Thin Skin Bruises Treatment

Several symptoms indicate a bleeding disorder:

  • Unexplained nosebleeds (epistaxis).
  • Excessive or extra-long menstrual bleeding (menorrhagia)
  • Persistent bleeding after minor cuts, blood draws, minor surgical or dental procedures, or when brushing or flossing your teeth
  • Unexplained skin spots, including small red and purple spots (petechiae), red or purple spots (purpura), bruises (ecchymoses), or small blood vessels that are dilated and therefore visible on the skin or mucous membrane (telangiectasia)

Sometimes a laboratory test done for other reasons will find that a person bleeds very easily.

  • Damage to the blood vessels

Platelet disorders first cause small red or purple dots on the skin. Later, as the disorder increases, bleeding may occur. A decrease in clotting factors generally causes bleeding and bruising. Damage to blood vessels generally results in red or purple dots and spots on the skin, not bleeding. In general, the following are among the most common causes of bleeding tendency:

  • A severe platelet deficiency
  • Liver disease (which leads to insufficient formation of clotting factors).

Doctors first try to determine whether a patient’s symptoms represent mild or excessive bleeding. Then they look for possible causes. The following information can help clarify when to see a doctor and what to expect as part of that exam. For patients who bruise or bleed easily, the following symptoms and characteristics are cause for concern. These include.

  • Symptoms of serious blood loss, such as sweating, weakness, fainting or lightheadedness, nausea or extreme thirst
  • Pregnancy and recent childbirth
  • Signs of infection, such as fever, chills, diarrhea, and malaise all over the body
  • Headache, confusion or sudden symptoms related to the brain or central nervous system

Patients with warning signs should see a doctor immediately, as should those who are still bleeding and those who have lost more than a small amount of blood. Patients without warning signs who notice they are bleeding or bruising easily should call their doctor. The physician will determine how soon patients should be evaluated based on their symptoms and other factors. Typically, patients who are not feeling well or who have risk factors for bleeding, such as liver disease or use of certain medications, or who have a family history of a bleeding disorder, should be seen within the next day or two. Patients who are otherwise comfortable but have had a few nosebleeds that have stopped on their own, or who have bruising and spotting, can be examined at the next opportunity. A wait of about a week should not be a problem here. Doctors always start by asking questions about the patient’s symptoms and medical history. This is followed by a physical examination. What they find in the case history or physical exam sometimes points to a cause for the bleeding or bruising, but usually further investigation is done. The doctor asks about the type of bleeding, including frequent nosebleeds, bleeding gums when brushing teeth, blood when coughing (hemoptysis), blood in the stool or urine, or dark, tar-colored stools (melena). He also asks about other symptoms, including abdominal pain and diarrhea (suggesting digestive tract disease), joint pain (suggesting connective tissue disease), and absence of menstrual bleeding and morning sickness (suggesting pregnancy). He asks if the patient is using medications (such as aspirin, indomethacin, heparin, or warfarin) that are known to increase the risk of bleeding. Minor bleeding in patients taking warfarin, especially if the dose has recently been increased, is most likely due to the drug. The doctor will also ask if the patient has any probable reasons for a blood clotting problem, such as.

  • A serious infection, cancer, liver disease Overview of Liver Disease Liver disease can present in many different ways. Characteristic clinical pictures include: Jaundice (a yellowish discoloration of the skin and the whites of the eyes) Cholestasis or… Learn More (such as cirrhosis or hepatitis), an HIV infection (human immunodeficiency virus infection Human immunodeficiency virus (HIV) infection An infection with the human immunodeficiency virus (HIV) is a viral infection that gradually destroys certain white blood cells and causes acquired immunodeficiency syndrome (AIDS),… Learn More ), Pregnancy, Systemic lupus erythematosus Systemic lupus erythematosus (SLE) Systemic lupus erythematosus is a chronic inflammatory autoimmune disease of connective tissue that affects joints, kidneys, skin, mucous membranes, and blood vessel walls…. Learn more (Lupus) or chronic kidney disease Chronic kidney disease In chronic kidney disease, the decline in kidney function progresses slowly over months to years, and the kidney’s ability to filter metabolic waste products from the blood… Learn more
  • Excessive bleeding in the family

