Reappearing Bruise Above Right Pelvis: Should You Be Concerned?

A bruise in the upper right area of the abdomen reappeared after a year?

In June 2022, I had a motorcycle accident where I fell on my right side.
Three days after the accident, I noticed a large bruise appearing on the right side of my abdomen above the pelvis, which was painful and very dark.
I only managed to alleviate it through continuous rest and daily application of a bruise ointment.
After nearly three months, the bruise gradually faded away.

Today, on May 28, 2023, while taking a shower, I discovered that the bruise, which had completely disappeared, has reappeared.
However, it is not painful.
I feel that this bruise resembles the one from my previous injury due to its location and length, but the color is red with some spotted areas.
I am concerned about the possibility of bleeding or other issues.
Which medical specialty would you recommend I consult? Or should I just take care of it myself? Thank you.

Mei, 30~39 year old female. Ask Date: 2023/05/29

Dr. Chen Bozhang reply Family Medicine

Hello, you may first visit the family medicine clinic for evaluation.
Thank you.

Reply Date: 2023/05/29

More Info

When it comes to reappearing bruises, especially in the context of a previous injury, it is essential to approach the situation with caution and awareness of potential underlying issues. Bruising can occur for various reasons, and understanding the context of your previous injury is crucial in determining whether you should be concerned.

Firstly, the fact that you experienced a significant bruise above your right pelvis following a motorcycle accident in June 2022 indicates that there was likely trauma to the area, which can lead to blood vessel damage and subsequent bruising. The bruise you observed in May 2023, which resembles the previous one but is red and has a spotted appearance, raises a few considerations.

1. Recurrent Bruising: If the bruise is reappearing without any new trauma, it could suggest a few possibilities. One potential cause is a condition known as easy bruising, which can be due to various factors, including blood clotting disorders, certain medications (like anticoagulants), or even nutritional deficiencies (such as vitamin C or K deficiency).
2. Color and Appearance: The color of a bruise can provide information about its age and the healing process. Fresh bruises are typically red or purple, while older bruises may turn yellow or green as they heal. The red and spotted appearance of your bruise could indicate fresh bleeding or a new vascular response in the area.

3. Pain and Symptoms: The absence of pain is a positive sign, as painful bruises often indicate more significant trauma or underlying issues. However, the recurrence of a bruise in the same area warrants further investigation to rule out any complications from the previous injury, such as hematoma formation or vascular issues.

4. When to Seek Medical Attention: Given your history of trauma and the reappearance of the bruise, it would be wise to consult a healthcare professional. A visit to a primary care physician or a specialist in hematology could be beneficial. They can conduct a thorough evaluation, including a physical examination and possibly blood tests, to assess your clotting function and rule out any underlying conditions.

5. Self-Care and Monitoring: In the meantime, you can monitor the bruise for any changes in size, color, or associated symptoms. Applying ice to the area can help reduce any swelling if it becomes painful. Additionally, maintaining a balanced diet rich in vitamins and minerals can support overall vascular health.

6. Preventive Measures: If you have a history of easy bruising or if you are on medications that affect blood clotting, discussing preventive measures with your healthcare provider is essential. They may recommend lifestyle changes or adjustments to your medication regimen.

In summary, while the reappearance of a bruise above your right pelvis may not be immediately alarming, it is crucial to approach the situation with caution, especially given your history of trauma. Consulting a healthcare professional will provide you with the necessary guidance and peace of mind. Remember, it is always better to err on the side of caution when it comes to your health.

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