fibrinogen is rapidly consumed as the body attempts to stop the hemorrhage, and low levels indicate either excessive consumption during active bleeding or an underlying clotting disorder. This test helps healthcare providers determine if your blood can clot effectively and whether clotting factors are being depleted during bleeding. The results guide treatment decisions, including whether you need fibrinogen replacement therapy or other interventions to control bleeding and restore normal clotting function.

When should I get tested for hemorrhage?

You should get tested if you experience unexplained or excessive bleeding that doesn't stop with normal pressure, such as nosebleeds lasting more than 20 minutes, unusually heavy menstrual periods, blood in your urine or stool, or easy bruising from minor bumps. Testing is also important before scheduled surgeries if you have a personal or family history of bleeding disorders, after significant trauma or injury with ongoing bleeding concerns, or if you're taking anticoagulant medications and experiencing bleeding complications. Anyone with symptoms like vomiting blood, coughing up blood, or sudden severe headaches with bleeding risk factors should seek immediate medical attention and testing.

What are the symptoms of hemorrhage?
Symptoms of hemorrhage vary depending on the location and severity of bleeding. External bleeding is visible as blood flowing from wounds, cuts, or body openings, while internal bleeding may cause symptoms like abdominal pain and swelling, black tarry stools, vomiting blood, coughing up blood, or blood in urine. General symptoms from blood loss include dizziness, weakness, fatigue, pale skin, rapid heartbeat, low blood pressure, shortness of breath, confusion, and cold clammy skin. Severe hemorrhage can lead to shock, characterized by rapid shallow breathing, weak pulse, loss of consciousness, and requires immediate emergency medical care.
Who is at risk for hemorrhage?
People at higher risk for hemorrhage include those with inherited bleeding disorders like hemophilia or von Willebrand disease, individuals taking anticoagulant or antiplatelet medications, and patients with liver disease that impairs clotting factor production. Additional risk factors include gastrointestinal conditions like ulcers or inflammatory bowel disease, blood cancers such as leukemia that affect platelet production, severe infections like sepsis, and vitamin K deficiency. Trauma victims, surgical patients, pregnant women with placental complications, and people with uncontrolled high blood pressure also face increased hemorrhage risk. Older adults and those with multiple medical conditions requiring blood-thinning medications have compounded risk factors.
What happens if hemorrhage is left untreated?
Untreated hemorrhage can rapidly progress to life-threatening complications as blood loss depletes the body's oxygen-carrying capacity and circulating volume. Severe blood loss leads to hemorrhagic shock, where vital organs like the brain, heart, and kidneys don't receive adequate oxygen and nutrients, potentially causing permanent organ damage or failure. The heart compensates by beating faster, but eventually cannot maintain blood pressure, leading to cardiovascular collapse. Prolonged bleeding depletes clotting factors, creating a dangerous cycle where the body loses its ability to stop bleeding even from minor injuries. Without prompt treatment including blood transfusions, clotting factor replacement, and bleeding control measures, severe hemorrhage can result in unconsciousness, cardiac arrest, and death within minutes to hours.
Can hemorrhage be diagnosed with a blood test?
Yes, blood tests are essential for diagnosing the underlying causes of hemorrhage and monitoring clotting function during bleeding episodes. The Fibrinogen Activity test measures the protein critical for blood clot formation and helps identify if fibrinogen is being consumed during active bleeding or if levels are abnormally low due to a bleeding disorder. Additional blood tests include complete blood count (CBC) to assess blood loss through hemoglobin and platelet levels, prothrombin time (PT) and activated partial thromboplastin time (aPTT) to evaluate overall clotting function, and specific clotting factor assays. While imaging studies like CT scans or ultrasounds may be needed to locate internal bleeding sources, blood tests provide crucial information about your body's ability to form clots and guide treatment strategies.
How is hemorrhage treated?
Hemorrhage treatment focuses on stopping the bleeding, replacing lost blood volume, and correcting clotting abnormalities. Immediate interventions include applying direct pressure to external bleeding sites, surgical procedures to repair damaged blood vessels, or endoscopic techniques to cauterize internal bleeding sources. Blood transfusions replace lost red blood cells to restore oxygen-carrying capacity, while plasma transfusions and clotting factor concentrates (including fibrinogen or cryoprecipitate) replenish depleted clotting proteins. Medications may include tranexamic acid to prevent clot breakdown, vitamin K to support clotting factor production, or reversal agents for patients on anticoagulants. Severe cases may require intensive care monitoring, fluid resuscitation to maintain blood pressure, and treatment of underlying conditions contributing to bleeding.
How can I prevent hemorrhage?
Preventing hemorrhage involves managing risk factors and taking precautions based on your individual situation. If you take anticoagulant or antiplatelet medications, attend regular monitoring appointments and follow dosing instructions precisely to maintain therapeutic levels without excessive bleeding risk. Treat underlying conditions like ulcers, high blood pressure, or liver disease that increase bleeding risk, and maintain adequate nutrition including vitamin K-rich foods for healthy clotting function. Use protective equipment during activities with injury risk, avoid medications like aspirin or NSAIDs that affect clotting unless prescribed, and inform all healthcare providers about bleeding disorders or anticoagulant use before procedures. People with known bleeding disorders should wear medical alert identification and avoid contact sports or high-risk activities.
What can I do at home for hemorrhage?
For minor external bleeding at home, apply firm direct pressure to the wound with a clean cloth for at least 10-15 minutes without lifting to check if bleeding has stopped. Elevate the bleeding area above heart level when possible to reduce blood flow, and once bleeding stops, clean the wound gently and apply a sterile bandage. For nosebleeds, sit upright and lean slightly forward while pinching the soft part of your nose for 10-20 minutes. However, seek immediate emergency care for severe bleeding that doesn't stop with pressure, bleeding from major injuries, signs of internal bleeding like vomiting blood or black stools, or symptoms of shock like dizziness, confusion, or rapid heartbeat. Never attempt to treat serious hemorrhage at home, as it requires professional medical intervention including blood tests, transfusions, and potentially surgery.
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In the test options, find the test you want. If you’re not sure which test to get, we can lend a hand in finding the right option.

Just text or call us at 754-799-7833, email us at support@privatemdlabs.com, and we'll gladly help you. We've got your back and reply quickly.
Is it possible to make changes to my lab order if I made a mistake with the name, date of birth, or any other details?
Absolutely! We totally understand that errors can happen. No worries, we're here to help you.

Just reach out to us via text at 754-799-7833 or shoot us an email at support@privatemdlabs.com. Remember to include your order number and let us know the correct information you’d like to update. Our awesome team will jump right in and make sure everything is sorted out and accurate for you.

There are no changes necessary if your address is wrong on the requisition though. We don’t mail anything out.

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Our services are strictly self-pay and cannot be submitted to your health insurance provider except for Health Savings Accounts or Flexible Savings Accounts.

This policy applies to all insurance companies, including federal health insurance programs like Medicare.

If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com.
Can I cancel my order?
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We get it – sometimes your needs change.

As long as your samples haven’t been collected yet, we’re happy to help you cancel your order.

If you have any further questions, please text us at 754-799-7833 or email support@privatemdlabs.com.

You can read more about our cancellation policy here.
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During the ordering process, you’ll be able to select a specific lab near you, with no strings attached! You can switch it up later easily and visit any of our authorized locations as long as it’s the same lab company you selected your test for (Quest Diagnostics or Labcorp).

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If you have any questions, please text us at 754-799-7833 or email support@privatemdlabs.com and we'll gladly help you.
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