Patients are asked about their alcohol consumption or use of intravenous drugs. Heavy drinking is a risk factor for liver disease, and intravenous drugs are a risk factor for HIV infection. During the physical examination, the physician checks vital signs (temperature, blood pressure, and heart rate). These parameters can give the first signs of serious illness, especially low blood volume or infection. A high heart rate along with low blood pressure indicates low blood volume due to bleeding. A fever indicates infection. He examines the skin and mucous membranes (nose, mouth, and vagina) looking for signs of bleeding. A digital rectal exam is done to look for bleeding in the digestive tract. The doctor also looks for signs such as tenderness with movement or local swelling that may indicate bleeding in deeper tissues. A patient with bleeding in the brain may be confused, have a stiff neck or neurological abnormalities (e.g., headache, vision problems or weakness). The location of the bleeding may provide clues to the cause. Bleeding in superficial areas, such as the skin and mucous membranes, indicates a problem with platelets or blood vessels. Bleeding in deeper tissues, on the other hand, indicates clotting problems. Other findings can help determine the cause more precisely. A buildup of fluid in the abdomen (ascites), an enlarged spleen (splenomegaly), and yellow-colored skin and/or eyes (jaundice) suggest bleeding caused by liver disease. In a woman who is pregnant or has recently given birth, or in a patient who is in shock Circulatory shock A circulatory shock is a life-threatening condition in which organs are low on blood, reducing oxygen supply, resulting in damage and sometimes death…. Learn More located or who has a fever, chills, and other signs of a serious infection, is at risk of consumptive coagulopathy (disseminated intravascular coagulation) Consumptive coagulopathy (disseminated intravascular coagulation, DIC) In disseminated intravascular coagulation, small blood clots occur throughout the blood vessels, clogging the small veins. The increased clot formation consumes the platelets…. Learn More . In children, fever and stomach upset, especially bloody diarrhea, suggest Hemolytic Uremic Syndrome Hemolytic Uremic Syndrome (HUS) Hemolytic Uremic Syndrome (HUS) is a serious condition, usually occurring in children, in which small blood clots form throughout the body. These block the… Learn more close. A rash on the legs, joint pain, and stomach upset suggest an immunoglobulin A-associated vasculitis Immunoglobulin A-associated vasculitis Immunoglobulin A-associated vasculitis (formerly Purpura Schönlein-Henoch) is an inflammation of mainly small blood vessels that occurs predominantly in children. The first symptom is… Learn more suspect. Blood tests are required in most patients with excessive bleeding. The first tests at the onset are.

  • A peripheral blood smear (examining a blood sample under a microscope to see if blood cells are damaged, abnormal, or immature).

These tests are considered early detection tests. They are used to determine if the clotting system is normal. If any of these tests show abnormalities, further tests are generally done to determine the cause. Specific treatment for patients who bruise or bleed easily depends on the cause. Example:

  • Cancers and infections are treated.
  • Causative medications are discontinued.
  • Vitamins are given to treat vitamin deficiency.
  • Patients with liver disease sometimes receive vitamin K or transfusions of fresh frozen plasma.

Patients who bruise easily because of sensitive skin and fragile blood vessels do not need treatment, although the doctor sometimes suggests that these patients avoid aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs). Older people are more prone to bruising. As you get older, you lose some of the protective layer of fat under the surface of your skin. Therefore, a mild bump is more likely to cause blood vessels to break, resulting in bruising. Also, the small blood vessels themselves become less elastic and fragile, which also easily leads to bruising. Older people are also more likely to use aspirin, clopidogrel, warfarin or direct oral anticoagulants, which make bruising and bleeding more likely.

  • Excessive bleeding can occur spontaneously or after minor injury.
  • Bleeding can range from minimal to massive, and it is very dangerous if it occurs in the brain.
  • Liver disease, a low platelet count, and certain medications (especially warfarin, heparin, aspirin, and nonsteroidal anti-inflammatory drugs) are common causes.
  • Consumptive coagulopathy is an uncommon but serious cause that often develops in patients who are already ill or hospitalized.
  • The tendency to bruise is common and rarely a cause for concern if patients feel healthy and there are no other signs of bleeding.

