Bruising Easily? It Could Be Your Platelets
Published: Dec 23, 2023
Do you find yourself covered in mysterious bruises? While occasional bruising is normal, excessive bruising might signal a platelet problem. Let's explore what your bruises might be trying to tell you.
Contents
The Platelet-Bruising Connection
Platelets are tiny blood cells that help form clots to stop bleeding. When platelet counts are low (a condition called thrombocytopenia), even minor bumps can cause noticeable bruising. This happens because there aren't enough platelets to quickly plug up damaged blood vessels under the skin.
Beyond Bruising: Other Signs to Watch
While bruising is common, other symptoms may indicate more serious platelet issues. These can include nosebleeds, bleeding gums, or small red dots on the skin called petechiae. In severe cases, you might notice blood in urine or stools. If you're experiencing these symptoms along with easy bruising, it's important to see a doctor.

Causes of Low Platelets
Many factors can lead to low platelet counts. Common causes include certain medications, viral infections, and autoimmune disorders. Sometimes, it's a side effect of other health conditions like liver disease or cancer. In rare cases, it may be inherited. Understanding the underlying cause is crucial for proper treatment.
Diagnosis and Treatment
If your doctor suspects a platelet issue, they'll likely order blood tests to check your platelet count. They may also examine your blood under a microscope. Treatment depends on the cause and severity. It might involve stopping certain medications, treating underlying conditions, or taking medications to boost platelet production. In emergencies, platelet transfusions may be necessary.
Frequently Asked Questions
No, occasional bruising is normal. Frequent, large, or unexplained bruises are more concerning.
Severe stress can potentially impact platelet counts, but it's not a common cause.
Bruising typically occurs when counts fall below 50,000 per microliter.
A balanced diet supports overall health, but won't directly treat low platelets.
Not necessarily, but hormonal changes can sometimes affect platelet function.
When to Seek Help
While some bruising is normal, frequent or severe bruising with other symptoms warrants medical attention.
References
- Gauer RL, Braun MM. Thrombocytopenia. Am Fam Physician. 2012;85(6):612-622.
- Stasi R. How to approach thrombocytopenia. Hematology Am Soc Hematol Educ Program. 2012;2012:191-197.
- Neunert C, et al. American Society of Hematology 2019 guidelines for immune thrombocytopenia. Blood Adv. 2019;3(23):3829-3866.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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