# Bruise

#### <span style="color: rgb(224, 62, 45);">**What is it?**</span>

##### <span style="color: rgb(0, 0, 0);">A bruise forms when blood vessels under the skin break. The trapped blood creates a bruise that's black, purple or blue then changes color as it heals.</span>

#### <span style="color: rgb(224, 62, 45);">**Plan of Action:**</span>

- ##### Elevate the bruised area above heart level, if possible.
- ##### Apply an ice pack wrapped in a thin towel. Leave it in place for 20 minutes. Repeat several times for a day or two after the injury. This helps to reduce the swelling and pain.
- ##### If the bruised area is swelling, put an elastic bandage around it, but not too tight

##### If the skin isn't broken, you don't need to bandage a bruise. Consider taking a nonprescription pain reliever if needed.

##### **Consult your health care provider if you:**

- ##### Have very painful swelling in the bruised area
- ##### Suspect a bruise has been caused by child abuse, domestic violence or elder abuse
- ##### Are still experiencing pain three days after a seemingly minor injury
- ##### Have frequent, large or painful bruises
- ##### Have bruises that begin suddenly or seem to develop for no reason
- ##### Have a personal or family history of easy bruising or bleeding
- ##### Notice a lump form over the bruise, which may be a sign of pooling blood, also called a hematoma
- ##### Have unusual bleeding, such as from the nose or gums