Hello,
Unexpected bruises can be associated with
binge drinking. The combination of pain suppression along with balance and memory impairment while under the influence of alcohol could result in an individual bumping into something or even falling and not remembering the incident.
Also an injury may not feel painful from alcohol suppressing pain, so what may have seemed to be an insignificant bump or fall may not hurt, but could lead to a significant bruise in spite of limited or no pain. An isolated bruise is most likely from some kind of injury.
If a patient begins experiencing multiple bruises,
petechiae or
purpura or easy bruising, then concern would be present for possible problems with clotting from low platelets, or other causes.
Worsening of pain, increases in swelling, more bruises without apparent causes all would be indicators for a patient to seek evaluation with at least a
primary care provider.
I would recommend that someone who binge drinks and uses chewing tobacco take steps to stop both, since individually, and especially as a combination, they can lead to serious health problems like
oral cancer, liver disease and trauma.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Matthew Jones