Bruises

Bruises

Last Updated February 21st, 2019

Overview

Mechanical and traumatic injuries are very common in daily life. They can lead to numerous complications in an individual’s body. The most common symptom in such cases is “bruises”. These are more common in small children, especially after they learn to crawl or walk. According to the statistics of the National Society for Prevention of Cruelty to Children (NSPCC), nearly 1 out of 5 children suffer from bruising. Bruising is also common in adults and may arise due to accidental injuries or mechanical blows. In recent years, special attention is being given to bruises due to assault and abuse. Thorough investigations are being carried out in such cases and strict punitive measures are being taken against the offenders.

 

What are bruises?

Bruises hematomaBruises are patches of discolored skin on the body, resulting from accidental injuries or mechanical trauma. The reddish or bluish discoloration of the skin in most cases is due to ruptured and damaged blood vessels caused by an impact or an external blow. Bruising may also occur due to intentional injuries inflicted on a person during incidences of physical assault. Children are the primary vulnerable groups of bruises caused under any condition. The healing of bruises is dependent on the immunity and existing pathological conditions to some extent. People having reduced blood coagulation capacity suffer more from bruises than others. Also, people suffering from autoimmune diseases or HIV infections take a long time to recover from the wounds (bruises) due to degeneration of the immune system of the body.

 

What causes bruises?

Bruises mainly arise due to mechanical injuries or traumatic forces. In some rare cases, bruises may appear on the body for no apparent reason. The biological causes of bruising are as follows-

  • Wear and tear, damage or rupture of blood vessels underneath the skin (due to accidental fall or collision)
  • Fracture of bones or joints
  • Thinning and loss of flexibility of the skin due to aging
  • Loss of buffering effect of the skin due to skin damage, aging, existing diseases or genetic defects
  • Leakage of blood from ruptured vessels into the adjoining tissues, interstitial or serous spaces (due to hypovolemic shock)
  • Formation of blood clots within the tissues underneath the skin (hematoma)
  • Destruction of body tissues due to overuse or injuries
  • The release of red blood cells and white blood cells from the ruptured capillaries
  • A disintegration of neutrophils at the site of injury
  • Transformation of lymphomononuclear cells (released from lacerated capillaries) into fibroblasts
  • Swelling of tissues caused by mononuclear cells and vascular endothelial cells
  • Reduced pH of tissues (contributes to increased acidity) caused by lymphomononuclear cells
  • A release of harmful chemicals (chemokines) and proteins at the site of injuries such as TNF, PDGF, TGF-β and FGF (helps in the transfer of fibroblasts to the site of injury)
  • Worsening of existing bruises caused due to the widening of the area of bruise downwards (due to the effect of gravity)
  • Genetic conditions causing lack of coagulating factors within the body
  • Certain medical conditions such as localized inflammation of arterial wall (an aneurysm) and inflammation of blood vessels (vasculitides)
  • Certain birth defects such as congenital vascular malformation, that may cause severe internal bleeding even under minor injury conditions.

 

Symptoms of bruises

BruisesBruises are easily identifiable. Below is a list of the most common symptoms of bruising –

  • The release of blood and tissue fluids from the site of injury
  • Reddish or bluish discoloration of the affected skin (may spread to adjoining regions as well)
  • Pain and inflammation at the site of injury
  • Lacerated skin
  • Exposed layers of skin (dermis) and underlying tissues
  • Bacterial infection at the site of injury (when the bruises are not cleaned and dressed properly)
  • Irritation and inflammation of the affected skin
  • Formation of blisters or rashes if the bruises undergo bacterial infection
  • Irritation, itching, and inflammation of the affected area
  • Extreme tenderness and touch sensitivity of the injured skin
  • Difficulty and pain during moving the part of the body affected
  • Temporary numbness of the affected region
  • Burning sensation of the injured skin when touched while applying ointments or dressing
  • Formation of thick scaly scabs on the bruises after a few days (protects the bruises from bacterial infections)
  • Formation of scars at the site of injury after the scabs fall off

 

