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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest And Leg Bruising?

Hi Dr Galamaga, Thank you so much for your time.My name is Ayesha,from Nairobi,Kenya.Am 28yrs,and in the best of health,Thank God.My biggest concern however is my mum,shes 56yrs old,75kgs in weight,around 5'5 in height,has suffered from DVT for the last 28yrs,lately shes noticed bruising on her chest and never recollects bumping or scratching the area..she was on a blood thinner,heparin then warfarin the former was discontinued but doesnt take the latter anymore...is there any need to be alarmed? ps she has bruising on her leg too. thank you again in advance
posted on Fri, 14 Mar 2014
Twitter Wed, 20 Apr 2016 Answered on
Twitter Wed, 20 Apr 2016 Last reviewed on
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General Surgeon 's  Response
Hi,Dear,Thanks for your query to HCM.
Dear I read facts of your query and reviewed it in context to your health issues submitted in your query.
I understood your health concerns and feel Concerned about them.

Based on the facts of your query the reply of your query is-
Your current health issues seem to be due to -the lack of careful anti-coagulant treatment lately for many mths.
This would create more problems like the one -of chest bruising on chest and leg bruising too.This is therefore more alarming condition and situation needs to be dealt by urgent Consultation with Vascular Surgeon- for DVT with thrombo-embolic complications or thrombotic complications in Varicose leg Veins.The Chest Bruising could be from TOS-Venous- due to hidden undetected Cervical rib and other causes, which could lead Subclavian thrombosis- with Chest bruising in your case.
This needs to be verified with other causes of Chest bruising and Leg bruising as discussed above, as it could be due to accompanied-thrombotic complications in Subclavian and Leg Veins causing the bruises from obstructed Veins leading to this bruising in your chest and legs.
Therefore Cause of these complaints in your case needs to be investigated by USG of the neck veins and CT Neck area and Color doppler of the leg Veins.
Other causes need to be verified,as discussed above.For this you need to consult Surgeon and Vascular Surgeon from Surgical Department.

Remedy-
Do's in your case-
Check With Doctors as suggested above-
Rest and Elevation to legs and to Arms and neck area.
You need to Urgently plan Corrective Anti-thrombotic medicines or Per Cutaneous Catheter thrombolysis-for correcting the Subclavian thrombosis with ELVT-endoscopic laser ablation of the engorged communicating vessels and Foam sclerotherapy to reduce the bruised masses,as your case is advanced neglected DVT.


Reduce on obesity of your Mother with diet/ hypothyroid/ diabetes investigations
and by strict dieting plans from nutritionist and family Gp.
Check bleeding time and keep INR in controls with blood thinner treatment with heparin to start with and with warfarrin later on -for long care.
Vit D3 and Calcium and Inj- Vit K, Vit B12 supplements are needed to correct the imbalances aggravating these changes.
Get physical check with Vascular Surgeon and Physician who would do USG and Color doppler studies to asses the severity of Varicocele.
There are many causes which need to be verified amongst the causes discussed above before planning specific surgical remedy in your case.

High protein low Calories/low fat / high fiber diet to built up body BMR and loose obesity.

Proper Gymingt with Venostock and walking exercises would help you a lot but under guidance of Physician-as to avoid more ruptures due to uncontrolled exercises,due to increased abdominal and venous pressure.

Vit B12 and Folic Acid- to stabilize aid BMR rise and reduction of obesity.

Thus You should consult Vascular Surgeon and Physician.
This would resolve the complaints of your's.


Constant follow-up with local family or specialist Vascular Surgeon and Physician for long term would give you long remissions of such complaints in time to come,which would depend on meticulous follow-up treatment of your health concerns.

Just don't worry and be patient and co-operate with your doctors,till you verify with your attending doctors.
For early recovery-please follow above do's which would resolve your complex health issues.

Hope this would help you to treat your health issues in the best way possible.

Welcome for any further query in this regard to following link-
http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229

Wishing Good Healthy Life!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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What Causes Chest And Leg Bruising?

Hi,Dear,Thanks for your query to HCM. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is- Your current health issues seem to be due to -the lack of careful anti-coagulant treatment lately for many mths. This would create more problems like the one -of chest bruising on chest and leg bruising too.This is therefore more alarming condition and situation needs to be dealt by urgent Consultation with Vascular Surgeon- for DVT with thrombo-embolic complications or thrombotic complications in Varicose leg Veins.The Chest Bruising could be from TOS-Venous- due to hidden undetected Cervical rib and other causes, which could lead Subclavian thrombosis- with Chest bruising in your case. This needs to be verified with other causes of Chest bruising and Leg bruising as discussed above, as it could be due to accompanied-thrombotic complications in Subclavian and Leg Veins causing the bruises from obstructed Veins leading to this bruising in your chest and legs. Therefore Cause of these complaints in your case needs to be investigated by USG of the neck veins and CT Neck area and Color doppler of the leg Veins. Other causes need to be verified,as discussed above.For this you need to consult Surgeon and Vascular Surgeon from Surgical Department. Remedy- Do s in your case- Check With Doctors as suggested above- Rest and Elevation to legs and to Arms and neck area. You need to Urgently plan Corrective Anti-thrombotic medicines or Per Cutaneous Catheter thrombolysis-for correcting the Subclavian thrombosis with ELVT-endoscopic laser ablation of the engorged communicating vessels and Foam sclerotherapy to reduce the bruised masses,as your case is advanced neglected DVT. Reduce on obesity of your Mother with diet/ hypothyroid/ diabetes investigations and by strict dieting plans from nutritionist and family Gp. Check bleeding time and keep INR in controls with blood thinner treatment with heparin to start with and with warfarrin later on -for long care. Vit D3 and Calcium and Inj- Vit K, Vit B12 supplements are needed to correct the imbalances aggravating these changes. Get physical check with Vascular Surgeon and Physician who would do USG and Color doppler studies to asses the severity of Varicocele. There are many causes which need to be verified amongst the causes discussed above before planning specific surgical remedy in your case. High protein low Calories/low fat / high fiber diet to built up body BMR and loose obesity. Proper Gymingt with Venostock and walking exercises would help you a lot but under guidance of Physician-as to avoid more ruptures due to uncontrolled exercises,due to increased abdominal and venous pressure. Vit B12 and Folic Acid- to stabilize aid BMR rise and reduction of obesity. Thus You should consult Vascular Surgeon and Physician. This would resolve the complaints of your s. Constant follow-up with local family or specialist Vascular Surgeon and Physician for long term would give you long remissions of such complaints in time to come,which would depend on meticulous follow-up treatment of your health concerns. Just don t worry and be patient and co-operate with your doctors,till you verify with your attending doctors. For early recovery-please follow above do s which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link- http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Wishing Good Healthy Life!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS