Bruising (also called hematoma) is a common injury subcutaneous manifested by discoloration of the skin. When we see bruises on the skin, it means red cells and fluids have escaped the circuit, followed by a series of biochemical reactions that would occur to rectify lesions, artery contraction, blood clotting creating bottlenecks which seal the holes in the circuit immediately.

Cause of bruising

We often got bruises after bumping to hard objects, falling, while playing sports, or overtraining. When these accidents occur, the small blood vessels under the skin tear, rupture; Blood oozes out and stucks in between the subcutaneous tissue forming bruises.

A small fraction of cases of unexplained bruising, or phenomenon after waking up in which we see the bruises on the skin that people called “phantom bites”, often related to bleeding disorders or by micronutrients deficiencies, vulnerability thin and crispy vascular, especially if the bruises are with frequent nosebleeds or gums bleeding.

Bruises happen more often to the elderly because their skin is thinner, the vasculars lose their inherent elasticity, the tissues supporting blood vessels located below also become more fragile. Moreover, bruises are also more common in people taking blood-thinning medications.

 Bruising symptoms

When a person just got injured, bruises may have a reddish brown color. Usually after 2 to 5 days it will turn blue or dark purple within a few hours (due to blood cells losing oxygen), then turn yellow or green after several days when the bruises heal. Sometimes we notice bruises area may spread downward in the direction of gravity, so the bruises in the legs will usually take longer to recover than the bruises on the face or arms.

The pain is often accompanied by bruises. Some bruises only hurt slightly when moving or get touched, sometimes we felt sharp pain in the first few days, but the pain is often eased when the color of the bruises fades.

Because the skin is not damaged, torn, opened so the bruises are not at risk of infection. Bruises usually takes about two weeks to completely dissappear.

Bruises reducing method

At home, you should treat the bruises immediately after the injury to get the best results, when the bruises are still slightly red. Quickly handle bruises at home helps increase recovery speed for blood vessels, prevent the bruises to spread and sore

Within the frist 48 hours: patients should use ice as an ice pack or a bag of frozen vegetables and put it slightly over the bruising area for about 20-30 minutes to help vasoconstriction, reducing swelling. Do not apply ice directly to the skin but you should wrap the ice bag in a thin and soft towel. Patients absolutely should not use hot oil, hot eggs right after impact to rub into the damaged area because that may even increase swelling and pain.

If bruises occupy a large area in the legs or feet, we should keep our legs in elevated positions as much as possible within the first 24 hours after injury, doing so will restrict blood, fluids from escaping intravascular, reduce swelling as much as possible.

Paracetemol can be taking to reduce pain as  directed on the bottle cover. Avoid aspirin or ibuprofen because they slow down blood clotiing and may, in face, prolong the bleeding.

After 48 hours: to use Hong Linh Cot topical ointment which contains oil extracts help increase blood flow to the bruising, dissolve hematoma quickly. Especially, oil extracts in combination with methyl salicylate helps relieve pain and swelling for the wound for faster recovery. Messaging the wound with Hong Linh Cot for about 10 minutes, 2-3 times each day help dissolve blood bruises. Combing applying Hong Linh Cot with ward compresses will make the patients feel revitalize, increase the drug’s absorption through skin and improve its effectiveness.

However not all case of bruising can be self-treated at home. Sometimes some dangerous diseases are lurking after skin bruising symptoms that we tend to overlook because we just consider them simply due to collisions.

  • Bruise accompanied with extreme swelling and pain, especially if you’re taking blood-thinning medications for medical conditions.
  • Bruises occur easily or with no apparent reason.
  • Painful bruises under the toenails or fingernails.
  • Bruises that do not improve with two weeks, or not completely dissolve after three or four weeks.
  • Bruises doubtly with sprains or broken bone.
  • Some bruises, such as those on the head or eyes, can cause a lot of anxiety.


 Prevent bruising

 To prevent bruising, we should pay attention to daily life, work and sports activities. Following these small measures also help people avoid unwant collisions:

  • Wear protective clothing (boots, knee wraps, leg wraps) while playing sports.
  • Place furniture away from the doors and passages in your home.
  • Keep the phone and cord away from the walking area, where you can easily stumble.
  • Keep the floors clean, dry, not wet or messy.
  • Plug a small lamp or use a flashlight if you need to walk to the toilet at night.
  • Bruising is not a serious injury if we estimate the degree right and know how to reduce bruising properly and quickly.

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