Bruises and Blood Spots Under the Skin (2023)

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Overview

Bruises form when small blood vessels under the skin tear or rupture, most often from a bump or fall. Blood leaks into tissues under the skin and causes the black-and-blue colour. As bruises (contusions) heal, they often turn colours, including purplish black, reddish blue, or yellowish green. They usually heal within 2 to 4 weeks. Sometimes the area of the bruise spreads down the body in the direction of gravity. A bruise on a leg usually will take longer to heal than a bruise on the face or arms.

Most bruises aren't a cause for concern. They will go away on their own. Home treatment may speed healing and relieve the swelling and soreness from bruises that are caused by injury. But severe bruising, swelling, and pain that start within 30 minutes of an injury may mean a more serious problem, such as a severe sprain or fracture.

If you bruise easily, you may not even remember what caused a bruise. Bruising easily doesn't mean you have a serious health problem, especially if bruising is minimal or only shows up once in a while.

  • Older adults often bruise easily from minor injuries. Bruises are most common in injuries to the forearms, hands, legs, and feet. As a person ages, the skin becomes less flexible and thinner because there is less fat under the skin. The cushioning effect of the skin decreases as the fat under the skin decreases. These changes, along with skin damage from exposure to the sun, cause blood vessels to break easily. When blood vessels break, bruising occurs.
  • Women bruise more easily than men, especially from minor injuries on the thighs, buttocks, and upper arms.
  • A tendency to bruise easily sometimes runs in families.

In some cases after an injury, blood collects and pools under the skin (hematoma). This gives the skin a spongy, rubbery, lumpy feel. A regular bruise is more spread out. It may not feel like a firm lump. A hematoma usually isn't a cause for concern. It's not the same thing as a blood clot in a vein. And it doesn't cause blood clots.

Bruises that don't seem to be caused by an accidental injury may be caused by abuse. It's important to consider this possibility, especially if the bruises can't be explained or if the explanations change or don't match the injury. Report this type of bruising, and seek help to prevent further abuse.

Blood spots

Blood spots under the skin may be either purpura or petechiae. Purpura might look like bruises, but they aren't caused by an injury as most regular bruises are. Petechiae don't look like bruises. They are tiny, flat, red or purple spots in the skin. But they are different than the tiny, flat, red spots or birthmarks (hemangiomas) that are on the skin all the time.

Some people have sudden unexplained bruising or blood spots under the skin, or they may suddenly get bruises more often. This may be caused by:

  • A medicine, such as aspirin or blood thinners (anticoagulants).
  • An infection that causes the buildup of toxin in the blood or tissues (sepsis).
  • A bleeding or clotting disorder, such as hemophilia, von Willebrand disease, thrombocytopenia, or another less common bleeding or clotting disorder.
  • Other diseases that affect clotting. Examples include:
    • Chronic inflammatory diseases, such as lupus.
    • Liver disease, such as cirrhosis.
    • Some types of cancer, such as Hodgkin lymphoma, leukemia, or multiple myeloma.
  • Inflammation of a blood vessel (vasculitis).
  • Malnutrition, such as deficiencies of vitamins B12, C, or K, or folate.

Medical treatment for abnormal bruising or blood spots focuses on preventing or stopping bleeding, changing or adjusting a medicine that may be causing the bruising, or treating the medical problem that is causing the bruising.

If the skin is injured over a bruise, be sure to watch for signs of a skin infection.

Check Your Symptoms

Do you have bruises or blood spots under the skin?

If a bruise is rapidly spreading, you need try to stop the bleeding under the skin. Wrap the area (not too tightly) with an elastic bandage, such as an Ace wrap, and keep it on until you see a doctor. You can also put direct pressure on the area for 15 minutes at a time.

Yes

Bruises or blood spots under skin

No

Bruises or blood spots under skin

How old are you?

Less than 3 years

Less than 3 years

3 years or older

3 years or older

Are you male or female?

Male

Male

Female

Female

The medical assessment of symptoms is based on the body parts you have.

  • If you are transgender or non-binary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
  • If your symptoms aren’t related to those organs, you can choose the gender you identify with.
  • If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.

Do you have symptoms of shock?

The symptoms in an adult or older child are different than the symptoms in a young child.

Yes

Symptoms of shock

No

Symptoms of shock

Has there been a decrease in how alert or aware you are or how well you can think and respond?

