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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31334
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I bruise very easily and seem to always have bruises on my

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I bruise very easily and seem to always have bruises on my legs and arms. A couple of large ones from last year have left a general shadow on my skin even though they have more or less gone. I also have noticed a lot of little red dots like tiny blood blisters on my stomach and they are also on my back. A couple of years ago I had a FBC which showed a lowish platelet count of 143 but it wasn't considered anything to worry about but I am always tired now and take a long time to get over colds which I never used to do. Would taking Vitamin B help this?
Submitted: 5 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 5 years ago.



Taking Vitamin C would be helpful. Ecchymoses (bruise) usually develop with or without noticeable trauma and do not spread into deeper tissues. This can occur due to the structural abnormalities of the small blood vessels called as capillaries, which break even with the slightest of the injury. This can occur due to the age, scurvy, steroid-induced purpura, small vessel vasculitis, and purpura associated with the presence of paraproteins. Aspirin may also be responsible which can increase the bleeding time. The diagnosis is based on the investigations. Though, with the possible exception of a prolonged bleeding time, screening tests are usually normal in patients with bleeding disorders related to vascular abnormalities (ecchymoses / bruising). Taking Vitamin C or eating citrus fruits or fresh juices may help.

The investigations done are;

1) platelet count,
2) bleeding time (BT),
3) prothrombin time (PT),
4) activated partial thromboplastin time (aPTT),
5) thrombin time (TT)
6) peripheral blood smear,
7) platelet aggregation in response to ADP, epinephrine, collagen, and ristocetin;
8) platelet release assays,
9) coagulation factor assays,
10) assessment of factor XIII activity via clot solubility testing
11) Tests of fibrinolysis; measurement of fibrin split products and D-dimer levels.

Your PCP can get them done. An initial screening can be done by the first 5 or 6 tests which would give very definitive clue to the diagnosis.

Please feel free for your follow up questions.


I would be happy to assist you further, if you need any more information.


Dr. Arun

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