What do recurring bruises on arms indicate? - Online Doctor Chats
Hi i keep having recurring bruises on my right and now left upper arm??
I have read your query
can you please tell me since how long this is happening?
Hello, are you there?
Hello Ms XXXXXXX are you there?
Hi yes, its been about 4 months
okay, Before that you had never had this experience?
May I know your age and occupation?
I do get light headed and fatigued my gp thought it may be ME but i dont feel that'
No never before! Im 47 and i work with restorative justice in victim support
Have you had any blood tests done recently?
How big are the bruises, how often do you see these?
No i havent, what does unusual bruising mra
Oops sorry usually mdan?
Unusual bruising means bruising without any apparent cause
and with minimal trauma
Thumb print size, round and every month
Not with any known knock or trauma its,weird
Okay, you are saying every month, does that mean it happens on any particular day in relation to your menstrual periods?
Its just started happening alongside fatigu
How soon do you feel fatigued while walking or doing any routine chores?
that means, this happens approximately about a month once
I strongly recommend you to get your blood tested
The bruising is caused generally by low platelet counts
My gp thought it was ME but that doesnt explain latest sypmtoms
and fatigue could be because of anemia
Ok, thank you but what does low platelet counts,mean?
by ME do you mean Myalgic encephalomyelitis?
But i dont give up easy
I refuse to allow it to win
ME is a diagnosis of exclusion, so common conditions need to be completely ruled out before labeling someone as ME
Good because i dont think i have ME
Low platelet counts means, the small non nucleated cells in the blood that are responsible for stopping bleeding after any trauma are reduced
that could explain the low platelet counts if it is found that you have low platelet counts
I havent experienced any traum to my arms though i wake up with the bruises?
Ok so what do i ask my gp?
I do understand your concern
If you have low platelet counts, then you don't need to suffer any trauma
You should suggest to your GP to order for a complete blood work up
1. Complete hemogram
I am concerned because i wantcto understand this better
or complete blood counts
2. Peripheral blood smear
We are talking uk nhs??
But happy to psy for private bloods,
UK NHS does include these basic tests
They dont usually like to go outside the norm!
do not worry about that, if your GP makes a provisional diagnosis of thrombocytopenia(Low platelet counts)
My dear, it is the norm. These tests are the most basic tests
Ah ok if they include these then fine. What do you think it could indicate
Firstly, it would tell us if you indeed have low platelet counts
that is where the next step will start
If it is found that you have low platelet counts, then you will be advised to undergo further tests to find out the exact nature of the problem
What do low platelet counts mean though
Low platelet counts mean, if you get even a small cut, the bleeding will not stop fast
it will take quite a long time
Ok i will call gp and arrange for blood count thank you
So, it is essential to find out if that is indeed the case
Yes, you can start there
What is the underlying cause though?
Underlying cause can be autoimmune disorders
Ok i will do that thank you for your help
or bone marrow suppression due to medicines or other causes
Is there anything else I can help you with?
Can you get late onset leukaemia
not exactly, but some forms of leukemia
Yes, leukemia has a bimodal distribution
What other symptoms come with that?
meaning, it can present in early life, or after middle age
What us bimodal dist?
Symptoms are non specific
Any other symptoms?
nothing particular late in the disease progression
But can a,blood work up show that
but don't worry about that
as you said you have a strong family history of autoimmune disorders
i suspect it could be that
Im pretty healthy and eat well dont smoke etc
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