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Bruises with pain in the legs - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1750 Questions
User :   hi im 31 years old and last saturday i start XXXXXXXX a leg pain ,and bruise doc thinks is blod clots some weird cyst in my stomac when i press hurts
Doctor :   Hi
User :   hi how are you
Doctor :  
I am Good
User :   well im very worry that i have blood clot on my leg
Doctor :  
Let me read your question
User :   ok
Doctor :  
Can you please explain more about the problem
Doctor :  
How did it start etc
User :   well i flu from florida to chicago friday night ,3 hours of fly come home everething fine,next morning i star to have a leg pais most in my upper leg in the top midle and back of my leg ,now on knee as well
Doctor :   What is your gender and occupation?
User :   i am female and a stay at home mother
Doctor :  
Do you have bleeding tendecies ?
Doctor :  
or in your family?
User :   no history of bleeding, but my MD did say I am anemic after recent tests
Doctor :  
ok
Doctor :   Let us first discuss about the leg pain and the bruise
User :   I have been seeing very small bruises appear on the top of my inner thigh and it is accompanied by a pain running up and down my right leg, up to my abdomen
Doctor :  
Can you tell me more about the bruise, where is it, size of it, is it increasing , can you feel it with hand?
User :   there are about 3, pea sized bruises. in my abdomen there feels like a small knot in one spot
Doctor :  
Color?
User :   purple on the small leg bruises. no color in the abdomen "knot"
Doctor :  
Did you scratch or rub there?
Doctor :  
Does they itch?
Doctor :  
Which Doctor did you see? A family Doc or a specialist?
User :   a cardiologist... no itching. I have rubbed it while looking at it, but not hard as to cause another bruise
Doctor :  
Did you see similar thing earlier when you flew?
User :   no, the pain and bruise began the next day
Doctor :  
Were you dehydrated?
User :   i dont think so.
Doctor :  
Ok
Doctor :  
Are the bruises raised than the normal skin level
Doctor :  
Can you send me a photograph of those
Doctor :  
to my email ID
Doctor :  
taken without flash, from three different angles
User :   yes, I'll take pictures. they are not raised, just small bruise spots
Doctor :   YYYY@YYYY

Doctor :   How are your menstrual periods?
Doctor :  
How many days do you bleed each month?
User :   heavy, 8 days
Doctor :  
Did you see an Ob &Gy to know the reason for heavy bleed
Doctor :  
that is causing your more blood loss and
Doctor :  
thus making you anemic
Doctor :   May I know your height and weight?
User :   i saw ob &Gy 6 mos ago, i've always had heavy periods. my height is 5'4
User :   my weight is 185
User :   pictures are coming now
Doctor :   Ok

