Persistent Bruise-like Spot on My Scalp for Over a Year
I’m a 16-year-old girl, standing at 5'5" and weighing approximately 140 pounds. Approximately a year ago, I discovered a small circular mark on my head, resembling the hue of a bruise. After a few days, during my annual health examination, I brought it to my doctor’s attention. Thankfully, the physician reassured me that it wasn’t anything to be alarmed about, citing the absence of pain, swelling, or any other issues. I subsequently put it out of my mind. However, while styling my hair yesterday, I revisited the area and noticed the spot once more. It appears slightly lighter than before, but it is still visible. Although I’m not overly worried about it now, I find myself curious about what it might be.
Answers (1)
7/31/2025, 8:50:40 PM
OpenHealth AI
It's understandable to have concerns about a persistent spot on your scalp, especially after already having it checked by a doctor. A bruise-like mark that has lasted for over a year but has not changed in texture or caused any discomfort is likely benign, but it's good that you're being proactive about your health.
Explanation
The appearance and persistence of a bruise-like spot on the scalp could stem from several non-serious causes, such as:
- Dermatological Conditions: Conditions like seborrheic keratosis or harmless skin growths often present themselves as discolored spots on the skin.
- Pigmented Lesions: These are typically harmless but can appear similar to bruises. They might fade or change over time.
- Minor Trauma or Irritation: Sometimes, minor injuries from styling may cause spots that resemble bruises.
It’s reassuring that your doctor previously evaluated it and deemed it non-concerning. Given that the color has changed slightly, it shows some degree of change, but often these kinds of spots can be stable for long periods without being problematic.
Next Steps
- Monitor the Spot: Keep an eye on the spot for any changes. Note if it gets larger, changes color drastically, or begins to cause any discomfort.
- Avoid Irritation: Be gentle when styling your hair around the area. Avoid using harsh hair products on or near the spot.
- Track Changes: Consider keeping a brief diary of its appearance over the next few weeks. This will help you detect any progression or patterns.
- Consult Again if Needed: If there are significant changes or if new symptoms develop (like itching, bleeding, or pain), consider bringing it back up with your doctor during your next visit for peace of mind.
Remember, it's always good to be aware of your body, and staying informed about your health is important. If you have any other concerns or questions, don't hesitate to ask!
Related Questions
Persistent Forehead Discomfort
Hello, I’m a 29-year-old FTM, and over the last month, I have been experiencing a peculiar sensation primarily located at the front of my head. Instead of a steady ache, it manifests more as a burning, tingling, or numbing feeling, akin to wearing a headband that’s overly tight around my forehead. While it’s predominantly discomforting, there are instances of actual pain. Lately, the area on my forehead and the top of my head feels nearly numb; I can sense touch, but it’s an internal type of numbness, if that makes sense. About two years prior, I received a diagnosis of secondary polycythemia attributed to my testosterone therapy. I faced challenges in securing a therapeutic phlebotomy until the previous month due to insurance complications, and I was ineligible to donate blood because of my POTS condition. However, my POTS doesn’t present with significant symptoms beyond an elevated heart rate, which is managed with metoprolol. Just before I had the phlebotomy procedure, I was experiencing intense burning sensations in my arms and legs, but those symptoms vanished afterward, raising my hopes that the headache would also improve. Headaches are not typical for me, and I’ve tried various over-the-counter medications such as ibuprofen, acetaminophen, and Tylenol without any success. This sensation has been relentless, persisting around the clock. Furthermore, in the last couple of days, I’ve started to notice discomfort radiating into my jaw and cheekbones. My physician initially advised me to stay well-hydrated, suggesting a visit to the emergency room if my symptoms failed to improve. While I’ve attempted to stay hydrated, the prospect of an ER visit is concerning due to my limited financial means. Current diagnoses include POTS and secondary polycythemia. My prescribed medications consist of 50 mg of metoprolol, 0.2 ml of testosterone administered weekly, along with a daily dose of baby aspirin.
Experiencing Severe Headaches and Stomach Pain During Bowel Movements
At 18 years old, I am currently prescribed antidepressants, birth control, vitamin A, and iron supplements. 💀 For quite some time, I've encountered intense headaches and abdominal pain whenever I need to use the bathroom. This issue has persisted since my childhood, often leaving me feeling disoriented for a brief spell—typically just a few minutes. Until today, I thought this was a normal occurrence, but my mom expressed disbelief about my experiences, which has left me feeling quite frustrated. 😭 To share more context: I also have an autoimmune condition known as hidradenitis suppurativa (HS) and have suffered from ovarian cysts in the past.
Should I Be Concerned About Vasculitis?
