Causes
Hemorrhage usually occurs after injury. This could be a bruise of the skin, internal organs, a concussion or bruise of the brain, an injection with thin (sharp) objects. Sometimes blood leaves the vessels and pours into the skin and internal organs as a result of infections, autoimmune diseases, and poisoning. The occurrence of hemorrhages and bruises is promoted by increased fragility of blood vessels, fasting, lack of vitamins in food, high blood pressure, and congenital bleeding disorders.
At CELT you can get a consultation with a traumatologist-orthopedic specialist.
- Initial consultation – 3,000
- Repeated consultation – 2,000
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Symptoms
A bruise on the skin is always clearly visible. At first it has a purplish-blue color, and then begins to “bloom”, acquiring yellow and green colors. If a sufficiently large amount of blood accumulates under the skin, a protruding lump forms. At first it is very painful to feel, but later the pain goes away.
The outpouring of blood into the internal organs and into the substance of the brain is preceded by trauma. The main symptom is pain. In this case, the hematoma is not visible externally. If bleeding continues, the victim becomes pale, weak, and dizzy. With chronic internal bleeding, anemia comes to the fore. Bleeding in the brain is especially dangerous. Compression of brain structures may occur, sometimes leading to death.
Diagnosis of diseases that cause bruising
Timely diagnosis of the causes of bruises on the body will lead to treatment being prescribed and eliminating the problem in a short time. To identify the causes, a blood test is performed to:
Quite often, women are faced with an unpleasant feature of their facial skin - dark circles under the eyes. This phenomenon cannot be ignored, because darkening can be a sign of illness in the female body. Read more in the article: “black circles under the eyes, causes of the disease in women.”
- platelets;
- avitaminosis;
- foldability;
- leukocytes;
- hormonal composition.
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With a comprehensive analysis of blood composition, you can get a clear picture of the disorders within the body.
So an increased level of leukocytes is a sign of inflammatory processes. Accordingly, it is then necessary to identify the place or organ that has undergone inflammation. An abnormal platelet level indicates a disturbance in the composition of the blood and the possible occurrence of thrombosis.
The lack of the required amount of vitamins and blood clotting explains the deterioration of the structure of the walls of blood vessels. If the blood is too thick, then stagnation is possible, leading to damage to the walls.
Hormonal imbalances in women directly affect the appearance of bruises on the body.
Having determined the true cause of this problem, it is important to start treatment on time. By choosing comprehensive measures to combat the disease, you can quickly return your skin to its ideal appearance.
Predisposing factors
The formation of hematomas occurs after injuries, including pinching, blows, squeezing, and bruises. Subarachnoid hemorrhage does not fall into this category, since it does not appear due to trauma, but due to damage to an unchanged vessel. Often small hematomas appear due to eating large quantities of food or drinking alcoholic beverages. This is due to stretching of the gastrointestinal tract and the appearance of cracks.
The development of pathology is influenced by vascular weakness and problems with blood clotting. Often due to a weakened immune system due to infections or age-related changes, the likelihood of pus accumulating in the affected area increases.
Reasons why bruises often appear on the legs
The appearance of bruises on the legs without a blow or injury is an alarming sign indicating health problems. Most often they occur suddenly and may be accompanied by bruising. In this case, you should not delay a visit to the doctor, since if the blood vessels are in normal condition without injury, hemorrhage does not occur in the upper layers of the skin. In case of injuries, they can remain on the legs for quite a long time and this is a type of norm that does not require special treatment.
Among them may be:
- Vitamin deficiency, in which due to a lack of vitamins C, K, P, the elasticity of the walls of blood vessels decreases and their fragility increases. If you adjust the menu and replenish it with rose hips, black currants, chokeberries, then the lack of vitamins can be compensated. Most often, such bruises appear in the spring, when the manifestations of vitamin deficiency are most severe.
- Reduced strength of the connective tissue that protects the capillaries. In this case, the appearance of bruises on the legs without a contusion becomes possible with the slightest pressure. This needs to be diagnosed (which is only possible in a specialized center). If the diagnosis is established, sometimes the fragility of blood vessels can be eliminated by taking special medications.
- Lack of platelets, in other words, a blood disease in which there are problems with blood clotting. The localization of bruises is not limited to the legs alone; they also appear on other parts of the body.
- Varicose veins, which not only cause bruising, but also spider veins. The appearance of bruises in this case may be accompanied by a feeling of heaviness in the legs, swelling, and bloating of the veins. As a treatment, the doctor will prescribe you: taking special medications that increase the tone of the veins; sclerotherapy (bonding of blood vessels through subcutaneous administration of drugs); wearing special knitwear that maintains muscle and vein tone).
- Hemorrhagic vasculitis. The reason for the appearance of this disease lies in the fact that the immune system fails and the cells of the blood vessels are perceived as foreign. The IS begins to produce antibodies that destroy the walls of blood vessels. This leads to inflammation, and as a result, the appearance of hematomas.
