Bruise discoloration: Causes, timescale, and when to see a doctor
Causes, timescale, and when to see a doctor
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Bruises happen when something damages small blood vessels in the skin. Over time, a bruise can appear red, purple, or darker than the surrounding skin. It may then progress to blue, black, or green.
Bruising typically occurs when a person receives an injury to an area of their skin, such as from falling or bumping into something.
The blood vessels between the skin and other tissues in the body burst. The blood pools under the surface of the skin, causing a bruise. It is natural for a bruise to change color during the healing process.
Read on to learn more about the usual cycle of bruising, and when a person should see their doctor about a bruise, for example, when it does not heal, returns or the pain intensifies.
A person may be able to estimate how old a bruise is from the color. As the body heals and breaks down the hemoglobin, or compound that gives blood its red color, the bruise will change in color. This is a regular part of the healing process.
However, skin color affects the appearance of a bruise. Those with medium skin tones had more red and yellow to their bruises, while darker skin tones displayed darker bruises.
During the healing process, a bruise will usually go through the following colors:
- It often starts red because fresh, oxygen-rich blood has newly pooled underneath the skin.
- After around 1–2 days, the blood begins to lose oxygen and change color. A bruise that is a few days old will often appear blue, purple, or even black.
- In about 5–10 days, it turns a yellow or green color. These colors come from compounds called biliverdin and bilirubin that the body produces when it breaks down hemoglobin.
- After 10–14 days, it will turn to a shade of yellowish-brown or light brown.
Finally, once the bruise has turned a light brown, it will begin to fade. Most bruises will disappear without treatment within about 2 weeks.
Bruises are not typically something to cause undue worry. Often, they are a surface injury that requires no medical attention, and people can treat them at home.
But, in some cases, a person may want to seek medical attention for their bruising.
One common issue is a hematoma. A hematoma is a large collection of blood that becomes trapped within tissues. It is often related to more significant trauma.
When a hematoma occurs, the body cannot heal the bruise as easily or quickly as a minor injury. As a result, a hematoma stays the same color, firmness, and causes the same level of pain even after several days.
A person may need medical attention to find out if the hematoma requires further treatment.
The location, size, and cause of the hematoma will determine how to treat it.
Some of the warning signs that a person needs medical attention include bruising that:
- causes an arm or leg to become numb
- causes loss of function of a joint, limb or muscle
- keeps growing in size
- recurs in the same spot or lasts longer than 2 weeks
- happens alongside a broken bone
- occurs on the head or neck
- causes vision impairment
- occurs with no known cause on the abdomen, head, or trunk, as this may signal a problem with an internal organ
Share on PinterestApplying an ice pack to bruised skin can promote healing.
People may want to try to speed healing or lessen any pain associated with bruising. There are some potential at-home methods they can try, as described here:
Use an ice pack
One of the first steps to helping a bruise heal is to apply ice to the area. People can ice the area with anything frozen, such as a freezer pack or a bag of frozen vegetables.
Wrap the cold object in a towel or cloth and apply to the affected area. Do not apply a cold pack directly to the skin, as this can cause further injury.
When a person applies ice to a new bruise, it helps to slow bleeding down and lessen the swelling. This can reduce the overall size of the bruise, as it prevents blood from leaking further and reduces inflammation.
Use healing creams
Many people use arnica, quercetin, vitamin B-3, or vitamin K creams to help speed up bruise healing times.
People can also use over-the-counter pain medicine, such as acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation around the bruise. Avoid aspirin, as it can increase bleeding.
Avoiding NSAIDs may also be necessary when bruising occurs after surgery or with extensive bruises, as these drugs risk worsening the bleeding. People should check with their doctor before taking any NSAIDs if they have this bruising.
Wrap it up
The use of a soft elastic wrap, during waking hours, for the first 1–2 days can help decrease bruising and discomfort after an injury.
The wrap should be firm but not tight. Numbness, tingling or increased discomfort means the wrap should be loosened or removed.
Raise the affected area
Elevating the bruised area has a similar effect to icing the bruise. It helps prevent the bruise from getting bigger. The individual should raise the affected area to a comfortable position.
Share on PinterestA doctor should inspect bruises that occur with no obvious cause.
A person should seek medical attention any time they have the following symptoms or issues associated with bruising:
- a suspected broken bone
- loss of function of a joint, limb or muscle
- increasing pain
- an area is affected by a bruise that returns
- there is no identifiable cause of the bruising
- the bruise does not heal within 2 weeks
- the bruise interferes with vision
Those taking prescription blood thinners, such as warfarin (Coumadin), should notify their doctor if they experience any falls or signficant injuries.
A doctor can help determine if there is a more severe condition or cause of the bruising that the person does not know about themselves.
In rare cases, bruising can indicate more serious conditions including:
- bleeding disorders, such as hemophilia
- broken bones
- some cancers
- liver problems
Bruising takes on many colors as the body works to heal an injury. It is normal for a bruise to change color over time. A person can expect about four phases of colors to a bruise before it fades away.
