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Unusual Bruising?

6/18/2025, 12:30:37 AMMale25-34

Unexpected bruise? **Share with new images.** Hello, I’m a 27-year-old woman, approximately 5 feet 4 inches tall and weighing around 155 pounds. I take atenolol in a 50mg dosage daily to manage inappropriate sinus tachycardia, a condition I’ve dealt with since childhood. Additionally, I have a medical history that includes urinary tract infections and kidney infections, one of which led to sepsis, requiring a week-long hospital stay. I don’t smoke, but I do occasionally use Zyn products and consume alcohol regularly, often on weekends or after work, with vodka being my beverage of choice. Recently, I had a fall from a motorcycle on Friday and ended up with significant bruising on my right elbow and hip. Since then, my left hip area has also been tender. Last night, I went to bed wearing somewhat snug pants and utilizing a heating pad, but I woke up to find this new bruise. The first image shows its current state, the second was taken midday, and the last was snapped this morning at around 7 AM. Should I be concerned about this bruise? I’m not experiencing any other issues—no fever, nausea, or abdominal pain. My heart rate has fluctuated between 59 to 150 beats per minute (I carried a 40-pound load up a steep incline), and my blood pressure read 127/96 at home following moments of stress regarding this bruise. I don’t recall injuring my left side during the fall, but since I tend to bruise easily, it’s possible I bumped it without noticing.

AgingFamily MedicinePreventive Medicine

Answers (1)

Cony

6/18/2025, 12:31:08 AM

OpenHealth AI

It's understandable to feel concerned about unexpected bruising, especially after a recent fall. Bruises can occur for various reasons, and in your case, it seems linked to the recent motorcycle accident and potential unnoticed bumps.

Key Points:

  1. The new bruise is likely a result of your recent fall, especially if you have a history of easy bruising.
  2. It’s important to monitor the bruise for changes or any new symptoms.
  3. Fluctuating heart rates and blood pressure readings may be linked to activity and not necessarily a cause for alarm.

Explanation: Bruises happen when blood vessels under the skin break due to trauma, like your recent fall. Given that you're 27 and have a healthy background (no fever, nausea, or abdominal pain), your body should handle minor injuries well. The tenderness and appearance of new bruises, especially in someone who sometimes bruises easily, could be normal. However, it’s essential to ensure that it doesn’t indicate a more serious underlying issue, particularly considering the fall.

Prioritized Next Steps:

  1. Monitor Symptoms: Keep an eye on the new bruise, noting any changes in size, color, or if it becomes increasingly painful. If you notice significant swelling, pain, or it spreads widely, reassess the situation.

  2. Limit Activity: Avoid strenuous activities that might aggravate the bruised areas, especially carrying heavy loads, until you see improvement.

  3. Manage Pain and Discomfort: Over-the-counter pain relief like acetaminophen or ibuprofen can help, but be cautious using these if you have any other conditions that could be worsened by medication.

  4. Rest and Ice: Elevate the bruised area when possible and apply ice packs wrapped in a cloth for about 15-20 minutes, several times a day to reduce swelling and pain.

  5. Hydration: Stay well-hydrated, as it aids healing.

If you notice spreading bruising, sudden changes in skin color, or if you start experiencing significant pain, weakness, or additional bruises appearing without obvious cause in the coming weeks, these would be signs to seek medical attention. Remember to listen to your body and reassess if anything feels off. Take care, and let me know if you have more questions or concerns!

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