- Yellow bruises may indicate ruptured blood vessels. This is typical for people actively involved in sports. Under heavy load, capillaries under the skin of the extremities inevitably burst. As a result, bruises appear. Therefore, if after a fitness class your legs hurt a lot and bruises appear, we recommend reducing the level of stress during training.
- The appearance of bruises on the body may be a consequence of developing diabetes, because contrary to popular belief, this disease does not only affect blood sugar levels. Diabetes causes a metabolic disorder that affects blood circulation. Bruises appear, seemingly for no apparent reason, because the vessels become more fragile and brittle, and blood clotting worsens.
- Another reason for the appearance of bruises under the knee at the back, most often is a tendon sprain, varicose veins or internal arterial thrombosis.
- Also, if bruises appear on their own, seemingly for no apparent reason, this may be a reaction to the use of analgesics, antidepressants and anti-inflammatory drugs. The fact is that the components of these drugs reduce blood viscosity, which in turn leads to the appearance of hematomas.
You should start by diagnosing the causes, for which you should visit a phlebologist to rule out problems with the blood. If many small bruises appear on the body, we are talking about a blood disease. By taking tests, the number of platelets in the blood is determined and if a deficiency is detected, appropriate treatment is prescribed. If everything is normal according to hematology, you cannot do without examining the blood vessels to find out why bruises often appear on the body and legs: on the foot, on the inside of the thigh, on the knees, on the calves.
As preventive measures, it is advisable (even in the absence of problems with blood vessels) to wear comfortable shoes, dose physical activity, avoiding stagnation on the one hand, but also without straining it excessively, on the other, adjusting the diet. At the first signs of varicose veins, it would be a good idea to take special medications that strengthen the walls of blood vessels, but only a specialist can say about the advisability of taking them, as well as recommend a specific drug and its dosage. And then the problem that women often develop bruises on their legs for no reason will not bother you.
At the Antireflux phlebological center, our specialists will help you identify the true causes of bruises on your legs and body. After conducting the necessary tests and diagnostic studies, the necessary medications and treatment regimen will be selected according to the cause of the bruises.
Watch our video about why bruises can form for no reason:
Classification of hematomas
In modern medicine, when classifying hematomas, the following are taken into account:
- Relation to the vessel - pulsating and non-pulsating hematomas.
- Localization - in the cranial cavity, internal organs, under the skin or mucous membrane.
- The state of the blood in the affected area is suppurated, clotted, fresh, infected.
- Symptoms – limited, encysted, diffuse.
There are hematomas that do not fall into this classification. For example, intracerebral, intracranial, intraventricular. They are of the epidural or subdural type and cause serious complications.
Soft tissue hematomas
Soft tissue hematomas are divided into 3 types:
- Lungs - appear 24 hours after injury and are accompanied by mild pain. No special treatment is required.
- Medium - appear within 5-6 hours and are accompanied by pain and swelling. The motor function of the limb deteriorates. Consultation with a traumatologist is required.
- Heavy - formed within 2 hours after tissue damage. The function of the limb is impaired, acute pain and diffuse swelling are observed. You should immediately consult a doctor to determine a treatment strategy.
Immediately after the injury, swelling appears, and the skin acquires a purplish-bluish tint. After 5 days, the skin takes on a green tint as hemoglobin breaks down. Gradually, the hematoma resolves and “flows” down.
If there are no complications, the hematoma will resolve on its own. In the worst case, a hard area appears that causes discomfort and impairs motor function. When an intramuscular lump forms, external symptoms are rarely observed, but the limb swells significantly and an area forms inside, the touch of which causes severe pain.
Note! For chronic intramuscular hematomas, an MRI is prescribed to determine the location and extent of tissue damage.
When large lumps form, surgical intervention is required. Treatment is carried out by a traumatologist. The opening of infected seals is performed by a surgeon after a comprehensive diagnosis. The operation is performed on an outpatient basis, but for large hematomas hospitalization is required. An autopsy is performed, during which blood clots are removed and washing is carried out. Drainage and suturing are required. Sutures are not applied only for infected hematomas. Antibiotics are often prescribed in combination to eliminate the infection.
Preventing bruises
To avoid having to deal with the causes of bruising on the body at some point, it is important to follow simple rules:
- walk more in the fresh air;
- regularly stretch your legs with a massage, especially in your calves;
- protect yourself from mechanical damage to the skin;
- control your weight and maintain it at a normal level;
- wear high-quality comfortable shoes;
- organize a proper balanced diet, including vitamins necessary for the body;
- monitor your health and conduct a medical examination.
It is recommended to have your health examined once a year if you are feeling well. It is important to be sensitive to your health and, if the slightest signs of pathology occur, diagnose the causes and undergo timely treatment. Proper nutrition and a healthy lifestyle will help maintain health for many years.
Intracranial hematomas
Intracranial hematomas are divided into the following types:
- Epidural.
- Subdural.
- Intracerebral.
- Intraventricular.
