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I have developed a tendency to form very extensive bruises…

I have developed a...

I have developed a tendency to form very extensive bruises e.g. bruising from upper lateral chest around abdomen, back, down leg and even to pubic area and penis. I am an 84 year old type 2 diabetic with severe balance problems, frequent falls etc, Meniere's syndrome, for all purposes deaf without my Cochlear implant,

Doctor's Assistant: What seems to make the symptoms worse or better? Have you noticed any swelling?

Yes, lrge clot formation under bruise

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Arthritis with three joint replacements, alcohol abuse but none in over twenty years

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Answered in 7 minutes by:
1/5/2018
Dr. Muneeb Ali
Category: Medical
Satisfied Customers: 9,665
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine
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Hi,

Welcome to JA and thanks for this question. I'm sorry to hear about your symptoms. Now from what you are describing, there are a few possibilities which can cause this sort of bruising over your body. The first one which should be ruled out is a problem with the clotting system of the body. This could be an issue with the platelets or even with the clotting factors. This could be a problem in which the platelets are not functioning normally or they are reduced in number. This could be because of viral infections or even due to an autoimmune condition in which the antibodies are formed by the body against its own organs and cells. This would be diagnosed with the help of simple tests like CBC and also other tests like peripheral film, ANA, ESR or a complete ENA profile. Now the other issue could be a derangement in the clotting profile, this can be because of liver issues or even kidney issues. A PT APTT test would be helpful in diagnosing this problem.

Now if these tests are normal and the platelet qualitative studies also come back as normal then I would consider senile purpura or as a possibility. This is a condition in which there is weakness of the skin and it can start to bleed on its own, under the surface. This would be diagnosed by a clinical examination. Usually using supplements which contain vitamin D, calcium, vitamin E, vitamin C would be helpful in this situation.

Lastly, nutritional deficiencies can also be responsible for this problem as well and supplements would help in correcting this problem quite easily.

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