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Is ecchymosis possible after Septocaine injection?

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Posted on Fri, 29 Jul 2016
Question: is it possible to have ecchymosis, or otherwise unexplained black and blue marks as a result of a septocaine injection for tooth extraction from the time of the procedure and lasting several months?
doctor
Answered by Dr. Panagiotis Zografakis (54 minutes later)
Brief Answer:
no...

Detailed Answer:
Hello,

although septocaine injection may cause ecchymosis, it's not supposed to last that long. You haven't made clear whether it's an ecchymosis at the site of injection or various lesions all around your body. If you're having persistent or recurrent ecchymoses then investigation is required. You should first check your complete blood count (particularly the platelets' count), bleeding time and the coagulation indices (INR and activated PTT). This is the first level of investigation. Depending on the results further investigation might be required.

Your medical history might be important too. For example, other symptoms or signs you may have, like fever, liver disease, hematologic disorders, drugs you use, etc.

I hope it helps!
If you'd like to provide more information about your case, I'll be glad to comment on them.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Panagiotis Zografakis (1 hour later)
Thank you so much. Do you have any other thoughts? my husband is experiencing small and large black and blue marks mainly on his hands and arms. This began to occur after a tooth extraction that resulted in excessive bleeding . Septocaine was the anesthesia used. He was not taking any other medication.
doctor
Answered by Dr. Panagiotis Zografakis (7 minutes later)
Brief Answer:
it's not the extraction...

Detailed Answer:
You're welcome!

I don't believe it's the extraction or the drug that caused it. The drug could have caused problems to platelet production but that's a very rare event. I suggest doing the tests I've mentioned to check whether the platelets (mostly involved in such cases) or the coagulation cascade work properly.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3801 Questions

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Is ecchymosis possible after Septocaine injection?

Brief Answer: no... Detailed Answer: Hello, although septocaine injection may cause ecchymosis, it's not supposed to last that long. You haven't made clear whether it's an ecchymosis at the site of injection or various lesions all around your body. If you're having persistent or recurrent ecchymoses then investigation is required. You should first check your complete blood count (particularly the platelets' count), bleeding time and the coagulation indices (INR and activated PTT). This is the first level of investigation. Depending on the results further investigation might be required. Your medical history might be important too. For example, other symptoms or signs you may have, like fever, liver disease, hematologic disorders, drugs you use, etc. I hope it helps! If you'd like to provide more information about your case, I'll be glad to comment on them. Kind Regards!