OpenHealth Q&A

Get answered by medical professionals

Dealing with Unexplained Bruising: Seeking Advice

6/28/2025, 1:50:21 PMMale25-34

I’m a 29-year-old female, and I don’t consume alcohol or smoke. My routine includes taking D-Mannose and cranberry supplements. I typically use 3 ibuprofen weekly for a cosmetic treatment, yet I began noticing these bruises prior to starting that regimen. I also had taken zinc and vitamin D gummies for some time but have since stopped. The bruises on my calves are relatively larger (as described in comments). They’re not vast, but as one fades, more appear. The dark purple bruises are distinctly oval-shaped. The largest ones exceeded 3 inches but formed in clusters (those were blue in appearance). Healing seems to align with the expected normal timeframe. The bruising predominantly occurs on my thighs and occasionally shows up on the back of my calves, with one instance on my knee. Presently, I notice two bruises close together on the back of my calf and another on the back of my thigh, displaying a mix of purple and yellow hues. It’s a recurring pattern where once one heals, new ones seem to emerge shortly thereafter. Importantly, these bruises develop without any obvious causes. I only recall bumping my hip into something rather hard, which did result in a small bruise, yet it was tiny in comparison to these. I don’t have a healthcare provider at the moment, leaving me uncertain whether to visit a walk-in clinic or search for a new doctor. What are my options? Additionally, I would like insights into potential causes I could discuss with a doctor, as simply stating “unexplained small bruises” might not yield serious attention, particularly being a woman. If these bruises are considered benign, I might forgo incurring further financial strain. While they are unsightly—especially in warm weather—I'm also concerned it could be linked to a deficiency or something more serious. If it does seem related to a deficiency, what could it possibly be, and what supplements or remedies might I try to address the issue? I appreciate any guidance you can offer!

LupusThyroid DisordersInternal Medicine

Answers (1)

Cony

6/28/2025, 1:50:37 PM

OpenHealth AI

It's understandable to be concerned about unexplained bruising, especially when it seems to occur frequently without obvious causes. Here’s a structured approach to help you understand potential causes and next steps.

Main Points:

  1. Unexplained bruises can have various causes, including minor issues like medication side effects and more serious conditions related to nutritional deficiencies or bleeding disorders.
  2. It's important to monitor the pattern of bruises, including frequency and any accompanying symptoms.
  3. Consider visiting a healthcare provider for a tailored assessment, especially as new ones appear.

Explanation:

Bruising occurs when blood vessels under the skin break, allowing blood to leak into surrounding tissues. The fact that you mentioned these bruises are large, ovular, and appear in clusters without clear injury raises a few considerations. Some possible causes include:

  • Medications: Ibuprofen can affect blood clotting, though your usage seems minimal. If you start any new medication, discuss possible side effects.
  • Nutritional Deficiencies: Deficiencies in nutrients like vitamin C, vitamin K, or zinc can lead to easy bruising.
  • Underlying Conditions: Conditions such as clotting disorders (e.g., thrombocytopenia), liver issues, or even autoimmune diseases (like lupus) can cause excessive bruising.

While your concerns about being taken seriously as a woman in healthcare are valid, it's crucial to be thorough when discussing symptoms.

Next Steps:

  1. Document Symptoms: Keep a log of when bruises appear, their size, location, and any activities that might have led to them. Note any other symptoms like fatigue, bleeding gums, or changes in skin tone.

  2. Dietary Review: Reflect on your recent dietary intake. Ensure you're getting adequate vitamins, specifically:

    • Vitamin C: Found in fruits and vegetables (oranges, strawberries, bell peppers).
    • Vitamin K: Available in leafy greens (kale, spinach).
    • If you feel concerned about deficiencies, consider discussing a multivitamin that includes these nutrients.
  3. Hydration and Care: Stay well-hydrated. Apply a cold compress to any new bruises to reduce swelling initially.

  4. Consult a Healthcare Provider: If the bruising continues or you're concerned about the frequency and pattern:

    • Visit a healthcare provider at a walk-in clinic or consider finding a primary care doctor.
    • When you go, clearly explain the pattern of bruising, your supplement history, and any changes in your health.

