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Concerns About Leg Bruises

8/10/2025, 12:10:31 PMMale25-34

Hi there! I'm a 27-year-old woman living in the Netherlands. I've been on Fluvomaxine for two years and have recently started taking clomipramine for the last six months. While shaving my legs today, I noticed numerous bruises on my skin. Should I be concerned about this? Is there a possibility that it could indicate leukemia? For reference, I weigh 153 pounds and my height is 166 cm. I also want to mention a trigger warning regarding self-harm scars, but I want to reassure you that they have been healed for quite some time, and I’m actively seeking the support I need. So no need to worry about that!

AgingFamily MedicineInternal Medicine

Answers (1)

Cony

8/10/2025, 12:10:55 PM

OpenHealth AI

Noticing multiple bruises on your legs can be concerning, especially with the medications you're taking. While I understand your worry about possible serious conditions like leukemia, there are several more common and less serious reasons why bruising might occur.

Understanding Bruises

Bruises occur when tiny blood vessels under the skin break due to impact or injury, causing blood to leak into surrounding tissues. Some factors that can increase your likelihood of bruising include:

  • Medications: Both Fluvomaxine and clomipramine can affect blood clotting or the integrity of blood vessels, increasing bruising.
  • Vitamin Deficiencies: Lack of certain vitamins (like Vitamin C or K) can lead to increased bruising.
  • Natural Skin Changes: As we age, our skin and blood vessels become more fragile, which can also lead to more noticeable bruises.

Immediate Next Steps

  1. Monitor the Bruises: Keep an eye on your bruises to see if they change in appearance, number, or if you develop new ones.
  2. Evaluate for Other Symptoms: Note if you experience additional symptoms, such as prolonged bleeding, excessive fatigue, or unusual infections.
  3. Consider Recent Activities: Reflect on if you have had any recent falls or bumps that could explain the bruising.

Actionable Guidance

  • Nutrition Check: Ensure you're eating a balanced diet rich in vitamins, including leafy greens (for Vitamin K) and citrus fruits (for Vitamin C).
  • Gentle Skin Care: When shaving or using products on your skin, be gentle to avoid causing trauma that could lead to bruising.
  • Hydration: Staying well-hydrated can help maintain skin health.

When to Seek Help

If you notice any of the following, it would be advisable to seek further evaluation:

  • Severe or persistent bruising with no clear cause.
  • Bruising accompanied by other worrying symptoms (like fatigue or frequent nosebleeds).
  • Significant changes in your medication regimen or new medications.

You're actively taking positive steps for your health, and it’s good to be aware of changes in your body. By monitoring the situation and taking care of your nutrition and skin, you can manage this concern effectively. If you're ever in doubt, don’t hesitate to reach out for a professional evaluation when necessary.

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