Unexplained Bruising: When to Seek Medical Help

Q: Unexplained Bruising: When to Seek Medical Help

Hello： In response to your question... <br>The occurrence of unexplained bruising may be due to a deficiency or dysfunction of platelets, or it could be related to coagulation issues. <br>This phenomenon can be further investigated at a hematology and oncology department. <br>Kee

Congestion due to underlying causes?

Hello, Doctor: I am your patient with "glomerulonephritis" who needs to have regular check-ups every year.
However, in the past month or two, I have been experiencing unexplained bruising below my thighs, which is painful and itchy.
I visited a clinic, and the doctor there mentioned that I have low platelet counts and advised me to get a blood test.
However, I am unsure which department I should visit for this.
Could you please advise me on which department to go to, or should I come to your department for an examination? Thank you for your response, Doctor.

Chongman Yiwenti de Ren, 20~29 year old female. Ask Date: 2004/12/21

Dr. Yang Jun reply Internal Medicine

Hello: In response to your question...
The occurrence of unexplained bruising may be due to a deficiency or dysfunction of platelets, or it could be related to coagulation issues.
This phenomenon can be further investigated at a hematology and oncology department.
Keelung Hospital, Department of Health, Executive Yuan, Yang Jun.

Reply Date: 2004/12/21

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding the unexplained bruising you have been experiencing. It’s understandable to feel anxious when faced with new and unexplained symptoms, especially given your history of glomerulonephritis, which requires regular monitoring. Bruising can occur for a variety of reasons, and it’s important to investigate the underlying cause, particularly since you mentioned that the bruises are accompanied by pain and itching.

Firstly, the presence of unexplained bruising, especially if it is recurrent or associated with other symptoms, warrants further evaluation. The fact that a doctor has already suggested that you may have low platelet counts is significant. Thrombocytopenia (low platelet count) can lead to increased bruising and bleeding, and it can be caused by various conditions, including bone marrow disorders, autoimmune diseases, or even certain medications.

Given your situation, I recommend that you see a hematologist. A hematologist specializes in blood disorders and will be able to conduct the necessary tests to determine the cause of your low platelet count and the associated bruising. They may perform a complete blood count (CBC) to assess your platelet levels and other blood components. Depending on the results, they may recommend further tests, such as a bone marrow biopsy or specific tests for clotting disorders.

In addition to seeing a hematologist, it may also be beneficial to consult with your nephrologist, especially since you have a history of kidney issues. Your nephrologist can provide insights into how your kidney condition might be related to your current symptoms and whether any adjustments to your treatment plan are necessary.

While waiting for your appointment, it’s important to monitor your symptoms closely. Keep track of any new bruises, how they develop, and any other symptoms you may experience, such as fatigue, changes in urine output, or any signs of bleeding. This information will be valuable for your healthcare providers in determining the best course of action.

In the meantime, avoid activities that could lead to further injury or bruising, and be cautious with medications that can affect bleeding, such as aspirin or non-steroidal anti-inflammatory drugs (NSAIDs), unless prescribed by your doctor.

Lastly, I want to emphasize the importance of open communication with your healthcare providers. If you have any concerns or questions about your symptoms or treatment, do not hesitate to reach out to them. Your health and well-being are paramount, and it’s essential to have a supportive healthcare team that can address your needs.

I hope this information helps guide you in seeking the appropriate care. Please take care, and I wish you the best in your journey towards understanding and managing your symptoms.

Sincerely,
Doctor Q&A Teams

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