Easy bruising: Why does it happen
If you're experiencing easy bruising, you might have questions about what's causing the problem and what you can do about it. Find out what role aging plays and when to consult a doctor.
By Mayo Clinic Staff
Yet another unsightly bruise. You don't recall bumping into anything, but lately you seem to be bruising frequently. Is this cause for concern?
Easy bruising is common with age. Although most bruises are harmless and go away without treatment, easy bruising can sometimes be a sign of a more serious problem.
Why is easy bruising so common in older adults?
Most bruises form when small blood vessels (capillaries) near the skin's surface are broken by the impact of a blow or injury — often on the arms or legs. When this happens, blood leaks out of the vessels and initially appears as a black-and-blue mark. Eventually your body reabsorbs the blood, and the mark disappears.
Generally, harder blows cause larger bruises. However, if you bruise easily, a minor bump — one you might not even notice — can result in a substantial bruise.
Some people — especially women — are more prone to bruising than others. As you get older, your skin also becomes thinner and loses some of the protective fatty layer that helps cushion your blood vessels from injury.
Can medications and supplements contribute to easy bruising?
Aspirin, anticoagulant medications and anti-platelet agents reduce your blood's ability to clot. Antibiotics might also be associated with clotting problems. As a result, bleeding from capillary damage might take longer than usual to stop — which allows enough blood to leak out to cause a bigger bruise.
Topical and systemic corticosteroids — which can be used to treat various conditions, including allergies, asthma and eczema — cause your skin to thin, making it easier to bruise. Certain dietary supplements, such as ginkgo, also can increase your bruising risk due to a blood-thinning effect.
If you experience increased bruising, don't stop taking your medications. Talk to your doctor about your concerns. Also, make sure your doctor is aware of any supplements you're taking — especially if you're taking them while on a blood-thinning drug. Your doctor might recommend avoiding certain over-the-counter medications or supplements.
March 04, 2017
See more In-depth
- Kraut EH. Easy bruising. http://www.uptodate.com/home. Accessed Jan. 4, 2017.
- Skin care and aging. National Institute on Aging. http://www.nia.nih.gov/health/publication/skin-care-and-aging. Accessed Jan. 4, 2017.
- Muscle contusion (bruise). American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00341. Accessed Jan. 4, 2017.
- Hoffman R, et al. Clinical approach to the patient with bleeding or bruising. In: Hematology: Basic Principles and Practice. 6th ed. Philadelphia, Pa.: Saunders Elsevier; 2013. http://clinicalkey.com. Accessed Jan. 4, 2017.
- Easy bruising and bleeding. American Family Physician. 2016;93:286A.
- Goldman L, et al., eds. Approach to the patient with bleeding and thrombosis. In: Goldman-Cecil Medicine. 25th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://clinicalkey.com. Accessed Jan. 4, 2017.
- Paddock M, et al. Bleeding diatheses: Approach to the patient who bleeds or has abnormal coagulation. Primary Care: Clinics in Office Practice. 2016;43:637.
- Danesh MJ, et al. The role of the dermatologist in detecting elder abuse and neglect. Journal of the American Academy of Dermatology. 2015;73:285.
- Falls and fractures. National Institute on Aging. https://www.nia.nih.gov/health/publication/falls-and-fractures. Accessed Jan. 4, 2017.