Health Conditions A-Z Infectious Diseases Hepatitis C 9 Reasons You Bruise So Easily What do those bruises mean—and what can you do about them? By Karen Pallarito Karen Pallarito Twitter Karen Pallarito tells stories grounded in science and backed by solid reporting. As Senior Conditions Editor for Health, she covers COVID-19 plus umpteen other health and wellness topics. Her freelance portfolio includes pieces for The Washington Post, U.S. News & World Report, Working Mother, Westchester Magazine, and the news syndicate HealthDay, among others. Karen started her career as a health policy reporter in the nation's capital, where she covered congressional hearings on Medicare and Medicaid. From the late 90s to the early aughts, she reported on health business for Reuters Health and contributed to its medical and consumer health newswires. Prior to that, she was Modern Healthcare's New York Bureau Chief. A fellow of the Association of Health Care Journalists' 2019 class on Comparative Effective Research, Karen is committed to helping people understand the benefits and harms of clinical interventions and exposing racial/ethnic disparities in healthcare. When not on deadline, you might find her whipping up something in the kitchen, working out, bingeing on cable news, or indulging in some form of mind candy (aka reality TV). health's editorial guidelines Updated on July 29, 2021 Share Tweet Pin Email Photo: Getty Images Scratching your head over bruises you don't remember getting? Maybe you find yourself wondering, Why do I bruise so easily? Bruising occurs when blood vessels burst and leak blood under the skin's surface. It's usually the result of an injury to muscle and connective tissue, says the American Academy of Orthopaedic Surgeons. Pooled blood forms an ugly blemish that changes color and gradually fades away as the collected blood gets reabsorbed into the body. Sometimes these black-and-blue marks pop up with little or no provocation, although clinicians say there's usually a perfectly good explanation or a treatable underlying cause. "If it bothers you—if it recurs or it occurs and you can't explain it and you're concerned, or you have a family history of a problem—then you should see somebody," advises Margaret Ragni, MD, MPH, professor of medicine at the University of Pittsburgh and director of the Hemophilia Center of Western Pennsylvania. Here are some common reasons that you may be bruising easily–and what you can do about it. 13 Reasons You Have Swollen Feet, According to Doctors 01 of 09 You're an athlete or very active Getty Images Whether you're a competitive soccer player or a weekend warrior, you're bound to get bumps and bruises if you come into contact with other athletes or gear at the gym. It's not a big deal unless "you're worried about how your legs look while you're out on the beach," Dr. Ragni reasons. "But if you don't really care, I don't think it's going to hurt you to have a bruise here or there." Minor bruises don't require treatment. But what about significant bruising due to, say, a fall, jam, or blow? To speed healing, Cleveland Clinic suggests resting and elevating the injured area, applying a towel-wrapped ice pack for no more than 15 minutes at a time for the first 24 to 48 hours, switching to a heating pad or warm compress after two days, and popping an over-the-counter pain reliever. What Does It Mean When You Pop or Pull Your Calf Muscle? 02 of 09 You're aging lukas_zb/Getty Images Older folks' bodies don't bounce back from injury like those of younger adults, so even a minor bump or grab on the arm can leave a bruise. "As we age, our skin and blood vessels become more fragile; we lose collagen, elastin, and some of the subcutaneous fat that cushions and protects our small blood vessels," explains Suzanne Friedler, MD, a dermatologist at Advanced Dermatology PC in Manhattan. For a fresh injury, try the RICE method: rest, ice, compression, elevation. "It may initially help a bruise from worsening, but it rarely has a benefit on a bruise after the first 24 hours," Dr. Friedler says. "After that time, heat can sometimes help the bruise clear up faster." The 7 Best Anti-Aging Products of All Time, According to Dermatologists 03 of 09 Your skin is sun damaged Jose Luis Pelaez/Getty Images Many years of sun exposure can weaken blood vessel walls, contributing to a type of bruising in older adults known as "actinic purpura" or "senile purpura"—unsightly purple patches that occur on the backs of the hands and forearms without much of a bump or injury. (Aging