Yes

Decreased level of consciousness

No

Decreased level of consciousness

Do you have symptoms of a serious illness?

The symptoms in an adult or older child are different than the symptoms in a baby or toddler.

Yes

Symptoms of serious illness

No

Symptoms of serious illness

Are there any symptoms of infection?

Yes

Symptoms of infection

No

Symptoms of infection

Are there red streaks leading away from the area or pus draining from it?

Yes

Red streaks or pus

No

Red streaks or pus

Do you have diabetes, a weakened immune system, peripheral arterial disease, or any surgical hardware in the area?

"Hardware" includes things like artificial joints, plates or screws, catheters, and medicine pumps.

Yes

Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area

No

Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area

Do you think you may have a fever?

Yes

Possible fever

No

Possible fever

Do you have any abnormal bleeding?

Yes

Abnormal bleeding

No

Abnormal bleeding

Do you feel light-headed or dizzy, like you are going to faint?

It's normal for some people to feel a little light-headed when they first stand up. But anything more than that may be serious.

Yes

Feels faint

No

Feels faint

Are you bleeding now?

Yes

Abnormal bleeding now present

No

Abnormal bleeding now present

Do you think that the bruising may have been caused by abuse?

Yes

Bruises may have been caused by abuse

No

Bruises may have been caused by abuse

Has the number or size of bruises or blood spots increased for no clear reason?

Yes

Unexplained increase in size or number of bruises or blood spots

No

Unexplained increase in size or number of bruises or blood spots

Was the increase in bruises or blood spots fast?

Yes

Rapid increase in the number or size of bruises or blood spots

No

Rapid increase in the number or size of bruises or blood spots

Do you take a medicine that affects the blood's ability to clot?

This may include blood thinners and nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin and ibuprofen. These medicines can cause bleeding and can make it harder to control bleeding.

Yes

Medicine may be causing bruises

No

Medicine may be causing bruises

Were the bruises caused by an injury?

Yes

Bruises caused by injury

No

Bruises caused by injury

Did a large, painful, very swollen bruise develop within 30 minutes after the injury?

Yes

Bruising within 30 minutes of injury

No

Bruising within 30 minutes of injury

Have you had bruises or blood spots for more than 2 weeks?

Yes

Bruises or blood spots for more than 2 weeks

No

Bruises or blood spots for more than 2 weeks

Many things can affect how your body responds to a symptom and what kind of care you may need. These include:

  • Your age. Babies and older adults tend to get sicker quicker.
  • Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
  • Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, or natural health products can cause symptoms or make them worse.
  • Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
  • Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.

Try Home Treatment

You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.

  • Try home treatment to relieve the symptoms.
  • Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.

HomeTreatment

Shock is a life-threatening condition that may quickly occur after a sudden illness or injury.

Adults and older children often have several symptoms of shock. These include:

  • Passing out (losing consciousness).
  • Feeling very dizzy or light-headed, like you may pass out.
  • Feeling very weak or having trouble standing.
  • Not feeling alert or able to think clearly. You may be confused, restless, fearful, or unable to respond to questions.

Shock is a life-threatening condition that may occur quickly after a sudden illness or injury.

Babies and young children often have several symptoms of shock. These include:

  • Passing out (losing consciousness).
  • Being very sleepy or hard to wake up.
  • Not responding when being touched or talked to.
  • Breathing much faster than usual.
  • Acting confused. The child may not know where he or she is.

Abnormal bleeding means any heavy or frequent bleeding or any bleeding that is not normal for you. Examples of abnormal bleeding include:

  • Nosebleeds.
  • Vaginal bleeding that is different (heavier, more frequent, at a different time of month) than what you are used to.
  • Rectal bleeding and bloody stools.
  • Bloody or pink urine.
  • Gums that bleed easily when you eat or gently brush your teeth.

When you have abnormal bleeding in one area of your body, it's important to think about whether you have been bleeding anywhere else. This can be a symptom of a more serious health problem.

Many prescription and non-prescription medicines may reduce your blood's ability to clot and cause bruising or bleeding under the skin. A few examples are:

  • Aspirin and other medicines (called blood thinner) that prevent blood clots. Also, taking a non-prescription medicine with a blood thinner may increase your risk of bruising and bleeding.
  • Medicines used to treat cancer.
  • Non-steroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen (for example, Advil or Motrin).
  • Steroids, such as prednisone.

Symptoms of infection may include:

  • Increased pain, swelling, warmth, or redness in or around the area.
  • Red streaks leading from the area.
  • Pus draining from the area.
  • A fever.

Symptoms of serious illness may include:

  • A severe headache.
  • A stiff neck.
  • Mental changes, such as feeling confused or much less alert.
  • Extreme fatigue (to the point where it's hard for you to function).
  • Shaking chills.

Symptoms of serious illness in a baby may include the following:

  • The baby is limp and floppy like a rag doll.
  • The baby doesn't respond at all to being held, touched, or talked to.
  • The baby is hard to wake up.

Certain health conditions and medicines weaken the immune system's ability to fight off infection and illness. Some examples in adults are:

  • Diseases such as diabetes, cancer, heart disease, and HIV/AIDS.
  • Long-term alcohol and drug problems.
  • Steroid medicines, which may be used to treat a variety of conditions.
  • Chemotherapy and radiation therapy for cancer.
  • Other medicines used to treat autoimmune disease.
  • Medicines taken after organ transplant.
  • Not having a spleen.

Call 911 Now

Based on your answers, you need emergency care.

Call 911 or other emergency services now.

Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.

Seek Care Today

Based on your answers, you may need care soon. The problem probably will not get better without medical care.

  • Call your doctor today to discuss the symptoms and arrange for care.
  • If you cannot reach your doctor or you don't have one, seek care today.
  • If it is evening, watch the symptoms and seek care in the morning.
  • If the symptoms get worse, seek care sooner.

HomeTreatment

Seek Care Now

Based on your answers, you may need care right away. The problem is likely to get worse without medical care.

  • Call your doctor now to discuss the symptoms and arrange for care.
  • If you cannot reach your doctor or you don't have one, seek care in the next hour.
  • You do not need to call an ambulance unless:
    • You cannot travel safely either by driving yourself or by having someone else drive you.
    • You are in an area where heavy traffic or other problems may slow you down.

Make an Appointment

Based on your answers, the problem may not improve without medical care.

  • Make an appointment to see your doctor in the next 1 to 2 weeks.
  • If appropriate, try home treatment while you are waiting for the appointment.
  • If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.

HomeTreatment

Self-Care

You may be able to use home treatment to help relieve pain, swelling, and stiffness.

  • Rest.

    It's important to rest and protect the bruised area.

  • Use ice.

    Ice will reduce pain and swelling. Apply ice or cold packs right away to prevent or reduce swelling. Apply the ice or cold pack for 10 to 20 minutes, 3 or more times a day.

    • For the first 48 hours after an injury, avoid things that might increase swelling. These things include hot showers, hot tubs, hot packs, and drinks that contain alcohol.
    • After 48 to 72 hours, if swelling is gone, apply heat. You can start gentle exercise with the aid of moist heat to help restore and maintain flexibility. Some experts recommend switching between hot and cold treatments.
  • Wrap the bruised area.

    Compression, or wrapping the bruised area with an elastic bandage (such as an Ace wrap), will help reduce swelling. Don't wrap it too tightly, because that can cause more swelling below the affected area. Loosen the bandage if it gets too tight. Signs that the bandage is too tight include numbness, tingling, increased pain, coolness, or swelling in the area below the bandage.

  • Elevate the bruised area.

    Try to keep the area at or above the level of your heart to help reduce swelling. Prop up the bruised area on pillows while you apply ice and anytime you sit or lie down.

  • Rub the area.

    Gently massage or rub the area to relieve pain and encourage blood flow. But don't massage the bruised area if it causes pain.

  • Use pain medicines.

    Be safe with medicines. Read and follow all instructions on the label. If the doctor gave you a prescription medicine for pain, take it as prescribed. If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.

  • Think about using alternative medicine.

    If you'd like, apply a natural health product directly to the bruise.

    • Witch hazel may help heal damaged veins.
    • Arnica may stimulate healing.
  • Do not use tobacco.

    Don't smoke or use other tobacco products. Smoking slows healing because it decreases blood supply and delays tissue repair.

If you need to use a wrap for more than 48 hours, you may have a more serious injury that needs to be checked by a doctor.

When to call for help during self-care

Call a doctor if any of the following occur during self-care at home:

  • New or worse signs of infection, such as redness, warmth, swelling, pus, or a fever.
  • Symptoms occur more often or are more severe.