If a bruise does not fade, becomes worse, or other issues accompany it, a person should consult a doctor. Otherwise, most bruises should heal within about 2 weeks with no medical treatment.
SHOP FOR AT-HOME METHODS
Some of the at-home methods to speed up healing that we list in this article are available online:
- ice pack
- arnica
- quercetin cream
- vitamin B-3 cream
- vitamin K cream
Causes, timescale, and when to see a doctor
We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process.
Medical News Today only shows you brands and products that we stand behind.
Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:
- Evaluate ingredients and composition: Do they have the potential to cause harm?
- Fact-check all health claims: Do they align with the current body of scientific evidence?
- Assess the brand: Does it operate with integrity and adhere to industry best practices?
We do the research so you can find trusted products for your health and wellness.
Read more about our vetting process.
Was this helpful?
Bruises happen when something damages small blood vessels in the skin. Over time, a bruise can appear red, purple, or darker than the surrounding skin. It may then progress to blue, black, or green.
Bruising typically occurs when a person receives an injury to an area of their skin, such as from falling or bumping into something.
The blood vessels between the skin and other tissues in the body burst. The blood pools under the surface of the skin, causing a bruise. It is natural for a bruise to change color during the healing process.
Read on to learn more about the usual cycle of bruising, and when a person should see their doctor about a bruise, for example, when it does not heal, returns or the pain intensifies.
A person may be able to estimate how old a bruise is from the color. As the body heals and breaks down the hemoglobin, or compound that gives blood its red color, the bruise will change in color. This is a regular part of the healing process.
However, skin color affects the appearance of a bruise. Those with medium skin tones had more red and yellow to their bruises, while darker skin tones displayed darker bruises.
During the healing process, a bruise will usually go through the following colors:
- It often starts red because fresh, oxygen-rich blood has newly pooled underneath the skin.
- After around 1–2 days, the blood begins to lose oxygen and change color. A bruise that is a few days old will often appear blue, purple, or even black.
- In about 5–10 days, it turns a yellow or green color. These colors come from compounds called biliverdin and bilirubin that the body produces when it breaks down hemoglobin.
- After 10–14 days, it will turn to a shade of yellowish-brown or light brown.
Finally, once the bruise has turned a light brown, it will begin to fade. Most bruises will disappear without treatment within about 2 weeks.
Bruises are not typically something to cause undue worry. Often, they are a surface injury that requires no medical attention, and people can treat them at home.
But, in some cases, a person may want to seek medical attention for their bruising.
One common issue is a hematoma. A hematoma is a large collection of blood that becomes trapped within tissues. It is often related to more significant trauma.
When a hematoma occurs, the body cannot heal the bruise as easily or quickly as a minor injury. As a result, a hematoma stays the same color, firmness, and causes the same level of pain even after several days.
A person may need medical attention to find out if the hematoma requires further treatment.
The location, size, and cause of the hematoma will determine how to treat it.
Some of the warning signs that a person needs medical attention include bruising that:
- causes an arm or leg to become numb
- causes loss of function of a joint, limb or muscle
- keeps growing in size
- recurs in the same spot or lasts longer than 2 weeks
- happens alongside a broken bone
- occurs on the head or neck
- causes vision impairment
- occurs with no known cause on the abdomen, head, or trunk, as this may signal a problem with an internal organ
Share on PinterestApplying an ice pack to bruised skin can promote healing.
People may want to try to speed healing or lessen any pain associated with bruising. There are some potential at-home methods they can try, as described here:
Use an ice pack
One of the first steps to helping a bruise heal is to apply ice to the area. People can ice the area with anything frozen, such as a freezer pack or a bag of frozen vegetables.
Wrap the cold object in a towel or cloth and apply to the affected area. Do not apply a cold pack directly to the skin, as this can cause further injury.
When a person applies ice to a new bruise, it helps to slow bleeding down and lessen the swelling. This can reduce the overall size of the bruise, as it prevents blood from leaking further and reduces inflammation.
Use healing creams
Many people use arnica, quercetin, vitamin B-3, or vitamin K creams to help speed up bruise healing times.
People can also use over-the-counter pain medicine, such as acetaminophen (Tylenol) and nonsteroidal anti-inflammatory drugs (NSAIDs) to reduce pain and inflammation around the bruise. Avoid aspirin, as it can increase bleeding.
Avoiding NSAIDs may also be necessary when bruising occurs after surgery or with extensive bruises, as these drugs risk worsening the bleeding. People should check with their doctor before taking any NSAIDs if they have this bruising.
Wrap it up
The use of a soft elastic wrap, during waking hours, for the first 1–2 days can help decrease bruising and discomfort after an injury.
The wrap should be firm but not tight. Numbness, tingling or increased discomfort means the wrap should be loosened or removed.
Raise the affected area
Elevating the bruised area has a similar effect to icing the bruise. It helps prevent the bruise from getting bigger. The individual should raise the affected area to a comfortable position.
Share on PinterestA doctor should inspect bruises that occur with no obvious cause.