Types of bruises

Bruises have a few distinct categories depending on the depth of injury and the parts of the skin affected. These are as follows-

Bruises old ageAbrasions: This type of bruising results in the removal of the outermost skin layer (epidermis). Rubbing or scraping with some sharp tool can lead to these types of injuries. Severe bleeding may result due to damage to the deeper layers of the skin such as the dermis and the subcutaneous layers. Damage to blood vessels occurs if the abrasions are very deep. Abrasions may be further classified into the following types-

  • Tangential abrasions: These are caused due to injury caused by a sharp object at a particular angle. The injured skin rolls up in a certain direction in this case.
  • Crushing: An object striking perpendicular to the skin surface can cause these types of abrasions. One can find imprint-like or punctured bruises on the skin after the blow.
  • Fingernail abrasions: These are more or less linear abrasions. Scratching or rubbing with fingernails can cause these. A definite pattern of the number and distribution of bruises left on the skin occurs in this case.
  • Patterned abrasions: In these types of abrasions, imprints, patterns or shapes of the striking object are common.
  • Contusions: These manifested as released blood (extravasated blood) from ruptured blood vessels. This causes severe damage to the soft tissues. Disruption of tissue continuity does not occur in such cases.
  • Lacerations: These are deep cuts in the skin. Sharp objects or instruments can damage the deeper layers of the skin and underlying tissues in these cases. A large portion of the affected flesh is ripped off, that causes heavy bleeding.

 

Diagnosis

A thorough analysis of the released blood, skin fragments, and damaged tissue fragments help detect the exact cause of bruising.

 

Treatment and prevention

Abrasions 

Treatment 

  • Ensure that you wash your hands before treating the abrasion.
  • Wash the affected area with warm or lukewarm water and an anti-bacterial solution to clean out dirt or any other foreign particle.
  • If the abrasion did not bleed, do not cover it.
  • If there was bleeding from the abrasion site, apply an ointment to keep it moisturized and apply a bandage or gauze.
  • Change the dressing once every day.
  • Ensure that there is no infection present at the abrasion site.

Prevention 

  • Make sure that your tetanus shot is up to date.
  • Wear protective clothing.
  • Keep your hands and feet covered.
  • Wear a helmet.
  • Ensure that your workspace has proper lighting.

 

Treatment

  • Place an ice pack over the affected area.
  • If the area of the bruise is large, elevate the area as much as possible.
  • Wash the bruise with warm or lukewarm water. Put a bandage or gauze over the bruised area after applying an ointment to ensure that the bandage does not stick to the bruise.
  • Apply warm compression to reduce the swelling, if any.
  • Over-the-counter medications can be used to relieve pain.

Prevention

  • Wear protective gear.
  • Do not overuse the bruised area.
  • Do not apply pressure on the bruise.

Facts

  • Bruises color due to the accumulation of blood under the affected area.
  • Some people tend to bruise more than other.

Facts

  • As people age, their blood vessels become weaker, thereby becoming more susceptible to bruising
  • Due to the additional weight on the lower half of the body, obese or overweight people tend to bruise more on their legs.

Facts

  • Medications that may have blood-thinning effects tend to make people bruise more.
  • Excessive bruising, in rare cases, could indicate blood cancer or a clotting disorder.

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Dos and Don'ts

Dos
  • Apply pressure on the wound, this tend to reduce the bleeding.
  • Check the wound for any foreign particles, but do not pull them out.
  • Clean the wound with water and some soap to help disinfect it.
Don'ts
  • Pull out foreign particles from the wound, this can increase bleeding and may lead to infections.
  • Blow on an open wound, doing so can cause infections.
  • Try to treat major wounds, wait till medical help arrives.

