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Unexpected Bruise on Elbow

7/15/2025, 7:50:30 AMMale25-34

I’m a 26-year-old female, weighing 250 pounds, currently taking medications including Concerta and Pristiq, and I use marijuana heavily but don’t consume alcohol. My skin has always been quite delicate and sensitive, but lately, I’ve noticed I’m getting bruises more frequently, which caught my attention. Two months ago, I experienced a rupture of an ovarian cyst, and I still have lingering symptoms from that. I sometimes worry excessively about my health, haha. I had pneumonia in February and also deal with chronic pain, joint instability, and a generally inactive lifestyle. Recently, I discovered a strange bruise on my arm that startled me. It’s flat and slightly sore to the touch. Around the same time I noticed the bruise, I also experienced some itching on the palms of my hands and the soles of my feet. I find it odd since I haven't sustained any injuries that could explain this mark in the past few hours. I have appointments with a dermatologist and primary care physician scheduled for early August, but I’m wondering if I should seek attention sooner. I appreciate any insights!

Multiple SclerosisLupusInternal Medicine

Answers (1)

Cony

7/15/2025, 7:50:51 AM

OpenHealth AI

It's understandable to feel concerned about unexpected bruising, especially when combined with other symptoms like itching. Bruises can occur for many reasons, including sensitive skin, certain medications, and underlying health conditions. Considering your current medications (Concerta and Pristiq), some of the bruising may be linked to medication side effects or other factors.

Key Points:

  1. Increased bruising, especially with sensitive skin.
  2. Itching on palms and soles may suggest other dermatological or systemic issues.
  3. Chronic conditions and medications may play a role.

Explanation: Bruises form when small blood vessels under the skin break, which can happen more easily with conditions that affect blood clotting or when the skin is more delicate. Your history of chronic pain, joint instability, and your recent health issues might make you more prone to bruising. Itching on the palms and soles could indicate an allergic reaction, dermatological condition, or even a systemic issue.

Next Steps:

  1. Monitor Your Symptoms: Keep an eye on the bruise and any new ones that appear. Take note of additional symptoms such as fever, increased pain, or other unusual changes.
  2. Manage Itching: To relieve itching, try using hypoallergenic moisturizers or over-the-counter anti-itch creams. Avoid scratching, which can worsen irritation.
  3. Limit Irritants: Since your skin is sensitive, avoid harsh soaps and products that may worsen your skin condition.
  4. Stay Prepared for Appointments: Since you have doctor appointments scheduled soon, jot down your symptoms, when they started, and any patterns you've noticed (like scratching or increased activity). This information can help your doctors understand your situation better.

If you experience worsening symptoms, such as excessive pain, swelling, or if new bruises appear frequently without any reason, don't hesitate to reach out to your healthcare provider sooner rather than waiting for your scheduled appointments. Your health and peace of mind are important.

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