Unexplained Bruising and Intense Itching
Hello, I’m a 20-year-old female, standing at 5 feet 2 inches and weighing 135 pounds. Recently, I have been experiencing intense itching that has resulted in significant bruising on my skin. Currently, I’m on several medications including spironolactone (which I haven’t taken for the last two weeks), Effexor, Aimovig, Wegovy, and Linzess. I do not use tobacco or consume alcohol. Apart from experiencing a generally sluggish digestive system, I have no pre-existing health issues. However, my family medical history indicates occurrences of Multiple Sclerosis, Hashimoto’s disease, diabetes, and eczema. The itching has become severe, leading to large bruises forming on my body. I consulted a virtual urgent care service, which advised me to visit the emergency room to check for potential blood clots or internal bleeding. Upon arriving at the ER, I underwent various tests, and I noticed that my resting heart rate has been notably elevated between 120 and 140 beats per minute, though I am uncertain if this is a new development. Eventually, I was discharged without any conclusive information, except with the advice to refrain from scratching. I have shared images of the tests conducted during my visit.
Answers (1)
2/7/2026, 3:00:52 AM
OpenHealth AI
Thank you for sharing your concerns. It sounds like you're experiencing a troubling combination of intense itching and bruising, which can be distressing. Given your situation, it's important to consider both the symptoms and the medications you're taking.
Main Points
- Itching and Bruising Causes: The intense itching and subsequent bruising can stem from several causes, including medication side effects, allergic reactions, or skin conditions (like eczema, which runs in your family).
- Elevated Heart Rate: A resting heart rate of 120-140 beats per minute is considered high, especially in the absence of physical activity. This can be related to anxiety, medication effects, or other underlying issues that need attention.
Explanation
The itching you are experiencing could be due to a reaction to one of your medications (especially since you stopped taking spironolactone recently), a dermatological condition, or even signs of a systemic issue that could warrant further exploration. Bruising can occur from fragile blood vessels, which may also be influenced by medications or other health factors.
Your elevated heart rate is also a concern and could be linked to anxiety caused by these symptoms. It’s best to monitor it closely.
Next Steps
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Monitor Your Symptoms: Keep a diary of when the itching and bruising occur, noting any changes in medication, diet, or stress levels. This may help identify potential triggers.
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Hydration and Skin Care: Apply gentle, fragrance-free moisturizers to help soothe your skin and reduce the urge to scratch. Staying hydrated can also benefit your skin and overall health.
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Avoid Irritating Substances: Be careful with hot showers, harsh soaps, or synthetic fabrics that might increase itching.
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Reduce Stress: Employ relaxation techniques such as deep breathing, meditation, or yoga, which might help with both your symptoms and elevated heart rate.
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Follow-Up Considerations: Consider reaching back out to your healthcare provider for a follow-up appointment. Discuss the symptoms you're experiencing (especially the elevated heart rate) and ask about potential referrals to a dermatologist or an allergist if the itching and bruising persist.
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Medication Review: Consider a review of your current medications with a healthcare professional, as one or more might be contributing to your symptoms.
If new symptoms arise, or your heart rate remains elevated or worsens, please seek immediate medical attention. Take care, and let me know if you need further information!
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