Epidurals appear in 1-3% of cases and are due to injury to the middle meningeal artery. Pathology is often observed with skull fractures or depressed fractures. A hematoma develops in 2-3 hours or within 24 hours. Lack of treatment leads to coma. The first symptoms are confusion and weakness. Children rarely lose consciousness after a severe blow. Significant swelling of the brain does not lead to the detection of a light gap (which is rare in adults).
Subdurals appear in 1-7% of cases and pose a threat to human life, since death occurs in 60% of cases. There is an acute, subacute and chronic form of the pathology. Bleeding occurs due to a rupture of a vein or artery in the damaged area. People report nausea and severe headaches. Symptoms characteristic of compression of the brain stem are often observed. Lack of treatment and worsening symptoms lead to coma.
Intracerebral are observed extremely rarely with severe traumatic brain injuries. The light gap is not visible, the development of pathology occurs quickly. Hemiplegia or hemiparesis often occurs, as well as extrapyramidal symptoms.
Intraventricular diseases are rarely diagnosed due to the serious condition of patients. There are acute disturbances of consciousness, an increase in body temperature, a decrease in heart rate, and an increase in blood pressure. To establish a diagnosis, a survey of close people is carried out, since the patient is unconscious. To establish the location of the hematoma, MRI is used. In the most severe cases, lombal puncture is used.
Diagnostics
A hematoma is diagnosed by visual examination. If the hemorrhage is located deep under the skin, in internal organs, or in a joint, it is often very difficult to assess its size and possible consequences.
Patients are prescribed an examination, which may include:
- Ultrasound of internal organs, joints;
- computed tomography and magnetic resonance imaging;
- puncture (puncture with a needle): for example, a puncture of the knee joint is often done if there is a suspicion that blood has accumulated in it after an injury.
Treatment
Minor bruises can be treated conservatively: physiotherapeutic procedures and medications are prescribed.
In case of large accumulations of blood, the hematoma is treated surgically: it is opened, the blood or pus is evacuated, washed with antiseptics and drainage is installed. Antibiotics are prescribed if necessary.
When hemorrhaging into internal organs, it is often necessary to perform surgical intervention, during which it is necessary not only to remove the spilled blood, but also to stop the bleeding.
The multidisciplinary CELT clinic employs experienced traumatologists and surgeons who perform operations on hematomas of various locations. Modern techniques used in our clinic help provide effective treatment and minimize the risk of complications.
Diseases that cause bruising
If bruises appear in women without mechanical causes, this may be a signal from the body about the presence of a serious illness. Such diseases include:
- disturbances in the functioning of the endocrine system;
- problems with the heart and blood vessels;
- varicose veins, which provokes multiple formation of hematomas;
- violation of the level of platelets in the blood;
- kidney and urology problems;
- liver diseases;
- high blood pressure;
- rheumatism.
It often happens that during the treatment of one disease, such potent drugs are prescribed that can negatively affect the functioning of other organs.
Frequent studies have confirmed that when using an anti-inflammatory drug called Ibuprofen, many people experienced bruises on their bodies.
There are many other medications, after the use of which, one of the negative consequences may be the destruction of the walls of blood vessels or blood thinning. If a woman notices bruises on her body after taking certain medications, she should stop using it.
There are a huge number of methods for diagnosing various diseases. One of the most famous is the ESR indicator. It is taken from absolutely all people, even children. Read more in the article: “the norm of red blood cells in the blood of women.”
Orthopedics and traumatology services at CELT
The administration of CELT JSC regularly updates the price list posted on the clinic’s website. However, in order to avoid possible misunderstandings, we ask you to clarify the cost of services by phone: +7
Service name | Price in rubles |
Appointment with a surgical doctor (primary, for complex programs) | 3 000 |
X-ray of the chest organs (survey) | 2 500 |
Ultrasound of soft tissues, lymph nodes (one anatomical zone) | 2 300 |
All services
Make an appointment through the application or by calling +7 +7 We work every day:
- Monday—Friday: 8.00—20.00
- Saturday: 8.00–18.00
- Sunday is a day off
The nearest metro and MCC stations to the clinic:
- Highway of Enthusiasts or Perovo
- Partisan
- Enthusiast Highway
Driving directions
Pediatrician appointment prices:
Appointment (examination, consultation) with a pediatrician (1 hour) | 1950 |
Examination of a child by a pediatrician to obtain a certificate + certificate | 1750 |
Appointment (examination, consultation) with a pediatrician of the first category, head. department Barzenok T.A. | 2850 |
Registration of a certificate | 700 |
Appointment (examination, consultation) with a leading pediatrician (Sedova M.S.) | 2500 |
Appointment (examination, consultation) with the leading pediatrician, head of the breastfeeding support department, Kazakova L.V. | 2950 |
Appointment (examination, consultation) with a pediatrician (Premium category) (Sergienko T.Ya.) | 4000 |
Visit of a pediatrician, consultation at home (Moscow) | 4250 |
Consultation with a pediatrician at home for the second child | 1950 |
Visit to the home of a pediatrician, head of the breastfeeding department, Kazakova L.V. | 4250 |