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 Dr. Mark Your Own Question

Dr. Mark
Dr. Mark, Doctor (MD)
Category: Health
Satisfied Customers: 11946
Experience:  U.S. Physician/Surgeon in Neurosurgery
206912
Type Your Health Question Here...
Dr. Mark is online now
A new question is answered every 9 seconds

I have brown spots on my lower legs right above my foot and

Resolved Question:

I have brown spots on my lower legs right above my foot and ankle. They almost look like cigarrette burns. They appeared overnight. I have endometriosis and just started taking herbs for it. Not sure if that has something to do with it. What would cause this?
Submitted: 4 years ago.
Category: Health
Expert:  Dr. Mark replied 4 years ago.
Does the area possibly look like a bruise?

Are you on any blood thinning medications?
Customer: replied 4 years ago.
It looks as if I have a scar from a cigarette burn. There are three spots in a row in the middle of my left leg right above the ankle area. On the right foot there is one on my inner ankle and one on the middle of my right leg. In the same location as one of the spots on my left leg. I have been bedridden from the pain of the endo and lost lots of blood. I think I lost too much blood. I am not on any medication, but did take some herbs....vitex, horsetail and red rasberries.
Expert:  Dr. Mark replied 4 years ago.
Is this area raised?

Painful?

Itchy?

Is it possible that there are bite marks, from insects?
Customer: replied 4 years ago.

The spots are flat and they do not itch or hurt. They are in a straight row about an inch apart on my left leg and one spot on the right leg is exactly in the same spot as the left. I know for sure that an insect is not that coordinated. lol I am really nervous but cant really afford to go to the doctor until my insurance kicks in.

The only thing out of the ordinary is that my menses and endo almost killed me this month and it is not usually this bad. I did bleed profusely for 5 days and the pain was severe and I never used these herbs before.

Expert:  Dr. Mark replied 4 years ago.
OK.

Well, this is tough to tell because we can't actually examine the area.

And certainly spots appearing overnight in a line is certainly unusual.

Without other symptoms, it is tough to know what it could be, but the possibilities could include bruising in the area, issues with vein inflammation (not typical though), possible allergic reaction to the herbs (but unusual location and there aren't any other issues elsewhere in your body, and these are flat and not-itchy, and not typical of hives).

Sorry there isn't an obvious answer here, but keep an eye on it, and if it is indeed bruise related (for some reason) it should improve within 2 weeks.

Customer: replied 4 years ago.
Do you mean internal bruising. I have been in bed for five days so it can not be external.
Expert:  Dr. Mark replied 4 years ago.
Yes, internal bruising.

Just underneath the skin. This could cause discoloration that would appear overnight, and not a raised or itchy area.

But as to the actual underlying cause? Still unclear, and not likely due to the herbs.
Customer: replied 4 years ago.

Would hemorrhaging from the endo cause this? Are spots a sign of diabetes?

Expert:  Dr. Mark replied 4 years ago.
Well, while not common at all -- endometreosis lesions could be found in the skin.

But probably they would be painful, and probably would have been noted before this time, if it was due to the endometriosis. But a rare possibility.

Spots like this are not typical of diabetes.
Customer: replied 4 years ago.

Lastly, would the area be painful if it is caused from internal bleeding? It is just so odd that the brown spots appear overnight.

Expert:  Dr. Mark replied 4 years ago.
Well, bleeding from endometriosis is often associated with pain. But no, bleeding right under the skin could be painless. It is odd that the brown spots appeared overnight, and you could be one of the relatively rare people that have endometriosis that affects the skin. Or not. It's just tough to know.
Customer: replied 4 years ago.

So I guess these shin spots are too mysterious to diagnose on line, huh? Thanks for your help.

Expert:  Dr. Mark replied 4 years ago.
Some things are easy -- like crushing chest pain and trouble breathing = heart attack.

Small flat brown spots that appear overnight on leg in a line without history of trauma or blood thinners and are associated with no other symptoms = hard to know.

Best of luck, and if they should continue to bother you, certainly the best thing to do is to get them checked out in person.
Dr. Mark, Doctor (MD)
Category: Health
Satisfied Customers: 11946
Experience: U.S. Physician/Surgeon in Neurosurgery
Dr. Mark and 2 other Health Specialists are ready to help you

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