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Lump on the inner thigh due to blood accumulation in the region - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I have a black and blue radish sized lump on my inner back of the thigh about 2 inches above my knee. Just noticed it and I didn't run into anything, fall or do anything that I noticed that would have caused such a big lump - should I be concerned?
Doctor :   Hi
User :   hi
Doctor :   May I know your age and gender?
Doctor :   Since when did you notice it?
User :   53, female, workout alot
User :   tonight
Doctor :   Do you have pain, itching, burning sensation over that area?
User :   no
Doctor :   Are you on any regular pills?
Doctor :   Do you have diabetes, hypertension, thyroid problems?
User :   yes. Spironolactone for menapausal (sp) symptoms and sleeping pills at night.
Doctor :   Ok
User :   no diabetes but I have hyperinsulinemia and was diagnosed with a rare mutation of my insulin
User :   normal c-peptide and A1c
Doctor :   Ok
User :   and cortisol
Doctor :   Have you had similar lesions in the past?
User :   no
Doctor :   Ok
User :   I do bruise easily though
Doctor :   Let me explain to you.
Doctor :   Based on your description, the lesion appears to be a collection of blood.
User :   in a vein?
Doctor :   It could have occurred due to bruising of minor blood vessels (yes, probably one of the small venules) of the skin.
Doctor :   Though it is a non concerning condition now, you will need evaluation to see why such an event has occurred spontaneously.
Doctor :   Previous studies reveal that such symptoms occur in individual who have low platelet counts.
User :   could I wait until Monday - or is this an emergency type of situation? It doesn't sound like it.
User :   what is low platelet counts
Doctor :   There are reports that use of spironolactone can be associated with such conditions, though not proved convincingly.
Doctor :   Hence I suggest that you report to your doctor, who can be able to evaluate better.
User :   ok
Doctor :   Platelets which are one of the blood cell is essential in preventing easy bruising and spontaneous bleeding episodes
Doctor :   Low platelets can induce spontaneous bleeding episodes.
Doctor :   The present symptoms lesion is a non concerning one,
User :   my biggest concern and my reason for contacting you is a blot clot in my leg
Doctor :   which will resolve in a few days without any medication.
User :   Great - I will contact my doctor next week to check my blood and show this to her
Doctor :   But necessary measures to prevent it is necessary.
Doctor :   The steps of action can only be suggested after the evaluation.
User :   understood
Doctor :   Watch out for similar lesions happening else where.
Doctor :   if such events occur again, i think you will need to see doctors immediately.
Doctor :   Hope that is clear.
Doctor :   Do you have any other query?
User :   ok. Could this go to my heart at all?
Doctor :   No,
Doctor :   These are areas of spontaneous bleeding.
Doctor :   these are not blood clots in the vessels.
Doctor :   So this is not a condition which can cause embolism.
User :   Great - I will have this checked out next week - you were very helpful and I can now go to sleep and not worry
Doctor :   Do you have any other query?
User :   No, thank you
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   Bye
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