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Blood clot in Thigh
My father has fall down from bike and the below patch found in thigh. This is a blood clot or any skin rash. Photo also attached.
Answers (15)
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I am Dr Shamoon. From the history of a direct fall from a bike followed by a dark patch on the thigh in a 70-year-old man, what you are seeing is almost certainly a bruise (contusion/haematoma) - blood that has leaked out of small injured vessels into the tissue under the skin - and not a "blood clot" inside a vein, and not a skin allergy or rash. That distinction matters: a bruise from trauma is superficial and resolves on its own over 2-3 weeks, changing colour from red-purple to blue-black, then greenish-yellow-brown as it clears. An allergic rash would be itchy, raised, more widespread and would not be confined to the impact site. The genuinely important issue at his age is what else the fall may have caused, and whether a bruise is expanding. A localised firm, tender, swollen lump means a haematoma that is collecting, and in an elderly person a thigh injury can also fracture the femur or cause deep muscle bleeding with significant blood loss - so pain on weight bearing, inability to walk, or a deformed/shortened limb must be checked with an X-ray. Also, if he takes aspirin, clopidogrel, warfarin or any blood thinner, or has liver disease or a low platelet count, bruising is larger and continues longer, and he needs a doctor's review rather than home care. A true deep vein thrombosis presents differently - diffuse calf or whole-leg swelling, tightness and warmth rather than a patch - and would need an urgent Doppler scan.
Next Steps
1) Get him examined in person and get an X-ray of the thigh/hip if he has pain on walking, difficulty bearing weight, or tenderness over the bone - a fall at 70 must not be assumed to be only a bruise. 2) For the bruise itself: cold compress for 15 minutes 3-4 times a day for the first 48 hours after injury; after 48 hours switch to warm compresses to speed up clearing. Keep the leg elevated when resting. 3) Paracetamol 500-650 mg is the safest painkiller here; avoid ibuprofen, diclofenac and aspirin-type painkillers as they increase bleeding into the bruise and can affect the kidneys at his age. 4) Do not massage the area, apply no strong balms, and do not attempt to needle or drain it. 5) Encourage gentle ankle and knee movement and short walks as tolerated to prevent stiffness and reduce clot risk from immobility. 6) Tell the doctor about every medicine he takes, especially any blood thinner, and get a CBC with platelet count, PT/INR and creatinine if he is on one. 7) Measure the patch (or photograph it daily against a ruler) - it should stay the same size or shrink; expansion needs same-day review. 8) An ultrasound/Doppler of the leg is indicated if the whole limb swells, or the calf becomes tight, warm and painful. 9) Also review the reason for the fall - vision, blood pressure, balance, sugar levels - to prevent the next one. You are welcome to consult me on Practo with the photo and his medicine list, or in person at Synergy Multispeciality Hospital, Miraj.
Health Tips
Word of caution: get emergency care if the thigh becomes rapidly swollen, tense and severely painful, if the skin turns pale, cold, numb or blackish, if he cannot move or bear weight on the leg, if there is fever with increasing redness and pus, or if he becomes giddy, breathless, has chest pain or a fast pulse - internal bleeding and clot travelling to the lungs are the two serious risks after such a fall. Do not massage the area or take ibuprofen/aspirin-type painkillers.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Seems like a bruise, if no other symptoms present with it. Apply cold compression 2 to 3 times daily, it should fade and disappear within 7 to 10 days.
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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Thrombophob gel two, three times locally. After cleaning
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Based on your history it's a contusion caused by trauma.may have pain. .
Please explain if any itching/ accidentally noticed the same only after trauma..
Next Steps
just watch for 2 weeks, if it faids then no need to do anything
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if size increases or itching present, need to visit dermatologist.
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Its more likely fungal infection
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It more looks like fungal infection along with bruise. Bruise will subside on its own within a week or two. You can apply thrombophlebin ointment over it for bruise.
Is he on antiplatelets or blood thinners?? Then it will take longer duration to heal.
If it's fungal infection, itching is present then consult me for personalized treatment
Next Steps
feel free to consult me on practo for further evaluation and management
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Kindly verify it with your father , did it develop only after fall or it was there before itself because due to image I think it’s look like tinea
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Dr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Please consult
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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