This approach will help convey the seriousness of your symptoms and may prompt a comprehensive evaluation. It’s essential to get healthcare support when symptoms are troubling you, to help rule out any serious conditions while also seeking peace of mind.

Related Questions

Assessing My Health Concerns: How Anxious Should I Be?

I’m a 32-year-old woman, weighing 124 pounds and standing at 5 feet 6 inches tall. For over a year, I have been experiencing bright red rectal bleeding. Initially, I attributed this issue to hemorrhoids that developed during my pregnancy two years ago. The bleeding occurs with most of my bowel movements, sometimes happens without one, and on a few occasions, has been enough to stain the toilet bowl significantly. The color of the blood is typically darker than what I observe during a hemorrhoid flare-up. There is a notable family history of bowel cancer on both sides; one family member was diagnosed at age 45, and another at 60. In the past six months, I have encountered several episodes of severe abdominal pain—3 to 4 instances—intense enough to consider a trip to the emergency room. However, the pain usually subsides within about an hour. It’s unusual for me to experience such acute pain, given my high tolerance for discomfort; for example, I once played rugby shortly after dislocating and fracturing my finger. Recently, I mustered the courage to consult with my doctor, who recommended a FIT test, which returned a positive result (30.1). Additionally, I underwent a complete blood test, and aside from having low ferritin levels (7 µg/L), all other results were normal. I have since been referred for a colonoscopy on a two-week waiting list to rule out any possible bowel cancer. Given these circumstances, how concerned should I be? Thank you for your input.

Crohn's DiseaseThyroid DisordersInternal Medicine
Male25-34
35 minutes ago

Understanding Possible Seizure Triggers and Recurrence Risks

Health Background: I am a 21-year-old female, standing at 169 cm and weighing 65 kg. Over the past three years, I have been using oral contraceptives. As of this morning, I started taking 25 mcg of levothyroxine along with a weekly vitamin D supplement of 0.266 mg. Recently, I was diagnosed with hypothyroidism and found to have a vitamin D deficiency that I suspect has existed for the last three years. I do not consume alcohol or smoke, and I can confirm I am not pregnant. Two years ago, I experienced a mild concussion. I currently reside in Spain. A couple of months back, in mid-December, I blacked out twice. The second occurrence took place while I was at the doctor’s office after seeking urgent medical care for the initial incident. Following the second episode, I underwent a CT scan and an EKG, both of which returned normal results. Further tests, as directed by my physician, revealed a critical vitamin D deficiency and hypothyroidism; however, he expressed doubt that either of these conditions led to my loss of consciousness. I was then referred to a neurologist, and I am presently awaiting an appointment. Although the waiting period is lengthy, my doctor indicated that I should receive priority for scheduling, although the exact timeframe remains uncertain. The referral document summarized my events, labeling the second episode (which the physician witnessed) as a potential seizure devoid of tonic-clonic movements—a revelation that took me by surprise. After regaining consciousness, I felt extremely disoriented and terrified, struggling to process what was happening. I have no prior history of seizures, epilepsy, or any related conditions, and there is no known family history of these issues. If this indeed was a seizure, what might have triggered it? Additionally, what is the likelihood of experiencing another one? Since that time, I have not had any further incidents, but I have experienced moments where I felt a sense of impending doom, which I managed to overcome. I intend to wait for the neurologist's evaluation, but the uncertainty surrounding a possible neurological condition is quite distressing. Thank you for any insight you can provide!

LupusThyroid DisordersEndocrinology
Male25-34
44 minutes ago

Persistent Pain in Right Shoulder and Arm After Lifting

Hello, everyone! I’m a 23-year-old male and have been engaged in weightlifting for several years now. Recently, I’ve been struggling with ongoing discomfort in my right shoulder and arm, which I haven’t been able to accurately identify. The pain manifests during particular movements, especially with lateral raises or when my arm is raised to shoulder level while rotating my wrist. Certain pressing and pulling activities can also provoke this discomfort. Rather than feeling sharp, it’s a deep, nagging sensation that sometimes seems localized in the front area of the shoulder or at the biceps tendon, and at other times it feels more like it’s situated between the shoulder and upper arm. Fortunately, there’s no numbness or tingling involved. This issue began while I was working out. I decided to take a break for around two months, but when I returned, the pain persisted. After consulting a physician, I was diagnosed with bicipital tendinitis. Since then, I’ve reduced my upper-body workouts, completely steering clear of shoulder exercises and heavy lifting, and have begun a gentle rehabilitation regimen focusing on external rotations, pendulum movements, and scapular exercises. Despite adhering to this routine for about a week, I haven’t experienced any noticeable improvement. Is it typical for this type of tendon injury to require an extended period for recovery? At what point should I consider diagnostic imaging, such as an ultrasound or MRI? Additionally, are there frequent rehabilitation errors that might impede the healing process? I appreciate your insights in advance!

