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Why do I bruise so easily?

Thin skin bruises easily, and skin thins with age, sun damage and steroid creams or tablets. Aspirin, blood thinners, fish oil and alcohol all amplify ordinary knocks into visible bruises. Most easy bruising is this and nothing more.

The pattern that matters: bruises appearing without any remembered knock, unusually large or numerous ones, bruising with frequent nosebleeds or gum bleeding, or a new medication timeline.

That pattern deserves a blood count and clotting check, simple tests that quickly separate common from concerning.

Source: MedlinePlus, bruise

See a doctor promptly if

  • Hemoglobin well below the normal range with breathlessness, chest pain, or dizziness on standing
  • Potassium below 3.0 mmol/L or above 6.0 mmol/L. This needs same-day contact, not a routine appointment
  • A sudden large rise in creatinine, or a new drop in eGFR, especially with reduced urine output
  • Liver enzymes several times the upper limit with yellow eyes, dark urine, pale stools, or right upper abdominal pain
  • Platelets under 50 x10^9/L, or a very high or very low white cell count with fever

What tends to be behind it

ResultIn shortWhat it means
Age, and thin skinCommonest by farSkin and the vessels in it get more fragile with age and sun exposure. Forearms and the backs of the hands, purple, flat, no pain. Harmless, and it is called senile purpura.
MedicinesCheck the listAspirin, clopidogrel, anticoagulants, and steroids including inhaled and cream forms. Fish oil and high-dose supplements add to it. Very common and usually explains the whole thing.
Being female, and weightNormal variationWomen bruise more easily than men on average, and it is more visible where there is more subcutaneous fat. Not a problem.
Low platelets or clotting problemsNeeds a blood testSuspected when bruises appear without any knock, come with bleeding gums or nosebleeds, or sit alongside tiny red dots that do not blanch when pressed.
Low vitamin C, and liver diseaseLess commonBoth affect vessel walls or clotting. Usually there is other evidence, such as diet history, alcohol, or bleeding elsewhere.
Get it looked at whenSame weekBruises with no injury, in unusual places such as the trunk or back, very large ones, or bruising with heavy periods, nosebleeds that will not stop, or feeling unwell.

A change from your own normal matters more than the absolute number of bruises, and the medicine list explains more cases than any blood test does. Check it against the guidelines.

Look up another result

A result is rarely the only one on the page. Each of these gives the bands, in both unit systems, and what happens next.

Answered by the AskDoc Medical Team · Medically reviewed under our Medical Director, MBBS · How we review

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