All information about bruising

  • Definition: Leakage of blood from under the skin
  • Trigger: Triggered by blunt force trauma
  • Coloration: Varies, depending on the age of the bruise
  • Consequences: Usually none, harmless, sometimes signs of disease
  • Risk factors: Thin skin, blood clotting disorders
  • Direct remedy: Cooling of the corresponding area

Hematoma definition: What are bruises?

A bruise is a leakage of blood from the skin. leakage of blood from an injured vessel into the surrounding tissue or into a body cavity. In this case, the bleeding is located under the skin, usually even just below it. Because the blood shows through the skin, the skin at the site turns red. Over time, such a spot becomes blue and then also takes on other colors colors. This is related to the enzymatic changes of the leaked blood.

What is a hematoma?

The name bruise comes directly from one of the colorations that the blood leakage takes on under the skin. Medically, the bleeding event is called a Hematoma is called a hematoma. Other names are bruise, suffusion or colloquially violet (when occurring on the eye). Bruising is associated with both both severe swelling and pain. associated with bruising. These do not last long, however, and should be relieved after two to three weeks completely disappear after two to three weeks.

How long do bruises last?

The development of a bruise itself does not last very long. Within a few hours, the bleeding is over and blood clotting is complete. Then the spot is blue. Subsequently, it changes colors several times. This can be observed according to the following progression:

Color Reason for discoloration
Red Initially, the stain is red. Hemoglobin, the red blood pigment, shines through the skin.
Blue If the blood has clotted, the stain is bluish, purple or still dark red.
Brown/Black If the hemoglobin is converted to verdoglobin, the coloration becomes darker and appears blue to black (this phase gives the violet its English name “black eye”).
Green When hemoglobin is broken down to biliverdin, the hematoma appears greenish.
Yellow When hemoglobin is broken down to bilirubin, the hematoma appears yellowish.

Blue spot cause: how does a hematoma develop?

Bruises occur as a result of blunt force trauma (trauma) or also after operations. Exists a blood diseaseIf a blood disorder exists, they occasionally occur even without a preceding trauma. Small blood vessels (capillaries) under the skin surface burst and blood can escape from the capillaries. At first, this manifests itself as a blue-black discoloration. Gradually, the body breaks down the blood and the spot disappears.

How does a hematoma form?

The older a person gets, the thinner the skin becomes because the subcutaneous tissue layer is thinner. This layer of fat protects the blood vessels in the skin from injury. At the same time the blood vessels become weakerbecause the supporting vascular tissue becomes weaker becomes weaker. Similarly, the skin is damaged by too much sunlight damaged. As with the aging process, this makes it more susceptible to bruising.

Where do bruises come from?

Sometimes hematomas are also side effect of a drug. In rare cases, they occur as a result of a vitamin deficiency or a blood clotting disorder occur. Although older people are more often affected, there are also people (especially women) who are prone to them throughout their lives. So there may also be a predisposition to bruising may exist. Much more decisive are the typical behaviors of a person. Is someone often clumsy and bumps every corner, bruises are naturally more common than in more circumspect people. Without any apparent reason, some healthy people experience spontaneous harmless hematomas on the upper arms, thighs and buttocks. However, just like hematomas triggered by trauma, these are are generally harmless and heal on their own.

Can a large bruise be dangerous?

However, bruises can also be worrisome, especially if they are brain hemorrhages or hematomas in the body rather than under the skin. Also a disturbance of blood clotting due to an illness or taking certain medications can make hematomas dangerous. At the same time, the so-called Horse kisshematoma, which is caused by strong impact of force (today especially known in soccer and handball, formerly caused by escaping horses), can have serious consequences. If this results in a compartment syndrome (reduction in tissue perfusion), a surgical intervention may even be necessary.

Should one go to the doctor with a hematoma?

Normally a visit to the doctor with a hematoma is unnecessary. The doctor will only examine the hematoma and recommend cooling. However, it is much more useful if certain quick measures are taken immediately to reduce the spread of the hematoma. These are known as home remedies simple and straightforward to apply. However, if a bruise is very large or painful and its origin is mysterious, then a visit to the doctor is quite sensible. sensible. In such a case it is important to find the causes of the sudden hematoma, especially to prevent its later occurrence. It is also useful to seek medical advice if bruises appear very easily and at the same time there is unusual bleeding in other places appear at the same time. This includes, for example, bleeding from the nose and gums occurring at the same time.

