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Doctors' Answers to "Frequently Asked Questions" - Bruising


These comments are made for the purpose of discussion and should NOT be used as recommendations for or against therapies or other treatments. An individual patient is always advised to consult their own physician.

Blood Circulation and bruising [posted 1/11/99]
Question: I am 26 years old, female. I have a son who is 18 months old. I noticed that after having my son I get bruises on my legs. They come and go sometimes. Some are from bumping on the desk, but there are some that I cannot explain where they are coming from. There's one right below the back of my knee that keeps coming back. The color is almost purple. Why am I getting these bruises?

Answer: Well, I can't say off hand. Get your platelets and bleeding times checked. Are you on any medications, including aspirin?

Abnormal bruising
Question: After taking anti inflamatories, i.e. difine 75 and voltoral, I have experienced severe bleeding under the skin on the upper thighs and lower abdomen, and also in the lower calves on both legs etc. It is very painful to touch.

Answer: Non steroidal anti inflammatories are excellent for many things, but unfortunately making bruises is one of them. The drug inhibits (reversibly as opposed to aspirin which is non reversible) the ability of the platelets to start the coagulation cascade. This results in bruising. Acetaminophen will not do this, but also is not an anti, inflammatory.


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