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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 28198
Experience:  MD
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Large bruising appeared on my neck and below my chin early

Customer Question

Large bruising appeared on my neck and below my chin early this afternoon for no apparent reason. I have a history of pulmonary embolism and suspected TIA within the last 8 months - could this be related? Bruising covers entire neck from chin down to begining of my chest.
Submitted: 1 year ago.
Category: Medical
Expert:  Dr Basu replied 1 year ago.

Hi there,

I understand your concern.

Are you on a blood thinner daily?

The large bruising is caused by the extravasation of blood from a blood vessel.

The can be a bleeding vein or multiple capillaries.

The pressure sensation in the face, ear and headache can be due to the sinus inflammation commonly.

That can also contribute to the bruising.

Another possibility can be vasculitis.

Vasculitis refers to the blood vessel inflammation small and medium blood vessels --an autoimmune condition.

That can present as painful purpura or bruise like patches.

However blood thinner related bleeding is most common and benign as well.

This warrants a clinical evaluation by your doctor by Monday.

Usually the area will improve over time without any further bleeding.

Icepack can be applied to stop the spread.

Avoid any NSAIDs like ibuprofen or naproxen.

The next possibility can be a bleeding disorder like clotting factor deficiency, Von Willebrand disease, or vitamin k deficiency commonly found in green leafies.

However this is unlikely given the fact you had pulmonary embolism.

So excess clotting is a problem for you which does not cause bruising.

Best wishes,

It was my pleasure to help you today.

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