About Bruising

A bruise can also be referred to as a black and blue, or a contusion, and treatment often depends on severity and sub clinical symptoms. For many, bruising or 'soft tissue trauma' is a part of life that has no significant impact on health or daily events. But for those who bruise easily, and continue to do so for an extended period of time, bruising may signify an underlying illness or deficiency that needs to be addressed.

Identification

A bruise is the result of trauma that affects the body. In the beginning stage a bruise will appear as a deep, red to purple blotch, which takes its color from blood that leaks out of broken capillaries. As a bruise slowly fades, the color changes to lighter shades of browns as the localized bleeding begins to dissipate.

Time Frame

Most bruises require little attention and will disappear within a two- to four-week time period. Because blood is subject to gravity, healing will take longer on a person's legs, than bruising of the face. Gravitational force is also the reason that bruising will tend to spread in more of a vertical formation, than horizontal.

Considerations

It is not uncommon for someone to not even realize that they have been injured before the appearance of a bruise. In most cases, bruising takes on a dull ache when the area is pressed. But bruising that is accompanied by intense pain may be an indication that internal damage has occurred. Swelling that forms around a bruise may be indicative of a sprain or broken bone. For this reason, attention should be sought immediately if the pain that accompanies a bruise intensifies or raises concern.

Warning

Some people bruise easily, but it is often the frequency and appearance of bruises that raise concerns. Unexplained bruises that appear to be larger than normal and are accompanied by unusual bleeding in other parts of the body can be a cause for concern. As a precaution, blood tests are usually done to determine underlying illnesses and blood platelet levels. These blood tests can uncover the presence of disorders such as, leukemia, kidney and celiac disease, which are commonly associated with unexplained bruising.

Prevention/Solution

Bruising that poses no immediate threat to the health or well-being of an individual, but is accompanied by pain and swelling, can be easily treated at home. Elevating the area and applying a cold compress for at least 30 minutes can help to reduce swelling. A pain reliever, such as acetaminophen or ibuprofen, can also be administered if pain persists.

Potential

While it is accepted that bruising is a part of the human existence, noticeable bruising that occurs often and without medical explanation can sometimes send up a red flag. And although not all cases are a cause for concern, when abuse is suspected it is imperative to the health and well being of the abused person, that it be addressed. As a matter of fact, a doctor is required by state law to report suspected cases of abuse to state officials.

Resources

• Soft tissue trauma
• Domestic abuse hotline