Bruising on Thigh: When to Seek Medical Attention - Oncology

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Thigh contusion


Hello Doctor, I noticed a not very obvious bruise on the inner side of my right thigh while taking a shower today.
It hurts a bit when I wash with hot water, but I don't feel anything when I press on it later.
Previously, I had a small, not very noticeable bruise on my left hand and left foot, but it has already disappeared.
There hasn't been any pinpoint bleeding in my calves.
I had a blood test at the end of last month, and everything was normal.
Should I pay more attention to this, or is it okay to let it be? Thank you, Doctor.

Niming, 10~19 year old female. Ask Date: 2021/08/19

Dr. Chen Yunfang reply Oncology


Hello: Although I don't know what tests were done on your blood or what the results are, based on your description, if you're concerned, it's best to see a dermatologist.
Thank you.

Reply Date: 2021/08/19

More Info


Hello,
Thank you for reaching out with your concerns regarding the bruising on your thigh. Bruising, or contusions, can occur for a variety of reasons, and understanding when to seek medical attention is important for your health.

From your description, it seems that you have noticed a bruise on the inner side of your right thigh, which is somewhat painful when exposed to hot water but does not hurt when pressed. You also mentioned having had similar bruises on your left arm and leg that have since resolved. Given that you had a blood test last month that came back normal, it seems that there are no immediate concerns regarding your blood's ability to clot.

Bruises typically occur when small blood vessels under the skin break due to trauma, leading to bleeding in the surrounding tissues. This can happen from minor injuries that you might not even remember, such as bumping into something or even from vigorous exercise. The fact that you have experienced similar bruises in the past that have resolved without complications is a good sign.

However, there are certain situations where bruising can be a cause for concern. You should consider seeking medical attention if you experience any of the following:
1. Frequent or Unexplained Bruising: If you notice that you are developing bruises frequently without any clear cause, it may indicate an underlying issue with blood clotting or a bleeding disorder.

2. Large or Painful Bruises: While some pain is normal with bruising, if the pain becomes severe or if the bruise is unusually large, it may warrant further evaluation.

3. Signs of Infection: If the bruised area becomes red, swollen, or warm to the touch, or if you develop a fever, these could be signs of an infection that needs medical attention.

4. Accompanied Symptoms: If you experience other symptoms such as excessive bleeding from minor cuts, prolonged bleeding after dental work, or joint pain, it would be wise to consult a healthcare provider.

5. Family History of Bleeding Disorders: If you have a family history of bleeding disorders or if you are taking medications that affect blood clotting (like anticoagulants), you should be more vigilant.

In your case, since the bruise is not causing significant pain and you have had normal blood tests, it may be reasonable to monitor the bruise and allow it to heal naturally. Bruises typically take about two weeks to heal, changing colors as they do so. Keeping the area protected and avoiding further trauma is advisable.

If you have any concerns or if the bruise does not improve or worsens over time, do not hesitate to reach out to your healthcare provider for further evaluation. They may perform additional tests to rule out any underlying conditions if necessary.

In summary, while it seems that your current situation may not require immediate medical attention, staying aware of any changes or new symptoms is essential. Your health and peace of mind are important, so trust your instincts and seek help if you feel it is necessary.

Take care, and I hope you feel better soon!

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