Doctor :  
Any tests done further?
User :   the bruises are small but the pain is most concerning
User :   i had a doppler ultrasound on Friday, but they didnt give me any results
Doctor :  
Ok
User :   the 3rd symptom is a burning sensation in my chest, like there is air inside
Doctor :  
DId you take the picture of the cyst on the abdomen?
User :   no, it isnt visiible, only when I press in and feel a small lump/knot. it is on the right side, about 3 inches right of my belly button and an inch higher
Doctor :  
I had seen the photographs
Doctor :   They are small to be noticeable
Doctor :  
and make some condition
Doctor :  
Are you able to walk with the pain?
Doctor :  
Is the pain increasing on walking?
User :   yes i can walk but the pain does get worse as i walk more
Doctor :   Do you have fever?
User :   no fever
Doctor :   Can you dorsi flex the toe and see if the pain is in the calf
User :   did the flex, the pain is not there
Doctor :   Can you press on the calf and see if you have pain?
Doctor :   Do you have pain in both the thighs or only one?
User :   yes, there is some pain in the middle when i press on it
User :   only in the right thigh
Doctor :   Do you smoke?
User :   no
Doctor :   How many children do you have?
User :   one 2yr old
Doctor :  
Are you on any medicines?
User :   no
Doctor :  
even BCP?
User :   no
Doctor :  
Do you have frequent headaches?
User :   yes
Doctor :  
Do you feel tired at the end of the day most of the days?
User :   yes, always feel tired
Doctor :  
any thyroid tests done ?
User :   no
Doctor :  
Ok, I am trying to take your complete history and find out the cause of your problem.
Doctor :  
In this way I could think of few possibilities of your problems
Doctor :  
1) Moderate anemia
Doctor :  
2) Overweight
Doctor :  
3) Hormonal imbalance
Doctor :  
Hello are you there?
User :   sorry my computer just froze up, ar eyou still there
Doctor :  
The bruises are of little concern now
Doctor :  
It may be related to the problems
Doctor :  
you have
Doctor :  
However a Doppler report is important to know if there is a blood vessel problem
Doctor :   Now what should you do?
Doctor :  
1) Importantly correction of anemia
Doctor :  
2) Find out the reason for the heavy blood loss and some thyroid tests
User :   what do you think about the sharp pain in the leg and chest burning?
Doctor :   Leg pain needs a doppler report, since a typical complaint by you is the pain increases on walking for some distance
Doctor :  
this is called intermittent claudication
Doctor :   Chest burning is could be because of reflux oesophagitis / gastritis
Doctor :  
The reason for them are irregular diet timings
Doctor :  
Over weight
Doctor :  
So a weight loss with regular maintainence of diet timigs
Doctor :  
with whole foods in particular than the refined or processed foods does a lot good for you
User :   I know, i do need to lose weight. is there anything I can do to relieve the pain in my leg. it hurts enough to prevent me from exercising.
Doctor :  
Good question
Doctor :  
You can put the legs in hot water with some salt in it
Doctor :  
That relieves the pain for few hours
Doctor :  
Do not exercise for long time
Doctor :  
Brisk walk for 15 minutes
Doctor :  
take a break
Doctor :  
for 10 minutes, hydrate with 1/2 glass of water
Doctor :  
and then start again with 15 more minutes
Doctor :  
so take frequent breaks
Doctor :  
and complete a full hour of exercise session
User :   thank you, i will try both of those.
Doctor :  
You may choose only brisk walk
Doctor :   Try to elevate the legs than your normal body when you sit

Doctor :  
The weight falls pressure on the legs and more pain
Doctor :  
Floor exercises help you
Doctor :  
because more exercises more pressure on the legs
User :   do you think the pain in the side/abdomen is connected as well
Doctor :  
I hope I am clear and understandable
Doctor :  
It could be a gastric pain
Doctor :  
Do you have any other questions for me to answer?
User :   yes that is very clear, thnks
Doctor :  
Pleease fill the feedback form say done when done.
User :   but my symtoms seem to getting worse
User :   every minute
Doctor :   yeah the hot water therapy helps you
User :   and i dont think this pain in my leg is far for beeing normal
User :   acombined with the burning sensation on my chest right no
Doctor :  
Sometime putting the ice cubes shall help in relief of the pain
Doctor :  
For burning sensation take an antacid that is over the counter
Doctor :  
Cold milk shall help in instant relief of pain
User :   i do realy want to get away of the pain but my main conserne is whats causin
Doctor :  
The cause should be investigated
Doctor :  
The relief of pain need some home therapies as I mentioned to you
User :   are you think could be blood clot or not
User :   im realy worry of all this because they came togeter and tha pain is all on the same side of my body
Doctor :   There can be a clot

User :   and i forgot to mencion that i have alergy in my arms and stomach
Doctor :  
The doppler should tell you
User :   you think could be a cloty?
User :   if it i
Doctor :   I am not very sure
User :   if it is
Doctor :  
but one of the reasons
Doctor :  
The allergy might not be related though
User :   yes
User :   my my leg pain is getting worse by the minute
User :   and my chest pain
User :   2
User :   do you ythink that its a chance to be nerve pain
Doctor :  
no
Doctor :  
If the chest pain is more than 5/10 in severity please see the ER
User :   almost done, thanks for hearing me out. i ask about the nerve because i should have mentioned earlier that i have 3 herniated discs for the last 2 yrs
Doctor :   Ok
Doctor :  
The nerve related pain in the thighs is very common
Doctor :  
and if you raise it now then it could be a possible reason too
User :   is aspirin ok to take
Doctor :  
If you take aspirin the burning pain in the chest increase
Doctor :  
so do not take it
User :   that is good to know
Doctor :  
Take a TYLENOL, DS
Doctor :  
or MOTRIN shall be helpful
Doctor :   But the best one for yu is TYLENOL
Doctor :  
OK?
User :   yes.. thank you for your help
Doctor :  
Is there anything else I can help you with?
Doctor :   Thanks for consulting me
Doctor :  
Bye for now.
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