Symmetrical Skin Bruises After Amusement Park Thrills - Family Medicine

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Subcutaneous hemorrhage


Today, after visiting the amusement park, I noticed symmetrical red spots on both of my arms that look like subcutaneous hemorrhages (similar to the photos in the link).
Today is the second day of my menstrual period, and I participated in some thrilling rides (it was my first time on high-altitude thrill rides).
Could this be caused by engaging in these activities during my menstrual period? Is there a potential issue with my health that needs to be checked? Thank you!

Eakey, 20~29 year old female. Ask Date: 2016/06/25

Dr. Lin Jiafang reply Family Medicine


If the skin condition changes within a week, it is recommended to visit a dermatology clinic for further evaluation.

Reply Date: 2016/06/25

More Info


Experiencing symmetrical skin bruises after a day filled with thrilling amusement park rides can be concerning, especially when they appear on both arms. The appearance of these bruises, which resemble petechiae (small red or purple spots caused by bleeding under the skin), can be attributed to several factors, including physical exertion, changes in blood flow, and even hormonal fluctuations related to your menstrual cycle.

Firstly, engaging in high-intensity activities, such as those found in amusement parks, can lead to increased blood pressure and heart rate. This sudden surge in blood flow can cause small blood vessels to rupture, resulting in bruising. The fact that the bruises are symmetrical suggests that the pressure or impact was evenly distributed across both arms, possibly from gripping safety bars or restraints during rides.
Additionally, hormonal changes during your menstrual cycle can affect your blood vessels. The second day of menstruation is often associated with increased levels of prostaglandins, which can lead to changes in vascular permeability. This means that your blood vessels may be more prone to leaking, which could contribute to the appearance of these bruises.

While it is common for individuals to experience some bruising after vigorous activities, it is essential to monitor the situation. If the bruises do not fade within a week, increase in size, or if you experience additional symptoms such as excessive bleeding, pain, or swelling, it would be prudent to consult a healthcare professional. They may want to rule out any underlying conditions, such as a bleeding disorder or issues with platelet function.

In the meantime, here are a few recommendations to help manage the bruising:
1. Rest and Ice: If you experience discomfort, resting the affected areas and applying ice can help reduce swelling and alleviate pain.

2. Avoid Strenuous Activity: Give your body time to recover from the amusement park activities. Avoid any further strenuous activities that could exacerbate the bruising.

3. Monitor Symptoms: Keep an eye on the bruises. If they change in appearance or if you develop new symptoms, seek medical advice.

4. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet rich in vitamins C and K, which are essential for skin health and healing.

5. Consult a Doctor: If you have a history of easy bruising or if you notice other unusual symptoms, it is advisable to consult a healthcare provider for a thorough evaluation.

In conclusion, while the symmetrical bruises on your arms after a day of thrilling rides at the amusement park may be a benign result of physical exertion and hormonal changes, it is crucial to remain vigilant about your health. If you have any concerns or if the bruises persist, do not hesitate to seek medical attention for peace of mind and proper care.

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