A person should seek medical attention any time they have the following symptoms or issues associated with bruising:
- a suspected broken bone
- loss of function of a joint, limb or muscle
- increasing pain
- an area is affected by a bruise that returns
- there is no identifiable cause of the bruising
- the bruise does not heal within 2 weeks
- the bruise interferes with vision
Those taking prescription blood thinners, such as warfarin (Coumadin), should notify their doctor if they experience any falls or signficant injuries.
A doctor can help determine if there is a more severe condition or cause of the bruising that the person does not know about themselves.
In rare cases, bruising can indicate more serious conditions including:
- bleeding disorders, such as hemophilia
- broken bones
- some cancers
- liver problems
Bruising takes on many colors as the body works to heal an injury. It is normal for a bruise to change color over time. A person can expect about four phases of colors to a bruise before it fades away.
If a bruise does not fade, becomes worse, or other issues accompany it, a person should consult a doctor. Otherwise, most bruises should heal within about 2 weeks with no medical treatment.
SHOP FOR AT-HOME METHODS
Some of the at-home methods to speed up healing that we list in this article are available online:
- ice pack
- arnica
- quercetin cream
- vitamin B-3 cream
- vitamin K cream
Why does a bruise change color after a bruise?
Have you ever wondered why bruises have different colors and why do they change color at all? In order to understand, you must first understand how a bruise is formed and what happens to it over time.
So, bruises, and scientifically “hemorrhages” or “hematomas”, are formed when small vessels are damaged as a result of impact or compression.
The color of a bruise depends on two factors. Firstly, this is the time that has elapsed since the onset of the bruise. Over time, the bruise “blooms” – changes color from burgundy-blue, then greenish to yellow. Secondly, the depth of its occurrence affects the color of the bruise. Superficial bruises usually stay bright purple or purple for longer, but deep bruises may appear yellow-green after a few days.
The change in the color of the bruise is associated with blood hemoglobin and chemical processes. On impact, blood from damaged vessels rushes under the skin, giving the area a red color (from red, oxygenated blood). The oxyhemoglobin then loses oxygen and the bruise turns purple. After that, leukocytes contribute to the breakdown of hemoglobin and it is replaced by biliverdin, a bile pigment that gives the bruise an already greenish tint. And finally, the last on the bruised place appears bilirubin, which stains the bruise yellow. Sometimes a bruise can be several colors at the same time, which is due to the uneven thickness and depth of the hematoma.
#color #bruise #hematoma #contusion
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How the color of a bruise changes by day
what to do › How long does a bruise last
After 2 -3 days the phenomenon of “blooming” of the bruise appears, and the color changes to purple with blue. Approximately on the 5th day after the formation of a hematoma, due to the destruction of hemoglobin, the bruise becomes yellowish-green.
- When the bruise is formed, it has a purple-red color, which later becomes blue-violet with a purple tint.
- After 1-2 days, hemoglobin changes, the bruise becomes blue or black.
- After 2-3 days, the bruise changes to purple with blue.
- After 5 days the bruise turns green or yellow.
- Approximately 10-14 days, the stage of yellowing or light brown color, then the bruise begins to fade.
- In the final stage, the bruise turns yellow, as bilirubin enters the blood.
- Hematoma changes color over time and becomes variegated pink, red, greenish and finally yellow.
- Hemoglobin begins to break down and the green color may last up to 5 days, after which the hematoma becomes yellow-brown.
- The bruise resolves on its own in about 2 weeks without treatment.
- In the affected area, the skin becomes red, then purple-bluish, after a few days – yellow, then after five days – greenish.
- When the bruise turns yellow How long does it last
- What are the stages of bruise color
- When the bruise turns yellow
- How a bruise changes color
- When the bruise turns green
- When the bruise changes color
- When the yellow bruise disappears
- What are the stages of a bruise
- When the bruise turns green
When the bruise turns yellow How long does it last
From 10 to 14 days there is a yellowing or light brown stage depending on the skin tone of each person. At the final stage, they will begin to fade. Most bruises go away on their own in about 2 weeks without treatment. 2.
What are the stages of the color of a bruise?
When a bruise first appears, it is slightly red in color as there is blood under the skin. Within 1-2 days, hemoglobin (an iron-containing substance that carries oxygen) in the blood changes, and the bruise becomes bluish-purple or even black. After 5-10 days, the bruise turns green or yellow.
When the bruise turns yellow
In the end, the bruise turns yellow, as a special pigment called bilirubin enters the area of inflammation. Blood eventually removes bilirubin from the body, which contributes to the complete disappearance of the bruise.
How a bruise changes color
Over time, the hematoma changes color, becoming variegated pink, red, greenish and finally yellow. Yellow color means that soon the bruise will completely disappear. This is due to the resorption of blood containing hemoglobin, during the breakdown of which pigments are formed (biliverdin – green, bilirubin – yellow).
When the bruise turns green
This is because hemoglobin starts to break down. This darkening can last up to five days. The decomposition products of hemoglobin are biliverdin (green bile pigment) and bilirubin (yellow-red bile pigment), so around the sixth day the hematoma turns green and then turns yellow-brown.