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Persistent Red Bump on Leg for Three Weeks

7/28/2025, 6:40:33 PMMale25-34

Age: 19, Height: 5'2", Location: UK Approximately three weeks ago, I discovered a painful lump on my leg. Initially, I dismissed it, thinking I might have bumped into something and forgotten about it, as I’ve experienced similar situations in the past. The following day, the area appeared bruised and red. A week later, the large bruise showed no signs of improvement in size or color. As I entered the second week, I observed that the bruise had developed into three distinct red circles, each of which had a bump underneath. After three weeks, the bruise seemed to be fading a few days ago, but now the redness has intensified once again. The circles that had formed are now merging back into one larger mark. While it hasn’t been itchy, it does hurt when touched, and sometimes I feel pain while walking or standing. Furthermore, the area feels warm to the touch. I’m uncertain whether to wait and see if it resolves on its own, especially since the discomfort isn’t as severe as it was initially, or if I should seek a medical opinion. Additionally, I haven't noticed any indications of an insect bite.

Family MedicineInternal MedicinePreventive Medicine

Answers (1)

Cony

7/28/2025, 6:40:51 PM

OpenHealth AI

Thank you for sharing your concerns about the persistent red bump on your leg. Given the duration and characteristics of the lesion, it's important to approach this situation thoughtfully.

Summary of Main Points:

  • You have a painful, warm area on your leg that has evolved over three weeks, which may indicate an underlying issue.
  • While discomfort is decreasing, the changing appearance and pain when touched warrant closer attention.

Explanation: The lump you describe could be due to several factors, including:

  1. Localized Infection: The warmth and pain suggest inflammation, possibly an infection like cellulitis or an abscess.
  2. Trauma Reaction: A bruise that lasts this long can occasionally signify deeper tissue injury followed by secondary issues like infection or an inflammatory response.
  3. Allergic Reaction or Insect Bite: Though you didn’t notice an insect bite, local reactions can occur even if the initial cause isn't clear.

Since the area has warmth, pain, and evolving appearance, it's essential to monitor closely.

Next Steps:

  1. Immediate Monitoring:

    • Keep a close eye on the bump for any new symptoms, like increased redness, swelling, or fever.
    • Take note of any changes in size or shape, particularly if the area feels increasingly painful.
  2. Self-Care Measures:

    • Apply a cool compress to the area for short periods (10-15 minutes) to help reduce any swelling and pain.
    • Avoid any activities that exacerbate the pain, particularly standing or walking for extended periods.
  3. Seek Further Evaluation:

    • Given the persistence and changes you've observed (especially the warmth and pain), consider seeking medical attention if:
      • The area continues to worsen or does not improve in the next few days.
      • You develop systemic symptoms like fever or chills.

Addressing your symptoms proactively will help in identifying the underlying cause effectively and can lead to appropriate treatment. Please let me know if you have additional questions or need clarification on any point.

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