Bleeding from ruptured or injured veins is rather uncommon; I only see a few cases a year. It’s remarkable how infrequently this condition occurs, actually, because the skin overlying varicose and spider veins is often extraordinarily thin, and the pressures within varicose veins are quite high.
If you do happen to experience this type of hemorrhage, the bleeding can be brisk. But don’t panic. Lie down and elevate the leg that is bleeding to reduce the pressure. Next, hold direct pressure over the bleeding site using tissue paper, gauze, a clean piece of cloth, or even the tip of your fingers. In most cases, bleeding will stop within seven minutes. I advise holding firm pressure over the site for fifteen to thirty minutes.
If bleeding persists for more than thirty minutes, proceed immediately—by ambulance if necessary—to a physician’s office or to the emergency room of a hospital. As soon as possible after the emergency has passed, see a vein specialist. Bleeding at hemorrhage sites tends to recur. Definitive treatment of the abdominal veins should eliminate the risk of recurrent bleeding.