Preparing For Your Appointment

You can help your doctor diagnose and treat your condition by being prepared for your appointment.

  • Making the Most of Your Appointment

Credits

Current as of: November 9, 2022

Author: Healthwise Staff
Medical Review:
William H. Blahd Jr. MD, FACEP - Emergency Medicine
Adam Husney MD - Family Medicine
Kathleen Romito MD - Family Medicine

Current as of: November 9, 2022

Author: Healthwise Staff

Medical Review:William H. Blahd Jr. MD, FACEP - Emergency Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine

FAQs

What causes bruises and blood spots under the skin? ›

Overview. Bruises form when small blood vessels under the skin tear or rupture, most often from a bump or fall. Blood leaks into tissues under the skin and causes the black-and-blue color.

What does it mean when you get blood spots under your skin? ›

Petechiae are tiny spots of bleeding under the skin. They can be caused by a simple injury, straining or more serious conditions. If you have pinpoint-sized red dots under your skin that spread quickly, or petechiae plus other symptoms, seek medical attention.

What is a bruise that looks like blood under the skin? ›

Purpura may resemble a bruise or look like a spot of blood under your skin. They happen when small blood vessels leak blood under your skin's surface. Purpura isn't a medical condition but a sign of another condition causing the bleeding.

How do you get rid of blood bruising under the skin? ›

For minor bruises, you can:
  1. Apply an ice pack to the area for 10 to 15 minutes at a time.
  2. Avoid direct heat to the area for about 48 hours.
  3. Elevate the injured area.
  4. Take ibuprofen (Advil®) or acetaminophen (Tylenol®) to reduce pain.
Apr 25, 2022

What vitamin deficiency causes bruising easily? ›

Vitamin K. According to Women's Health, vitamin K deficiency could be the cause of easy bruising. Vitamin K is a fat-soluble nutrient that is essential for blood clotting and helps strengthen the walls of the capillaries so they will be less prone to breakage.

What do Leukaemia blood spots look like? ›

It appears as purple spots, petechiae (tiny purple, brown, or red spots), or purple, netlike lesions that develop on the skin.

Is bleeding under the skin serious? ›

Aside from the common bruise, bleeding into the skin or mucous membranes is a very significant sign and should always be checked out by a health care provider. Redness of the skin (erythema) should not be mistaken for bleeding.

Are blood spots serious? ›

While it is possible for blood spots to develop on children, adults over the age of 30 are more prone to the development of cherry angiomas. Typically, blood spots are not a serious skin condition that require treatment. However, some may choose to have them removed for cosmetic purposes.

What does leukemia bruising look like? ›

Small red spots (petechiae)

As well as medium-to-large bruises, you might notice “rashes” appearing on your skin. Small, pinhead-sized red spots on the skin (called “petechiae”) may be a sign of leukaemia. These small red spots are actually very small bruises that cluster so that they look like a rash.

What causes blood bruises without injury? ›

These bruises result from microscopic tears in blood vessels under the skin. Unexplained bruises that occur easily or for no apparent reason may indicate a bleeding disorder, especially if the bruising is accompanied by frequent nosebleeds or bleeding gums.

What kind of bruises should I worry about? ›

Increased size or density. Lump under the bruise. Pain that lasts longer than 2-3 days. Persistent bruising for more than 2 weeks.

What causes purple spots on elderly skin? ›

The connective tissue of the dermis is no longer able to adequately support the microvasculature. Consequently, minor trauma can rupture blood vessels, leading to extravasation of blood. This age-related condition is called actinic purpura.

How do you stop blood spots under your skin? ›

If a bruise is rapidly spreading, you need try to stop the bleeding under the skin. Wrap the area (not too tightly) with an elastic bandage, such as an Ace wrap, and keep it on until you see a doctor. You can also put direct pressure on the area for 15 minutes at a time.

What medications cause bleeding under the skin? ›

A few examples are:
  • Aspirin and other medicines (called blood thinners) that prevent blood clots. ...
  • Medicines used to treat cancer.
  • Nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin and ibuprofen (for example, Advil or Motrin).
  • Steroids, such as prednisone.

What ointment is good for blood bruises? ›

Heparinoid Brand name: Hirudoid.

Can low vitamin D cause bruising? ›

Without enough vitamin D, you may be more prone not only to increased bruising, but also to longer bruise-repair time. Although not specifically related to bruises, this study suggests that vitamin D may have a role in the process of forming new skin, assisting in injury or wound recovery.