 

 

 

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Androstenedione Test Androstenedione is produced by the adrenal gland, the test of the levels of Androstenedione helps in the evaluation…
sleep deprivation
Don’t let your sleep deficit grow into memory loss or heart attack Why is sleep important for us? How could sleep deprivation harm you? We bet you didn't know about…
Agave nectar: The bitter truth about this sweetener revealed Agave nectar is considered to be sweeter than the normal table sugar and even contains higher amounts of…
Find all the instant ways to get rid of blackheads Blackheads - Not only are they aesthetically unappealing but if left untreated these can cause bacterial overgrowth on…
Tattoo Aftercare: The best practices to follow once you get inked Planning getting permanently inked? Make sure you follow these critical tattoo aftercare techniques to avoid infectious agents attacking…
Inversion Therapy: The anti-gravity way of healing chronic back pain Inversion therapy involves suspending a person upside dow using different types of equipment. This works by taking the…
Barium-enema
Barium Enema Barium enema is also known as colon x-ray. Here, the patient is asked to consume small amount of…
complement c4 test
Anemia Profile Anemia Profile test (Basic) is a blood screening test that measures the levels of important components of the…
immunoglobulin M
Immunoglobulin M Test Immunoglobulin M is the largest and the first produced antibody which helps in the prevention or fighting of…
shoudler exercises
Keep your shoulders pain-free with these shoulder exercises Shoulder exercises are important in order to prevent chronic back and neck pain. Learn more about how you…
macadamia nuts in food
Proven health benefits and nutrition of macadamia nuts Know all about scientific, amazing health benefits of macadamia nuts, its nutrition, recipes, how to consume, price and…
macadamia nuts in food
Proven health benefits and nutrition of macadamia nuts Know all about scientific, amazing health benefits of macadamia nuts, its nutrition, recipes, how to consume, price and…
sugar toxic health
Sugar: 7 new shocking truths revealed about the sweet poison Can drinking soda bring you closer to death? Is sugar slowly poisoning you and your family? You would…
avocado benefits
Avocado: 15 reasons why this fruit should be a staple in your diet Did you know that the word avocado literally means "testicles". Don't get grossed out as this power-packed fruit…
Beware of these common foods that cause high bodily inflammation! Maybe its the long list of inflammatory foods in your diet that is making you frequently sick. Find…
The complete “what to eat” guide for gluten intolerance Does eating breads and pastas often makes you nauseous? Gluten intolerance is a common reason why you might…
Hibiscus: Nourish your beauty and health with these vibrant blooms Hibiscus is a trumpet shaped flower found abundantly in tropical countries. It has been historically used for its…
How to correctly perform nasal irrigation using a Neti Pot? Neti pot has been a part of Ayurveda since centuries. This ancient tool is extremely effective in treating…
Pescatarian Diet 101: What are the inherent health advantages of this diet? People opt to become a pescatarian in order to enrich their bodies with the essential health benefits that…
Erythritol: A healthy sugar substitute or yet another marketing ploy? Erythritol is a popular choice of a healthy alternative sweetening agent in foods. But how healthy can a…
bradycardia fainting
What does hypoglycemia look like when you don’t have diabetes? Hypoglycemia is not just a disease that co-occurs with diabetes. Non-diabetics could also become hypoglycemic. Hypoglycemia can be…
Internal bleeding brain
Beware: Ignoring these tell-tale signs of stroke could cost a life The signs and symptoms of a stroke differ depending on which part of the brain has been affected.…
Bubble Tea: Bubbling with nutrition or a hidden sugar mine? The tapioca pearls present in the tea looks like bubbles and hence the name bubble tea became popular.…
GGt test
GGT – Gamma-Glutamyl Transferase Test GGT or gammaglutamyl transferase test is a liver function test that is used to detect the extent of…
EEG
Electroencephalogram – EEG EEG or electroencephalogram is a diagnostic tool used to access the functioning of neurons and brain activity to…
vdrl test syphilis
VDRL Test The VDRL test is a blood test that is used to diagnose sexually transmitted or venereal diseases, primarily…
Tachycardia heart
Cardiac Profile Cardiac profile is panel of blood tests performed to check cholesterol level and other heart disease markers to…
iron deficiency profile
Iron Deficiency Profile An iron deficiency profile is a battery of blood tests which are performed in order to determine the…
Okra: How can this nutrient-dense vegetable help you fight diabetes? Okra is a food which is rich in nutrients and minerals which are extremely essential for a healthy…