Von Willebrand syndrome

The von Willebrand syndrome is a inherited blood disease. In Germany, it is considered to be the most common congenital or – more rarely – acquired disorder of hemostasis. Typical features of the disease are bleeding from the nose and gums, blood in the stool, and rapid formation of bruises, especially in rarely affected areas such as the abdomen, back, chest, upper arms, thighs, hands, and feet. Von Willebrand syndrome is caused by an absence or defect of an important component of blood clotting clotting. The platelets no longer stick together to form a functional blood clot.

How can bruises become dangerous?

To find the cause of unusual symptoms, the doctor can check the concentration of blood platelets or their clotting ability. If the number of platelets is too low, it can be increased again by certain medications. In severe cases, platelet transfusions or other measures may be necessary. In this case, bruises are not as harmless as suspected. They should therefore be examined by a doctor if they appear more frequently.

Bruises due to medication

Isolated medications cause the risk of getting bruises to increase. Acetylsalicylic acid (Aspirin®), for example, impairs the blood’s ability to clot, increasing the risk of large hematomas from trauma. Also, people who take corticosteroids (e.g., for rheumatoid arthritis or asthma) are also prone to bruising. The reason for this is that steroids and cortisone thin the skin, making it harder to absorb shocks. However, the benefits of these medications far outweigh the side effects associated with a risk of bruising. After all, they are almost always harmless. NoteIt is therefore not worthwhile in any case to arbitrarily discontinue a medication due to the fact that it promotes bruising.

Bruises caused by food supplements

Also some food supplement preparationsincluding fish oil, garlic, ginger, vitamin E and ginkgo biloba also promote the development of bruises. This is especially true if blood-thinning medications are taken at the same time.

Bruising risk factors.

  • Aging capillaries: Over time, the vascular wall can become brittle, making capillaries less resilient and more likely to rupture.
  • Thinning skin: As we age, the skin thins and loses its protective layer of fat that protects blood vessels from bumps and injuries.
  • Medications that reduce blood clotting: Blood-thinning medications such as ASA (e.g., aspirin) and warfarin, or drugs such as clopidogrel, can lower blood clotting. Therefore, an injured capillary cannot close as quickly, allowing more blood to flow out and form a bruise.

Get rid of bruises quickly: How to treat bruises?

To get rid of bruises or hematomas requires some preparation and fast action required, but at the same time a little patience. The “PECH” principle offers a useful guide to the treatment of bruising: PECH stands for Rest, Ice cooling, Compression (for example by applying a bandage) and Elevation. Immediate cooling causes the blood vessels to contract quickly and the subcutaneous (under the skin) bleeding is stopped. Thus, the bruise does not enlarge further and does not look too spectacular. Also anti-inflammatory ointments with arnica or heparin also lead to a faster reduction of the bruise and also have a pain-relieving effect.

What can you do about a bruise? – The fairy tale of raw meat

What about the well-known treatment of a bruise with a raw piece of meat? raw piece of meat? This idea of a quick treatment has been around for many years and has gained particular notoriety from the fact that in the French Asterix comic “The Golden Sickle” a Parisian pub owner tried to cool his black eye with a cutlet. In fact, this is a Schnapps idea. At first glance, the procedure may seem obvious: a raw piece of meat is usually chilled and thus transfers cold to the hematoma, reducing swelling and spread. However, a raw piece of meat may also be a for numerous undesirable bacteria that canthat can get on and into the eye. This may cause possibly cause worse damage. caused. If it has to be the reach for food, then it is clearly better to reach for a packet of chips or frozen peas. However, it is best to use a cooling pad is to have a cooling pad handy, which provides optimal cooling properties. However, this should always be wrapped in a cloth cloth, in order to prevent chills.

Toothpaste against bruises

Another mysterious home remedy Is to apply toothpaste to a hematoma. Especially for the infamous hickeys this trick is considered a quick fix. In fact, bruises heal faster when toothpaste is applied. This is due to the active ingredient sodium dodecyl polysulfate is involved. This dissolves fats and helps break down clotted blood. This sounds good and also helps against bleeding gums. Unfortunately, toothpaste attacks the skin at the same time as preservatives and cleaning agents and therefore also leads to unwanted irritation. Therefore, it is better to should better be avoided. should be avoided.

