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What Causes Unexplained Painful Bruising On Chest?

Posted on Fri, 13 Nov 2015

Question: have had a quarter sized bruise left side top of chest almost where heart is. very very painful been there 5 years.. painful if you touch it. feel something
move in chest when I cough or sneeze. Swells up chest muscle. Painfull to take a deep breath, hurts to lay on back or left side. Have lost many days of work due to pain.. Have been talking oxycodone doesn't help much at all. Even when I sit to long pain can be unbearable...Xrays and CT scan doesn't show anything.. any thoughts? Been to lots of doctors no one has a idea just take more pills. Boy that's the life..

Answered by Dr. Muhammad Ali Rauf (2 hours later)

Brief Answer:
need some details to guide you better

Detailed Answer:
Hello

Thank You for contacting HCM. My name is Dr Muhammad Ali Rauf & i will look into your problem.

I have gone through your query and would try to help you in the best possible way. There could be a number of causes for your complaint. I would be in a better position to guide you anything if you answer following questions please:

1. Please share a clear close image of the bruise.
2. is it only on chest or any other part of body as well?
3. any history of trauma at that site?
5. are you on any medication other than mentioned?
6. do you or anyone in the family has history of diabetes, hypertension, bleeding disorder or any other illness?
7. any history of fever?

I will be looking forward for the answers to conclude the discussion in the best interest of yours.
Thank You

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Muhammad Ali Rauf (3 hours later)

to answer you. high blood pressure,thyroide,asprian.. was adopted, only on chest no trauma at site, no history of fevers
Hope this helps you out if it does and you may have an idea let me know. Thanks.. been along time of pain. If you can figure out what it may be then you would be the best in world no one as a clue... a medical mystery...

Answered by Dr. Muhammad Ali Rauf (6 hours later)

Brief Answer:
Needs further workup

Detailed Answer:
Hello

Thank you for getting back with the answers and the image. The differential in your case would include localized abscess collection & hematological disorder. If i were your treating doctor then i would have advised following things:

- visit hospital and get ultrasound of the swelling done.
- CBC & clotting profile

These labs will help to rule out the above mentioned differential. Further management will depend upon the cause. If its a collection then treatment will include incision & drainage under local or general anesthesia(depending upon the extent). clotting profile will help to determine in hematological cause.

If you have any further questions I will be happy to help.
Wishing you good health !!

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Muhammad Ali Rauf (12 minutes later)

Thanks. Have not heard that diagnosis before.. Will go with that have a appt. Thursday to try out your recmondation. Will keep you informed I have over 120,000 in doctor bills for this yes it is true. Thank you very much..

Answered by Dr. Muhammad Ali Rauf (46 minutes later)

Brief Answer:
You are welcome

Detailed Answer:
Hello

I'm sorry to hear about the problem you are facing. I will try my best to help you in reaching a conclusion. I'll be available 24/7 for if you ever need assistance. Don't forget to close this discussion & rate it.

Wishing you good health.

Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar