How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Nurse Milli, RN Your Own Question

Nurse Milli, RN
Nurse Milli, RN, Nurse (RN)
Category: Health
Satisfied Customers: 4132
Experience:  20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
7152018
Type Your Health Question Here...
Nurse Milli, RN is online now
A new question is answered every 9 seconds

4 yr old son has unexplained bruising on his ears, temple,

Customer Question

4 yr old son has unexplained bruising on his ears, temple, underneath chin, back, tummy (above hip), arms. NOT ABUSE/Trauma. Pediatrician did bloodwork but claims no abnormalities. Complains of headaches and tummy pain periodically. That was written off as heartburn.
Submitted: 5 years ago.
Category: Health
Expert:  Nurse Milli, RN replied 5 years ago.

Hello

 

Do you or your Spouse work? (if single, do you work?)

 

 

Customer: replied 5 years ago.
His mother and I are divorced. We both work.
Expert:  Nurse Milli, RN replied 5 years ago.

Ok, thanks for the reply

 

If he is not in your care 24/7 there is no way to know that he is not being physically assaulted...not necessarily by an adult, but other kids can be doing this. I am particularly suspicious of it since nothing was found to be abnormal so far.

 

If he is in daycare, I would take him out of this particular daycare and alert the owner(s) of what has happened and to be on the alert of other children whose parents might complain of the same thing happening.

 

If he is not in daycare, I would watch him closely and if continues to have bruising and you can account for his whereabouts 24/7, he will need to see a Hematologist for more specialized testing.

 

 

 

Customer: replied 5 years ago.
These occur overnight and usually when he's not in daycare. He does have transitional anxiety when he goes from daddy's house to mommy's and vice versa. There has already been a police and child services investigation done and nothing was found. Although for most people, like his pediatrician, unexplained bruises = child abuse. This is not the case and his mother and I are working very hard towards a real solution. Again, this is not abuse because someone cannot give another person stomaches and headaches with touching them.
Expert:  Nurse Milli, RN replied 5 years ago.

Ok, thanks for the added info...I can understand your frustration and remember I am only on the outside looking in...giving scenarios, if you will.

 

Sounds like it is time to see a Pediatric Hematologist. Some possible reason for unexplained bruising could include the following...

  • effects of medications or supplements - aspirin, anticoagulants (blood thinners), corticosteroids, and dietary supplements, such as fish oil, ginkgo, ginger, and garlic (which I doubt he is on any of these)
  • a bleeding or clotting disorder
  • nutritional deficiencies of vitamins B12, C, K, or folic acid
  • inflammation of a blood vessel(s)
  • liver disease
  • sepsis - a widespread presence of infection-causing organisms or their toxins in the blood or tissues
  • chronic inflammatory diseases, e.g., lupus
  • certain cancers, including Hodgkin's disease, leukemia, or multiple myeloma

So, your correct that a real solution needs to be reached for your little guy. I would look for a Pediatric Hematologist in your area at one of the larger hospitals and let him/her take him under their care and find out what is going on.

 

 

 

 

********************

PLEASE NOTE: The $$$ that you have put down as a deposit will not go to me until you click "ACCEPT" after reading your answer. Otherwise, it will be held by JustAnswer.com and I will not receive credit for my time and efforts.

Please ask for clarification if needed.

Expert:  Nurse Milli, RN replied 5 years ago.

I also wanted to add that bruises will come not show up immediately after he is hit or kicked (say at daycare)....these may not be visable until some 10-24 hours later (explaination of why they may be noticed to appear "overnight"). So, I know you don't want to think the daycare (or the kids at the day care could be at fault here) but I would not 100% completely rule it out.

 

The stomach ache and headache are usually components of stress in 4 year olds.

 

Just don't completely rule out foul play until you get other answers from the specialist.

Customer: replied 5 years ago.
We've been informed about Henoch-Schönlein purpura (HSP) by an ER doctor and have been researching this possiblity. I started him on Flinstone vitamins this morning (just in case it is a deficiency). What are the signs/symptoms of this? Is it possible it can be undiagnosed especially since the bruises themselves are not painful? How do you receive bruises to the tops of your ears?
Expert:  Nurse Milli, RN replied 5 years ago.

Signs and symptoms of HSP would look like tiny hemorrhages in the skin ..... tiny purple spots. It is basically an inflammation of the blood vessels and would not look like bruises. Joint pain is usually involved with HSP also. Also a fair number of children HSP would have kidney involvement as well.

 

Bruising on the tops of the ears could come from anything being thrown at his head and hitting the side of his head/ears.

 

HSP would look like this.... (tiny hemorrhages) This picture has been enlarged to show detail.

 

 

graphic

Customer: replied 5 years ago.
The first time the marks appeared, we had a CAT scan performed which showed absolutely no trauma to his head/neck. At his age he would most definitely disclose information about someone (adult or child) hitting him. [The reason for the therapist.] Although he does get into toddler-style altercations at daycare, his provider would tell me of major accidents/boo-boos especially with a child-abuse investigation looming. We will be continuing our pursuit of an answer. Are there any other possibilities?
Expert:  Nurse Milli, RN replied 5 years ago.

Just the above mentioned....I would definitely see the Hematologist.

 

Bruising is not normal, and at 4 years of age, he needs this looked into as soon as possible.

 

Good luck with him...and good luck to you and your ex-wife as well!

 

 

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 

Related Health Questions

Chat Now With A Health Professional
Nurse Milli, RN
Nurse Milli, RN
Registered Nurse
4045 Satisfied Customers
20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.