Bruising Information

What are

bruises?

Bruising occurs when an injury causes blood to leak into the skin or tissues beneath the skin. This trapped blood can leave a mark under the skin that’s black, purple or blue - this is known as a bruise. Bruises may appear suddenly or slowly following an injury and are often painless, although sometimes they can feel uncomfortable. Bruises often change colour while healing, when they may appear yellow, green or brown.

Why has it happened?

Occasionally, bruising may develop after a blood test. Our trained phlebotomists take blood carefully but unfortunately despite best practice, bruising can occur. Bruising is more likely:

in older people

in those taking specific medications (such as blood thinners or steroids)

if firm pressure is not applied as directed after venepuncture

if the arm is used for strenuous activity after the assessment (eg heavy lifting or carrying.)

The best way to prevent a bruise after a blood test is to apply firm pressure to the area for at least five minutes with clean cotton wool or gauze.

What to do

Whilst unsightly, bruising is harmless and the trapped blood will be reabsorbed by the body. This happens gradually over 10-14 days, but occasionally takes longer.

To help the bruise heal, we recommend following the R.I.C.E guidance:

Rest - allow time for the bruise to heal. Protect the bruise by avoiding heavy lifting, e.g. at the gym or carrying heavy shopping, and only light, gentle movement is recommended

Ice - do not place directly on the skin but under a cloth

Compression - pressing on the point where the needle was inserted when a bruise has developed

Elevation - if possible, raise your arm above the level of your heart when at rest

If you are experiencing any of the following you should seek further medical help:

Severe or worsening pain

Numbness or pins and needles to your arm, hand or finger

Swelling that is large or increasing in size

Painful redness/inflammation

Coldness or paleness of your lower arm or hand of the affected arm

If you are worried, or require further information:

Bluecrest customers can call our 24/7 GP helpline on 03450340708

Contact NHS 111 for advice

Speak to a GP or practice nurse