Hi!!!!There are several factors causing internal bleeding and ofcourse Aleve,which is a NSAIDS cause internal bleeding if she is been taking for a long term.Having said that she is already been diagnosed as of having internal bleed,it is suggested to go for some test so as to confirm the actual cause of the bleed.Blood test may be done to check low red blood cell count or anemia. The suspicion of internal bleeding often requires an imaging test to look for the bleeding source.If there is concern that there is gastrointestinal bleeding, an approach can be made to a gastroenterologist who will undergo endocsopy to look into the esophagus and stomach or into the colonoscopy to look into the colon to identify the source. If found, thespecialist may be able to stop the bleeding using electricity to cauterize or burn the blood vessel that is bleeding. Ultrasound may be used to look for blood in the abdomen. While it has its place in the management of trauma, ultrasound is especially useful in evaluating obstetric and gynecologic problems such as bleeding from an ovarian cyst or an ectopic or tubal pregnancy. Computerized tomography(CT) is an effective in looking for intra-abdominal and retroperitoneal bleeding. It can evaluate the potential injury site, the severity of organ damage, and whether the bleeding is contained within an organ (such as the liver, kidney or spleen) or whether the bleeding has spilled into the peritoneum. In some situations ,in which the patient is critically ill from internal bleeding, the decision may be made to undergo emergency surgery to find and repair the bleeding site.