ArthritisFibromyalgiaInternal Medicine
Male25-34
1 hour ago

Understanding Atrial Fibrillation and Thyroid Issues: Variability in Cardioversion Decisions

Hello everyone, I’m reaching out for guidance regarding my mother’s current health situation, and I’d greatly appreciate any shared experiences or thoughts. **My mother's background:** - **Age**: 55 years - **Weight**: Recently dropped to 116 kg from 118 kg in just two days, likely due to diuretics. - **Health history**: Previously an underactive thyroid, undiagnosed and untreated, now presenting as overactive. - **Medications**: Currently taking thyroid medication and a beta-blocker (Rapiblock). **Current health status:** My mother has been hospitalized since Tuesday, experiencing **atrial fibrillation with heart rates exceeding 200** beats per minute due to her thyroid's hyperactivity. - The plan for cardioversion was initially settled on Tuesday. However, the following day, the medical team advised postponing it until her thyroid levels could be stabilized, believing that her heart rate would return to normal once her thyroid condition was managed. - Her **obesity** precludes her from undergoing a transthoracic echocardiogram, and due to her thyroid concerns, she cannot handle contrast dye (this has been a consistent issue for over four years). Therefore, the only feasible option was a **transesophageal echocardiogram (TEE)**, which has yet to be performed. - She has been prescribed various medications including beta-blockers and thyroid treatments in the past. - On Friday, a doctor proposed proceeding with cardioversion; however, the attending senior physician objected. - Today (Saturday), another clinician has expressed a desire to move forward with cardioversion, having initiated a new medication, as the senior physician is unavailable. - **Communication has been unclear**, as we were notified of developments by a nurse rather than the physician in charge, causing confusion and anxiety. - Currently, only a **chest X-ray** is scheduled, and the TEE remains unaddressed. **My inquiries are as follows:** 1. Is it common for medical professionals to have varying opinions and frequently revise medication or treatment plans like cardioversion? 2. Is it safe to conduct cardioversion in the absence of a TEE? I presumed that this was a standard procedure to exclude the presence of blood clots. 3. Is it usual practice to have only a chest X-ray prior to moving ahead with cardioversion? 4. How typical is it for patients or their families to not be directly informed about treatment changes and learn about them through nursing staff instead? I recognize that this cannot substitute for professional medical advice. I’m simply trying to discern whether these circumstances are typical or if we should express our concerns more assertively with the healthcare facility. Thank you for your insights!

Thyroid DisordersEndocrinologyRheumatology
Male25-34
2 hours ago

Concerns About My Toes

Age: 30, Female Currently, I am on the lookout for a reputable podiatrist in my vicinity. However, I've encountered a perplexing issue with my foot. Just last night, I noticed a growth on the side of my toe, something entirely new to me. I maintain a nutritious diet and have a demanding job that requires me to be on my feet quite often. My footwear includes brands such as Brooks Ghost Runners, Hoka Bondi 9’s, and Nike Motiva’s, and I don’t opt for restrictive socks. I also apply Vick’s Vaporub to my feet, a practice handed down from my family, and stick with simple, non-fragrant lotions like Vanicream and CeraVe SA Cream for my skin. In addition, I am curious about the my big toenail's change in color. What might be the underlying reasons for this? Also, I have these persistent dark spots on my toes that I've struggled with since my days on the runway. Despite my efforts, nothing has succeeded in lightening or diminishing their appearance. I'm just looking to determine if there might have been a factor from the past that could have contributed to these issues. I’m not sure what else to include, but I’m open to answering any questions you might have. Thank you for your attention! Best wishes from a worried soul!

ArthritisFibromyalgiaInternal Medicine
Male25-34
4 hours ago