Bleeding into the skin from damaged blood vessels causes discoloration and tenderness of the skin, which we call a bruise. Because the skin is not broken, there is no risk of infection. Bruises usually occur after an injury caused by blunt objects. Unexplained bruises can indicate a bleeding tendency (exception: “unexplained” bruises on the shins are usually not a sign of a bleeding tendency because people commonly bump this area and then forget that they bumped it).
Bruises change colors over time from reddish to bluish to yellowish before the skin fades back to its normal color.
How can I take care of myself?
Apply a cold pack or ice in a bag to the bruised area for 20 minutes. No other treatment should be necessary. Take acetaminophen or ibuprofen for pain. Don’t use aspirin because it may prolong the bleeding. After 48Â hours apply a warm washcloth for 10Â minutes three times a day to help your skin reabsorb the blood. Bruises clear in about 2 weeks.
Do not open blood blisters because it will increase the possibility of infection. The blisters will dry up and peel off in 1 to 2 weeks.
When should I call my healthcare provider?
Call IMMEDIATELY if:
You develop new bruises AND you don’t know what caused them.
You have bruises around the eyes after a head injury.
A bruise does not heal.
Written by Barton D. Schmitt, MD, author of â€œMy Child Is Sick,â€ American Academy of Pediatrics Books.
Pediatric Advisor 2015.1 published by RelayHealth. Last modified: 2009-06-22 Last reviewed: 2014-06-10
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.