What is the best vitamin to heal bruising? ›

Vitamin C supplements have been shown to reduce bruising in people with low vitamin C intake. Doctors often suggest that people who experience easy bruising supplement with 100 mg to 3 grams of vitamin C per day for several months.

Can lack of B12 cause bruising? ›

If you develop bruises easily, you may have a vitamin B12 deficiency. Vitamin B12 is needed for your body to produce healthy blood cells and is in many types of food, but according to research, a large number of adults are deficient in this vital nutrient.

What does Stage 1 leukemia look like? ›

Stage 1 – A patient has high levels of white blood cells and enlarged lymph nodes. Stage 2 – A patient has high levels of white blood cells and is anemic. He or she may also have enlarged lymph nodes. Stage 3 – A patient has high levels of white blood cells and is anemic.

Can a blood spot be cancerous? ›

Yes, nodular melanoma can look like a blood blister. Blood blisters develop after something pinches your skin. Blood flows to the area from broken blood vessels and damage to the lower layers of your skin. The blood pools and forms a raised blister, which may look brown, red, black or the same color as your skin.

What are the first signs of having leukemia? ›

Common leukemia signs and symptoms include:
  • Fever or chills.
  • Persistent fatigue, weakness.
  • Frequent or severe infections.
  • Losing weight without trying.
  • Swollen lymph nodes, enlarged liver or spleen.
  • Easy bleeding or bruising.
  • Recurrent nosebleeds.
  • Tiny red spots in your skin (petechiae)
Sep 21, 2022

Why do females get random bruises on legs? ›

Unexplained leg bruising can be due to liver disease, nutritional deficiencies, autoimmune conditions, and other disorders. Bruising often occurs when blood vessels beneath the skin incur damage. Blood leaks out of the vessels and pools beneath the skin, which causes skin discoloration.

Can stress cause bleeding under the skin? ›

Severe mental anxiety activates the sympathetic nervous system to invoke the fight-or-flight response to such a degree as to cause hemorrhage of the vessels supplying the sweat glands. It has been suggested that acute fear and extreme stress can cause hematidrosis.

What medications cause purpura? ›

Drug-induced thrombocytopenic purpura is a skin condition result from a low platelet count due to drug-induced anti-platelet antibodies caused by drugs such as heparin, sulfonamines, digoxin, quinine, and quinidine.

Are random blood spots normal? ›

If you have tiny red, purple, or brown spots on your skin, they could be petechiae. They're not a disease, but a symptom. A number of things can cause them to happen, from a severe coughing fit to an infection. Often, petechiae are nothing to worry about.

What age spots look like blood? ›

Red moles, or cherry angiomas, are common skin growths that can develop on most areas of your body. They're also known as senile angiomas or Campbell de Morgan spots. They're usually found on people aged 30 and older. The collection of small blood vessels inside a cherry angioma give them a reddish appearance.

Can kidney problems cause bruising? ›

Ecchymosis is a common issue in kidney patients. Most kidney patients have lost skin elasticity because of aging, sun exposure and possibly uremia, which diminishes the skin's protective role. Therefore it is not unusual to see bruising with minimal trauma (e.g. bumping into wall).

Where do leukemia bruises usually appear? ›

While leukemia bruises can form anywhere on the body, they are most commonly found on the arms and legs.

Which of these skin bruises should raise a suspicion for leukemia? ›

Petechiae and purpura

Petechiae are tiny spots that happen when small blood vessels called capillaries break under the skin. They are less than 2 millimeters across. Larger areas are known as purpura. Petechiae and purpura can be early signs of leukemia, although they may happen for many other reasons.

What autoimmune disease causes bruising? ›

Immune thrombocytopenic purpura (ITP) is a blood disorder characterized by a decrease in the number of platelets in the blood. Platelets are cells in the blood that help stop bleeding. A decrease in platelets can cause easy bruising, bleeding gums, and internal bleeding.

Why do I have a bruise but I didn't hit anything? ›

You most likely just bruise more easily than others, and therefore don't remember the injury or bump that caused the bruise. In other cases, bruising can result from a medication, supplement, or underlying health condition.

What rare diseases cause bruising? ›

Psychogenic purpura (also referred to as Gardner-Diamond syndrome, autoerythrocyte sensitization, or painful bruising syndrome) is a rare and poorly understood clinical presentation in which patients develop unexplained painful bruises, mostly on the extremities and/or face, during times of stress.

