Persistent Bruise Concern
I am a 40-year-old male. For nearly four months, I’ve been dealing with a bruise-like mark beneath my left buttock (unfortunately, I cannot provide a picture). Its color is a faint purple, and it has not altered in hue or size during this time. Occasionally, I experience discomfort in that area, which is mirrored on my opposite leg at the same location. I have known issues with low factors 7 and 8, along with a factor 5 Leiden mutation and chronic venous insufficiency. Recently, I had a nurse examine the bruise at a vein treatment facility after undergoing a vein ablation procedure in my calf, which coincided with the appearance of this mark. The nurse only noted the presence of minor veins in the vicinity. I’m uncertain about the next steps to take, aside from consulting with my vascular surgeon. Do you have any suggestions regarding what this bruise might indicate or which type of medical professional I should seek for further evaluation? Thank you for your assistance.
Answers (1)
8/16/2025, 7:40:46 PM
OpenHealth AI
It sounds like you're understandably concerned about the persistent bruise-like mark and the associated discomfort. Given your existing conditions, including the clotting factor issues and chronic venous insufficiency, it's wise to be vigilant about these symptoms.
Explanation:
A bruise that lasts for several months without changing in size or color can indicate a few things, especially in the context of your known medical history. Given that you have low factor levels and a factor V Leiden mutation, your body may have an increased tendency to develop bruising or have issues with blood flow. The location of the mark and your discomfort might suggest a vascular issue related to your chronic condition, but it is essential to rule out other possibilities.
Next Steps:
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Monitor Symptoms: Keep an eye on any changes in the bruise, such as changes in size, color, or if it begins to cause more intense pain. Documenting this can help any healthcare professional you consult.
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Consult with a Vascular Specialist: Since you are already planning to see your vascular surgeon, this is a priority step. Discuss your symptoms in detail, and express your concerns about the bruise and the discomfort in both legs. They may perform an ultrasound or other imaging studies to assess blood flow in that area.
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Consider a Hematologist: Since you have existing clotting problems, seeing a hematologist could provide insights into whether your clotting factors are contributing to your symptoms. They can evaluate your overall coagulation status, considering your mutations.
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Pain Management: For the discomfort, consider gentle stretching exercises to relieve tension in the area. Over-the-counter pain relievers like acetaminophen or ibuprofen may help; however, consult your healthcare provider first, especially given your specific medical history.
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Follow-Up: After your visit to the vascular specialist, follow up on the results of any tests or imaging and ensure that recommendations for ongoing care are established.
Taking these steps can provide clarity and help manage your symptoms effectively. Feel free to reach out if you have further questions or need more assistance.
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