Prevention of hematomas: Avoiding bruises

Once a bruise has developed, there is not much you can do except extensive cooling. The spot will gradually disappear. Cooling is also the only thing that helps with swelling. After the swelling has gone down, a warm compress accelerate the breakdown of the blood.

Prevent hematomas from forming in the first place

To prevent minor injuries in the first place, household items should be should be moved out of the way things should be moved out of the way that trip hazards are. Also appropriate clothing choices (Long-sleeved shirts, long pants) can provide a layer of protection and act like armor against bruises. For people who are particularly clumsy, a Change of consciousness Provide relief. When a mishap occurs, the situation should be recorded and noted. Subsequently, it is important to become aware of these situations and avoid them in the future. For example, anyone who bumps into a closet, especially when getting out of bed, can already avoid bruises by getting out of bed on the other side. Ouch! Bumped once and there’s already a thick, bruised spot on your skin? We women with thin skin know this all too well. If you get bruises quickly, this can also have various reasons, but is usually harmless.

This is how a bruise develops quickly

A bruise forms on the skin when very strong pressure is applied to it for a short time. This causes a so-called hematoma: blood leaks from the capillary vessels into the tissue. We see this as a purple to dark blue spot. In people who have particularly thin skin, these spots are more visible. Especially in old age, the tendency to bruises increases, because the protective fat layer of the skin is missing – it becomes thinner and thinner. Normally, these skin changes disappear by themselves after a short time.. This is because the body gradually breaks down the blood again. To do this, it sends proteins that have to transport the blood away and convert hemoglobin into bile pigment. Therefore, a bruise often becomes a yellow spot after a few days and eventually the spot will fade. Notice: If the bruise does not disappear after a few days, but a bump forms, you should see the doctor. Therefore, it is said: Observe bruises daily and react if it does not fade. Bruises appear quickly when the skin is particularly thin or blood clotting is inhibited.

Causes of frequent bruises

When the skin is pressed or bumped, almost everyone gets a hematoma. However, some people are affected more often.

  • Medications: If you regularly take blood thinners or anticoagulant pills because you have heart because you have heart disease, you may bruise quickly. Therefore, after a fall or accident, be sure to talk to your doctor and have the spots observed. Furthermore, also ASA (acetylsalicylic acid) and coumarin derivatives can also can also inhibit blood clotting. Also after taking cortisone can also lead to increased bruising after a contusion. Do not discontinue medications on your own, but always talk to your doctor about side effects or your suspicions.
  • Food or dietary supplements: Those who take fish oil, ginger and garlic supplements on a regular or short-term basis may also suffer more from the formation of hematomas. This is because these thin the blood in larger quantities and inhibit clotting.
  • People with thin skin: If you have very thin skin and are also prone to varicose veins, you’ll be used to bruising quickly. The impact is simply not cushioned as well because your skin lacks the necessary fatty tissue and the burst veins show through.

How bruises heal faster

Most minor bruises will go away on their own after a week or two. If it is a larger bruise, it can take a few weeks.

Here’s how to speed up healing:

  • Elevate your legs frequently to allow the blood to recede.
  • Cool the spot with a cooling pad* or washcloth stored in the freezer.
  • Avoid large amounts of sunlight and heat, as they put even more stress on the skin.

When should I go to the doctor?

If the spots suddenly increase and do not disappear quickly, you should have them checked. Then a more serious disease may be present. However, this occurs only in rare cases. In addition, there are usually other symptoms such as dizziness, listlessness and severe fatigue. If the spot continues to darken instead of lighten, if a bump develops and if it hurts, you should take this seriously. If you also feel bad overall and have a fever, you need to see a doctor. Especially in the case of a major impact after an accident, large hematomas are not to be trifled with.

Video: These beauty oils provide healthy, firm skin

If you suffer from weak connective tissue, blemished skin and scarring in general, then a good skin care regimen is important. These oils provide the skin and hair with the necessary vitamins and nutrients from the outside: Many bruises come very quickly and go just as quickly. If they bother you visually a lot, you can cover them with camouflage makeup, just as one would cover a tattoo. Of course, the disappearance is also due to the general condition of your skin. Sometimes you have to give it time to heal and you shouldn’t be too impatient. Image source: iStock/p_saranya/frentusha Thin Skin Bruises Treatment.

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