What could be the cause of unexplained bruising? ›

Easy bruising sometimes indicates a serious underlying condition, such as a blood-clotting problem or a blood disease. See your health care provider if you: Have frequent, large bruises, especially if your bruises appear on your trunk, back or face or seem to develop for no known reasons.

Can diabetes cause bruising? ›

People with diabetes often bruise easily, but bruising can also be due to many other causes. Minor bruises often disappear within days without medical intervention. But if your bruising is serious, you should see your doctor or primary health provider.

Why are purple spots suddenly appearing on my skin? ›

A purpura rash occurs when small blood vessels burst, causing blood to pool under the skin. They appear as small, reddish-purple spots just beneath the skin's surface. Purpura, also known as skin hemorrhages or blood spots, can signal several medical problems, ranging from minor injuries to life threatening infections.

What vitamin deficiency causes purple spots? ›

Petechiae. Petechiae are small 1-2 mm red or purple spots on the skin that result from minor hemorrhage due to broken capillary blood vessels. Petechiae can result from both niacin (vitamin B3) and vitamin C deficiency.

What age does purpura start? ›

Senile purpura affects over 10% of those aged over 50 years old. It is equally common in males and females. Other risk factors include chronic sunlight exposure and the use of oral or topical corticosteroids and anticoagulants (blood thinners).

What causes red bruises on older people's arms? ›

Senile purpura is benign, easy bruising that affects older adults. It's sometimes called actinic purpura. This occurs because the skin and the blood vessels become more fragile as we age, making it easier for our skin to bruise from minor trauma.

What does Vaseline do for bruises? ›

Heals minor skin scrapes and bruises – Petroleum jelly keeps the area moist, preventing the wound from drying out and forming an ugly scab. It can also keep the scrape or bruise from getting worse. Remember to clean the area first before applying the jelly.

Does toothpaste help with bruises? ›

It is believed that toothpaste helps break up the clot and increase blood flow. People report noticing a difference after just one night, but it may take several applications to make the bruise completely disappear.

How do you make a blood bruise go away faster? ›

You can enhance bruise healing with a few simple techniques.
  1. Elevate the bruised area above heart level, if possible.
  2. Apply an ice pack wrapped in a thin towel. Leave it in place for 20 minutes. ...
  3. If the bruised area is swelling, put an elastic bandage around it, but not too tight.

What does a purpura bruise look like? ›

Purpura is a flat, discolored spot on the skin caused by small blood vessels that leak and cause blood to pool under the skin's surface. Generally, they are small bruise-like spots on skin that look different than typical bruising. On light skin, purpuras appear purple.

What are purple blood spots under skin? ›

A purpura rash occurs when small blood vessels burst, causing blood to pool under the skin. They appear as small, reddish-purple spots just beneath the skin's surface. Purpura, also known as skin hemorrhages or blood spots, can signal several medical problems, ranging from minor injuries to life threatening infections.

Is unexplained bruising something to worry about? ›

Bruises are often harmless, but they can sometimes indicate a medical condition that requires medical treatment. For example, a person should see a doctor if: bruising occurs for no apparent reason and does not heal within a few weeks. bruises appear in unusual locations, such as the torso, back, or face.

What drugs can cause purpura? ›

Drug-induced thrombocytopenic purpura is a skin condition result from a low platelet count due to drug-induced anti-platelet antibodies caused by drugs such as heparin, sulfonamines, digoxin, quinine, and quinidine.

What are the three types of purpura? ›

The 3 types of purpura fulminans are neonatal, idiopathic, and acute infectious.

What are autoimmune purple spots? ›

Henoch-Schonlein purpura (also known as IgA vasculitis) is a disorder that causes the small blood vessels in your skin, joints, intestines and kidneys to become inflamed and bleed. The most striking feature of this form of vasculitis is a purplish rash, typically on the lower legs and buttocks.

What are small pinpoint purplish hemorrhagic spots on the skin? ›

Petechiae are pinpoint, round spots that appear on the skin as a result of bleeding. The bleeding causes the petechiae to appear red, brown or purple. Petechiae (puh-TEE-kee-ee) commonly appear in clusters and may look like a rash. Usually flat to the touch, petechiae don't lose color when you press on them.

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