Pregnant Woman Experiencing Severe Bruising and Pain
At age 33, I weigh approximately 190 pounds and stand around 5 feet 6 inches tall. Currently, I am 23 weeks along in my pregnancy. The only medication I take is Synthroid, which I use to manage hypothyroidism, and I generally enjoy good health. I was recently informed that I have varicose veins; however, I am now dealing with painful bruises on my lower right ankle. I've attempted various remedies including using crutches for mobility, elevating my leg, and undergoing a DVT ultrasound, but the results showed nothing abnormal. Additionally, my blood tests came back normal. Currently, my physician seems uncertain and is contemplating discontinuing my treatment since he is unsure of the cause of my symptoms. Initially, the bruising appeared minor, but it has gradually spread, albeit still staying relatively small in size. If anyone has suggestions on potential next steps or other specialists I should consult, I would greatly appreciate your advice. I can share images to illustrate the issue if necessary.
Answers (1)
7/23/2025, 2:30:54 AM
OpenHealth AI
It sounds like you are experiencing significant discomfort with the bruising and pain in your ankle during your pregnancy, and it's understandable to feel concerned about these symptoms. Since you've already had some evaluations that ruled out deep vein thrombosis (DVT) and showed normal blood work, let's focus on potential next steps and strategies that may help alleviate your concerns and symptoms.
Understanding Your Symptoms
Bruising during pregnancy, especially in the context of varicose veins, can sometimes occur due to increased blood volume and pressure in the circulatory system. Varicose veins themselves can cause discomfort and contribute to soreness in the affected areas. While the ultrasound and blood tests are normal, the pain and bruising you're experiencing can still warrant attention.
Next Steps to Consider
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Continue Supportive Care:
- Elevate Your Leg: Keep elevating your leg as much as possible to reduce swelling and improve circulation. Aim for 30 minutes a few times a day.
- Compression Stockings: Consider wearing prescribed compression stockings. These can help alleviate discomfort from varicose veins and improve blood flow.
- Hydration: Drink plenty of water to help maintain healthy circulation.
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Monitor Changes:
- Track Symptoms: Keep a diary of your symptoms, noting any changes in pain, bruising, or swelling. This will provide clearer information for any healthcare providers you consult.
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Follow-Up Consultations:
- Specialist Consultation: Since your primary care physician is uncertain, you might benefit from consulting a specialist, such as a vascular surgeon or a maternal-fetal medicine specialist. They can give you a deeper insight into your varicose veins and bruising.
- Physical Therapy: A physical therapist experienced in pregnancy-related conditions may suggest safe exercises to improve circulation and reduce discomfort.
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Get a Second Opinion:
- If you feel comfortable, consider seeking a second opinion from another physician who specializes in obstetrics or maternal health, particularly if you feel your current concerns are not being addressed effectively.
Additional Notes
- Since you are managing hypothyroidism with Synthroid, ensure your endocrinologist is informed about your current symptoms, as general hormone changes during pregnancy can impact various systems, including circulation.
Your health and comfort during pregnancy are very important, and it's good to address these symptoms proactively. If your bruising worsens, or if you experience new symptoms like increased pain or concerns about circulation, seek immediate medical evaluation. Please feel free to reach out with any further questions or updates on your symptoms.
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