Subcutaneous Hemorrhages: Causes and When to Seek Help - Oncology

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Petechiae


Hello, Doctor! I would like to ask you about a problem related to subcutaneous bleeding.
I have a bamboo mat for my mattress, and yesterday I knelt down to move to the table next to it to grab something (just about the distance of a single bed).
After sitting down, I noticed that both of my knees had impressions from the bamboo mat and a few small red spots of bleeding.
I would like to know if this is related to the bamboo mat.
Can bleeding occur so quickly? I am quite worried.
The next day, I checked and it had almost completely absorbed.
However, today I came into contact with the bamboo mat again and noticed a couple of small red spots of bleeding.
Previously, when I pressed on my knees for over an hour while studying, I experienced similar spots.
I had a blood test done last November, and the results were normal.
Recently, I am also on my menstrual period, and I wonder if this could affect the fragility of my blood vessels.
I would like to ask which specialist I should see if it is necessary to consult a doctor.
Thank you very much, Doctor.

Niming, 20~29 year old female. Ask Date: 2017/04/21

Dr. Hu Ziren reply Oncology


Hello, it looks like you have marks on your skin that resemble those made by a bamboo mat.
:)

Reply Date: 2017/04/21

More Info


Subcutaneous hemorrhages, commonly referred to as bruises, can occur due to various reasons, including trauma, pressure, or underlying medical conditions. In your case, the bruising on your knees after kneeling on a bamboo mat could be attributed to the pressure applied to your skin and underlying tissues. Bamboo mats, while generally firm, can create localized pressure that may lead to small blood vessels breaking, resulting in the appearance of red spots or bruises.

The rapid onset of these small red spots is not unusual. When you apply pressure to an area, especially if it is sustained, it can cause capillaries (the smallest blood vessels) to rupture, leading to bleeding under the skin. This can happen quite quickly, and the body often absorbs this blood over time, which is why you may notice that the discoloration fades after a day or two.

Regarding your concern about the timing of these occurrences with your menstrual cycle, hormonal changes during menstruation can indeed affect blood vessel integrity. Some women experience increased bruising or sensitivity during their periods due to fluctuations in hormone levels, particularly estrogen and progesterone, which can influence blood vessel function and clotting factors. If you have a history of easy bruising or if you notice that this is a recurring issue, it may be worth discussing with a healthcare provider.

If the bruising continues to occur with minimal or no trauma, or if you experience other symptoms such as excessive bleeding, prolonged bruising, or signs of anemia (like fatigue or pallor), it would be prudent to seek medical advice. In such cases, you should consider visiting a hematologist, a specialist in blood disorders, who can evaluate your blood clotting function and assess for any underlying conditions that might predispose you to easy bruising.

In summary, while the bruising you are experiencing may be related to the pressure from the bamboo mat and possibly exacerbated by your menstrual cycle, it is essential to monitor the situation. If you notice any concerning changes or if the bruising persists, do not hesitate to seek medical attention. Regular check-ups and open communication with your healthcare provider can help ensure that any potential issues are addressed promptly.

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