Red flags & when to go in person for Bruising

Audience: adult

Bruising is common and usually harmless, caused by small blood vessels breaking under the skin after an injury. Most bruises heal on their own within two weeks without needing medical treatment. Telemedicine can help you understand your bruising and decide if you need further care. However, some bruises may signal a more serious problem, especially if they appear without injury, are very large, or come with other symptoms like bleeding or pain. This guide explains when bruising can be managed through telemedicine and when you should see a healthcare provider in person. It also highlights important warning signs, how to prepare for a telehealth visit, and what to expect afterward. Remember, telemedicine is a helpful tool but not a replacement for emergency or in-person care when needed.

Red flags — go in person / ER

• Bruises appearing without any injury or cause — seek in-person evaluation to rule out underlying conditions.
• Large or rapidly expanding bruises causing significant pain or swelling — get urgent medical care.
• Bruising accompanied by unusual bleeding (e.g., from gums, nose) or frequent unexplained bruises — consult healthcare provider promptly.

What telemedicine can do

• Initial assessment of minor bruising with known cause.
• Providing advice on home care and symptom monitoring.
• Determining if symptoms require urgent or in-person evaluation.
• Follow-up for bruising that is healing as expected.

What telemedicine cannot do

• Severe pain, swelling, or rapidly growing bruises needing physical examination.
• Signs of infection requiring wound care or antibiotics.
• Unexplained or frequent bruising needing blood tests or specialist evaluation.
• Emergency situations such as heavy bleeding or signs of internal injury.

What Causes Bruising?

Bruises happen when small blood vessels under the skin break and leak blood. Common causes include bumps, falls, or minor injuries. Some people bruise more easily due to age, medications, or medical conditions. Usually, bruises are not serious and heal by themselves over days or weeks.

When Is Bruising a Concern?

Most bruises are harmless, but certain signs mean you should get checked in person:

These may indicate underlying health issues such as blood disorders or infections.

How Telemedicine Can Help

Telemedicine providers can assess your bruising by asking about your symptoms, medical history, and any medications you take. They can guide you on home care, suggest when to monitor your symptoms, and advise if you need to see a doctor in person or go to the emergency room. Telehealth is useful for routine questions and follow-up but has limits for urgent or complex cases.

Preparing for Your Telemedicine Visit

To get the most from your telemedicine visit:

After Your Telemedicine Visit

Follow the care advice given, such as resting the area, applying ice, or monitoring symptoms. If instructed, schedule an in-person visit or emergency care. Keep track of any changes in your bruising or new symptoms and report them promptly. Use telemedicine for follow-up if recommended.

How to prepare for your tele-visit

• Ensure good lighting to show the bruise clearly on camera.
• Have a device with video capability ready for the visit.
• Note the date and cause of the bruise if known.
• List any medications, supplements, or blood thinners you are taking.
• Prepare to describe any other symptoms like pain, bleeding, or fever.
• Have a family member or friend available if you need help during the visit.

After your tele-visit

• Follow home care instructions such as rest and ice application.
• Monitor the bruise for changes in size, color, or pain.
• Report any new symptoms such as increased bleeding or infection signs.
• Schedule in-person follow-up if advised by your provider.
• Seek emergency care if red flags develop after the tele-visit.

FAQs

Can a bruise appear without any injury?

Yes, bruises can sometimes appear without a clear injury, especially if you have certain medical conditions or take medications that affect blood clotting. If you notice unexplained bruising, it is important to consult a healthcare provider to rule out underlying causes.

How long does a bruise usually take to heal?

Most bruises heal within two weeks. The color changes from dark blue or purple to green, yellow, and then fades away as the body reabsorbs the blood. If a bruise lasts longer or worsens, seek medical advice.

When should I go to the emergency room for a bruise?

Go to the emergency room if you have a large bruise with severe pain or swelling, bruising after a head injury, signs of heavy bleeding, or if the bruise is accompanied by weakness, dizziness, or difficulty moving. These could indicate serious injury or internal bleeding.

Can telemedicine diagnose blood disorders causing bruising?

Telemedicine can help identify if your bruising might be related to blood disorders by reviewing your symptoms and history. However, diagnosis usually requires blood tests and physical exams that need in-person care.

Is it safe to take blood-thinning medications if I bruise easily?

Blood-thinning medications can increase bruising. Always discuss any concerns with your healthcare provider before starting or stopping these medications. Do not adjust medication doses without professional advice.

Sources

1. Bruises — MedlinePlus, U.S. National Library of Medicine.
2. Bruising and Bleeding Disorders — Mayo Clinic.
3. Bleeding and Bruising — Centers for Disease Control and Prevention (CDC).
4. Easy Bruising — Merck Manuals Consumer Version.

This telemedicine guidance is for educational and triage purposes only and is not a substitute for professional in-person medical care. If you experience any red flag symptoms or worsening condition, seek immediate medical attention.