and use of certain medications can also cause these bruises.) The American Osteopathic College of Dermatology says topical creams containing retinol or alpha-hydroxy acid may be useful in reducing the appearance of these bruises, while wearing long sleeves and avoiding trauma to the hands and arms may help prevent bruising in the first place. And it's another reason to become a lifelong user of sun protection! This Woman's Tiny Bruise Turned Out to Be a Rare Form of Skin Cancer 04 of 09 You're taking blood thinners or painkillers Taking the blood thinner warfarin or using nonsteroidal anti-inflammatory drugs (NSAIDs) like aspirin and ibuprofen can lead to easy bruising, especially in older folks who are frequent users of these medicines. NSAIDs and blood thinners block the normal function of platelets, a component of blood that binds to other clotting factors to stop bleeding, explains Dr. Ragni, who is also a spokesperson for the American Society of Hematology. While popping a pill now and then probably won't cause a bruising problem, long-term use could be the reason you're bruising easily. Consult your doctor before stopping any medication. The 7 Best CBD Creams and Lotions for Pain, According to Experts 05 of 09 You're on steroids Stockbyte/Getty Images Do you have asthma, COPD, eczema, or rheumatoid arthritis? Easy bruising may be a sign that you're taking corticosteroids, a common treatment for these and other diseases. Whether you're using an inhaler, taking pills, or applying a topical version of these powerful anti-inflammatory drugs, bruising is a common side effect, Mayo Clinic notes. Long-term use, especially at more potent doses, can cause skin thinning. If bruising is an issue, talk to your doctor about whether to stick with your medication regimen or switch to another drug. 7 Things That Can Cause Asthma 06 of 09 Your blood platelet count is low DAVID MACK/Getty Images If bruises seem to appear for no reason, it could signal you were born with a platelet disorder. Platelets are crucial because they help form clots to slow or halt bleeding. "You can either have an insufficient number of platelets, or your platelets don't work normally," Dr. Ragni says. It's rare, but thrombocytopenia, a low platelet condition, can develop during pregnancy—and one of the first signs can be a bruise. "That's the sort of thing a hematologist could help you sort out," she says. A Bruise on This Woman's Fingernail Turned Out to Be an Aggressive Form of Skin Cancer 07 of 09 You have a bleeding disorder Andrew Brookes/Getty Images Bruising in and of itself may not be a big deal. But when it's accompanied by other symptoms, like nosebleeds, heavy periods, or excessive bleeding after surgery, then you might suspect something more than just accidental bruising. "It's the company it keeps, the frequency that it occurs, even the severity by which it occurs," Dr. Ragni explains. The most common bleeding disorder, called von Willebrand disease, is a genetic condition caused by a missing or defective clotting protein, according to the National Hemophilia Foundation. It affects up to 1% of the population. People with bleeding disorders require specialized treatment, beginning with a thorough evaluation by a hematologist. This 84-Year-Old Man's Fingers and Toes Turned Black Because of Inflammation In His Arteries 08 of 09 Your liver is hurting Getty Images If your liver is diseased or damaged, there may be fewer platelets circulating in your blood than you need for normal blood clotting, and that can cause you to bruise easily, Dr. Ragni says. Many things can cause liver damage, from hepatitis C infection to alcohol-related liver disease. You could even have a liver disease and a bleeding disorder. "You want to have a very thorough evaluation to make sure you're not just attributing [bruising] to drinking and liver disease when it may be something else entirely," Dr. Ragni says. How Do You Get Hepatitis C? Here's What You Need to Know 09 of 09 You could have blood cancer Easy bruising is a common symptom among people with blood cancer, per the UK charity Leukaemia Care. People develop these bruises due to a dearth of healthy blood cells in the bone marrow. They aren't producing enough platelets needed for clotting. One telltale signs of cancer-related bruises: They tend to occur in unexpected places, like the back or hands. People often develop multiple, unexplained bruises at a time, and they can take longer to fade away. What Is Chronic Lymphocytic Leukemia? 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