At 25 years old, I have been dealing with various health issues since I was about 19, initially manifesting as digestive problems and extreme tiredness. After undergoing evaluations, I’ve been diagnosed with Irritable Bowel Syndrome (IBS) and migraines. In August, I noticed tiny, red spots resembling pinpricks on my skin that bled if I rubbed them, which my doctor identified as petechiae, though they don't exactly match the rashes I've seen online. I consulted a hematologist who assured me that I do not have blood cancer and dismissed my concerns (which I already suspected). Earlier this June, I received a diagnosis of anterior uveitis, which, along with my other symptoms, led to further blood tests. Most results appeared normal, with only mildly elevated immature granulocytes and slightly reduced ALT levels. I also tested positive for the HLA-B27 gene. To investigate the possibility of sarcoidosis, I visited a pulmonologist who reported that my lungs appeared to be healthy; my pulmonary function test showed results around 80%, possibly a bit higher. I have a rheumatology appointment scheduled for the end of this month to hopefully gain more insight. Recently, I walked into my primary care office due to persistent chest pain that had lasted around 24 hours; I wanted to ensure it wasn’t a heart-related issue. The EKG results were normal, and after examining the painful area, the doctor inquired about my gastrointestinal history. I mentioned my IBS diagnosis from a few years ago, which led her to refer me to a gastroenterologist whom I have yet to visit. Throughout this ongoing health saga, I’ve experienced intermittent joint pain, severe muscle cramps, and a burning sensation in various locations, notably my right foot and left forearm. Additionally, I have ongoing digestive disturbances, sporadic discomfort akin to a urinary tract infection, fatigue, feelings of depression, back pain, and tingling sensations in my hands and toes. I have also suffered from eight kidney stones, though only one occasion caused substantial pain that necessitated an emergency room visit. My veins have become more prominent than before; I understand some of this can occur with aging. I’ve recently observed a lacy red or purple pattern on my skin, which fluctuates in visibility based on my body temperature. My right ankle has been particularly troublesome, in pain for approximately two months, fluctuating between intense burning, aching, and a sensation akin to water dripping over it. This discomfort is sometimes so severe that even the touch of sheets is irritating, and it worsens with specific footwear or hot showers. I find myself questioning whether I should advocate more strongly for my health or if these symptoms are merely a normal part of aging. I also contend with anxiety, which complicates my ability to discern what constitutes typical discomfort versus something more concerning.
Unexpected Bumps on Neck and Shoulder Area
Recently, I discovered two small protrusions on the right side of my neck and another on the left, seemingly appearing out of the blue just two days ago. Today, I observed the emergence of two additional bumps: one on the right side of my neck and another located where my neck blends into the shoulder. According to my research, it seems that fatty tumors typically develop gradually; however, these appeared quite abruptly. Their sizes range from approximately 1 to 2 centimeters—relatively small yet visible. A couple of them appear slightly larger, especially if one knows where to look. Should I feel concerned about this? I consulted my general practitioner, who was swift in scheduling an appointment for me in six days. About me: I'm a 20-year-old female, measuring 169 cm and weighing between 50 and 55 kg. I belong to the Caucasian demographic and do not smoke or consume alcohol. Currently, I am being treated with Lamictal at a dose of 25 mg twice daily. Additionally, I take omega supplements and vitamin D regularly.
Exploring Genetic Testing for My Complex Health Conditions
Hello everyone! I'm reaching out as a 28-year-old trans woman facing numerous health challenges that leave me feeling utterly drained. I am curious if genome sequencing is a feasible option for me to uncover the root causes of my extensive range of health issues. My medical history includes diagnoses of ADHD, significant clinical depression, social anxiety disorder, hypothyroidism, mild insulin resistance, fatty liver disease, and hypermobile Ehlers-Danlos Syndrome. Recently, I have also been diagnosed with sleep apnea. Although I could qualify for an autism diagnosis, I have chosen not to pursue it officially due to the potential complications it might introduce. Additionally, my hEDS leads to chronic pain, dysautonomia, orthostatic hypotension, and joint instability. I struggle with morbid obesity largely attributed to fatigue, severe exercise-induced pain, and persistent difficulties with weight loss; my weight issues date back to childhood. However, I have managed to shed some pounds in the past year, currently weighing 335 lbs compared to 365 lbs in spring 2024. Just for context, I am 6 feet tall. For treatment, I am prescribed several medications: 25 mcg of Levothyroxine in the morning, 40 mg of Vyvanse in the morning, 225 mg of Venlafaxine in the evening, and 150 mg of Trazodone in the evening. Additionally, I take 15 mg of Meloxicam in the evening, along with Metformin (1500 mg), Iron, and Vitamin D during dinner, and I am in the process of obtaining a CPAP machine for my sleep apnea. Nonetheless, I experience numerous unexplained symptoms. Chronic fatigue follows me regardless of how much rest I manage to get. Engaging in any physical or social activity leaves me completely wiped out, and I struggle to find any source of energy. Ironically, stimulants intended to aid my ADHD often have the opposite effect, making me feel sluggish instead of alert. Meals sap my energy, and it seems that every calorie consumed is immediately converted into stored fat rather than being utilized. Restorative sleep feels like a distant memory, and insomnia only compounds my issues. I also have some atypical features from puberty, suggesting possible hormonal imbalances, and I have never undergone a full genetic evaluation. For over a decade, my iron levels have remained dangerously low, prompting a referral to gastroenterology later this month. Quite frankly, if I listed every single issue I encounter daily, this post would be excessively lengthy. Navigating healthcare to address these myriad issues has been incredibly frustrating. It often involves a cycle of referrals and prolonged waiting periods to determine whether symptoms have resolved, which leaves me feeling drained and overwhelmed. I crave clarity about whether there might be a common underlying factor contributing to my challenges or if they are simply a collection of individual ailments. My primary inquiry is as follows: Is it possible for me to undergo complete genome sequencing (beyond a basic consumer-level DNA kit like 23andMe), in order to investigate any genetic factors that might be influencing my health complications? If so, how do I go about initiating this process? Should I pursue this through a healthcare provider, a genetics specialist, a private laboratory, or another route? Is there a likelihood that insurance would cover such extensive testing? I plan to discuss karyotyping with my endocrinologist next week to explore potential genetic conditions, though I anticipate yet another referral will be necessary. While I don't expect to gain insights into every single problem, I hope that such testing can confirm or exclude numerous conditions and provide a clearer understanding of my health status. I'm aware that there may be insurance implications, which adds another layer of concern, but obtaining answers is my highest priority at this point, as I feel like I'm merely existing rather than living. Any advice or insights would be greatly appreciated!