Uma ukuphuma kwegazi ngaphansi kwesikhumba kwenzeka ngesikhathi esifushane futhi indawo iqhubeka nokukhula, kuhambisana nokopha okuvela kwezinye izingxenye, njengokuphuma kwegazi ekhaleni, ukopha kwamazinyo, ukopha kwamathumbu, i-hematuria, njll; Izinga lokumuncwa liyancipha ngemva kokopha, futhi indawo yokopha ayinciphi kancane kancane isikhathi esingaphezu kwamasonto amabili; Kuhambisana nezinye izimpawu, njenge-anemia, umkhuhlane, njll; Kunconywa ukufuna usizo lwezokwelapha emnyangweni we-hematology uma kukhona ukuphindeka kokopha kusukela ebuntwaneni kanye nezimpawu ezifanayo emndenini.

Izingane ezingaphansi kweminyaka eyi-14 ezithola izimpawu ezingenhla zinconywa ukuthi zithole usizo lwezokwelapha kwabantwana.

Uma ukuphuma kwegazi ngaphansi kwesikhumba kubonakala njenge-ecchymosis yesikhumba kanye ne-mucosal, kanye nezimpawu zokuphuma kwegazi esiswini njengokuphuma kwegazi ekhaleni nasesiswini, ukuhlanza igazi, kanye nokopha kwegazi endukwini, okuhambisana nesicanucanu, i-anorexia, ukuqunjelwa, ukuncipha komzimba, ukuhamba, ukuphuzi kwesikhumba kanye ne-sclera, ngisho nokuqongelela koketshezi esiswini, kubhekwa njengokuphuma kwegazi ngaphansi kwesikhumba okubangelwa ukulimala kokusebenza kwesibindi, i-cirrhosis, ukwehluleka kwesibindi okukhulu, njll. Kunconywa ukufuna usizo lwezokwelapha emnyangweni we-gastroenterology.