Bruises and Blood Spots Under the Skin

Prevention

You cannot always prevent bruises, but most of the time bruises are not a cause for concern.

• If you take aspirin, other nonsteroidal anti-inflammatory drugs (NSAIDs), or blood-thinning medicines (anticoagulants), keep regular appointments with your health professional so that he or she can monitor your medicine dosages and make any necessary changes or adjustments.
• Eat a variety of foods to avoid dietary deficiencies. Nutritional deficiencies of vitamins C, K, or B12, or folic acid can affect blood clotting. Include a daily selection of:
  • Whole-grain and enriched breads, cereals, and grain products.
  • Vegetables.
  • Fruits.
  • Milk, cheese, and yogurt.
  • Meats, poultry, fish, eggs, dried beans and peas, and tofu.
• Do not take dietary supplements that may increase bruising, particularly if you take a blood-thinning medicine. Dietary supplements that may increase bruising include fish oil, vitamin E, garlic, ginger, and ginkgo biloba.

Bruises are often the first sign of abuse. You may be able to prevent further abuse by reporting it and seeking help.

• Call your local child or adult protective agency, police, or clergy or a health professional (such as a doctor, nurse, or counselor) if you suspect abuse.
• Seek help if you or someone you know is a victim of domestic violence.
• Seek help if you have trouble controlling your anger with a child in your care. Resources are available.

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Author:	Jan Nissl, RN, BS	Last Updated: May 8, 2007
Medical Review:	William M. Green, MD - Emergency Medicine Alexander H. Murray, MD, FRCPC - Dermatology
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