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Having Capillary Bleeding On Legs. No Pain. Advice?

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Posted on Fri, 15 Jun 2012
Question: I have capillary bleeding in my legs. They look like age spots...My doctor says it is very close veins. I recently did a lot of walking on vacation & now my lower legs look very purple. i haven't any pain.
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Answered by Dr. CS Narayan (36 minutes later)
Hello and thanks for your query.

I shall make an effort to provide you with good professional recommendations specific to your questions.

The slight bleeding signs and the purple look of the muscles especially for the lower leg can be reasoned sometimes while using statin group of drugs. Myositis to be precise, in its mild form might have been the reason and this might have aggravated with the excessive metabolism of the vacation walking. It’s good you do not have any pain now - but do watch out and report at the slightest hint of pain to your doctor.

There is nothing to worry much as you already have been evaluated by a doctor. Certain superficial veins as said by your doctor are commonly involved in opening up particularly in elderly with vigorous exercise, so go slow next time if you do not want them again.

Your BP reading seems a bit too low; see if you need a review of the 3 drugs - amlodipine, lisinopril, atenolol you are on for the same.

And your cholesterol levels must be checked every 3-6 months or as advised by your doctor. Work well with improving both. Good control will improve your overall health even more.

Let me know if I have missed out any other concern in your question.

Yet again, I duly appreciate your query to me, I do hope that you have found something useful to help you and I shall be glad to answer any further apprehensions.

Sincerely,

Dr Sujeet N Charugulla, MBBS, MD
Consultant Physician.

Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. CS Narayan (1 hour later)
I check my blood pressure about once a moth at my local drug store I have tried different locations & it reads the same.....It is always low.....113/60.....When I go to the doctors it is 130/70...That is why he keeps me on the same meds...Maybe I have white coat syndrome...They wait a few minutes & try again...but it stays the same...I wore a 24 hr blood pressure machine a yr ago & found that my pressure goes up & down all day...I was told by my OBGyn doc that this is a problem & fluctuating pressure that promotes clogged arteries which I do have in the right neck...at 80%. Is this a true statement....I had an ultrasound of my legs arteries & they are clear.
doctor
Answered by Dr. CS Narayan (8 hours later)
Thanks for the reply.

A 20-40 mm fluctuation in BP leading to 80% clogging does not impress me. Although it might be one of the factors, many other reasons will contribute.

Normally, a fluctuation of 10-20 happens in everyone and even more than that sometimes and more importantly BP readings have a pattern based on the time of the day. Hence, it is important to make visits preferably at the same time of the day to the doctor. Get friendly and acclimatize with the staff and place, it would help you relax when you go see the doctor.

And I would suggest you do some meditation and yoga for additional benefits.

Sincerely,
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Dr. CS Narayan

General & Family Physician

Practicing since :2004

Answered : 546 Questions

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Having Capillary Bleeding On Legs. No Pain. Advice?

Hello and thanks for your query.

I shall make an effort to provide you with good professional recommendations specific to your questions.

The slight bleeding signs and the purple look of the muscles especially for the lower leg can be reasoned sometimes while using statin group of drugs. Myositis to be precise, in its mild form might have been the reason and this might have aggravated with the excessive metabolism of the vacation walking. It’s good you do not have any pain now - but do watch out and report at the slightest hint of pain to your doctor.

There is nothing to worry much as you already have been evaluated by a doctor. Certain superficial veins as said by your doctor are commonly involved in opening up particularly in elderly with vigorous exercise, so go slow next time if you do not want them again.

Your BP reading seems a bit too low; see if you need a review of the 3 drugs - amlodipine, lisinopril, atenolol you are on for the same.

And your cholesterol levels must be checked every 3-6 months or as advised by your doctor. Work well with improving both. Good control will improve your overall health even more.

Let me know if I have missed out any other concern in your question.

Yet again, I duly appreciate your query to me, I do hope that you have found something useful to help you and I shall be glad to answer any further apprehensions.

Sincerely,

Dr Sujeet N Charugulla, MBBS, MD
Consultant Physician.