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Concern about heavy bruising - 7/26/2007 2:16:39 PM

MsLadySue

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I have a friend who is a very senior citizen who enjoys pain.

He visits a Domme about once a month who sends him home with his inner thighs almost totally covered in dark bruises which last anywhere from 1 to 2 weeks.

I don't know if this is something he should be concerned about or if there could be any permanent damage resulting from this continued practice.

Due to his advanced years, and the fact he takes blood thinning medication, I would like to find out if anyone knows whether I am worrying about this for nothing or for good reason.

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RE: Concern about heavy bruising - 7/26/2007 2:34:20 PM

LuckyAlbatross

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The blood thinners are probably part of why it takes awhile.

I'm a very slow healer and a very easy marker, so it's normal for me.

But he should talk to his doctor.

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RE: Concern about heavy bruising - 7/26/2007 4:44:26 PM

ownedgirlie

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He should definitely talk to his doctor - both for the prevention of serious injury as well causing alarm for elder abuse.

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RE: Concern about heavy bruising - 7/29/2007 6:59:21 PM

aparootsa

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Pretty sure this is going to get noticed some time, and it'd be best to have it known about by some outside person to verify that it's consensual.

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RE: Concern about heavy bruising - 7/29/2007 7:22:45 PM

mpnaleksandra2

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Platelet inhibitors and anticoagulants place a person at risk for bleeding which is what you are refering to. Aside from prolonged bleeding from cuts and nicks it is also characterized by ecchymosis (bruising). Somehow i do not think the two mix very well. Definitely time to talk to the MD

(in reply to aparootsa)

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RE: Concern about heavy bruising - 7/29/2007 10:17:43 PM

MisPandora

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The fact that he's on ASA or coumadin therapy and doing this causes me some concern. If he is injured (we're damaging tissues) and he's coagulopathic, he won't stop bleeding.....that's not a good thing. That's likely WHY he's staying bruised for weeks on end because the extravasation into the tissues isn't stopping. Application of ice post play might mitigate some of that. I'd strongly suggest that he discuss it with his doctor.

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RE: Concern about heavy bruising - 7/31/2007 1:22:32 PM

MsLadySue

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Thank you all for your replies. I found out yesterday that my friend is not on a blood thinner after all, he's taking Altace to keep the arteries open ( his words).
I did a search on this and it does say one side effect is easy bruising.

To aparootsa: the play is consentual, I know this for a fact. I was simply wondering if the constant bruising on one area of the body should be cause for concern.

To everyone who mentioned he should speak with his doctor, that isn't likely to happen since he's not out about his lifestyle. Besides, he's not concerned, I am.

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RE: Concern about heavy bruising - 7/31/2007 1:39:16 PM

GhitaAmati

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Isnt there some discussion about heavy consistant bruising forming clots? If I am right in remembering this, I would think that would be the greatest risk.

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RE: Concern about heavy bruising - 7/31/2007 1:56:37 PM

MisPandora

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quote:

ORIGINAL: MsLadySue

Thank you all for your replies. I found out yesterday that my friend is not on a blood thinner after all, he's taking Altace to keep the arteries open ( his words).
I did a search on this and it does say one side effect is easy bruising.

To aparootsa: the play is consentual, I know this for a fact. I was simply wondering if the constant bruising on one area of the body should be cause for concern.

To everyone who mentioned he should speak with his doctor, that isn't likely to happen since he's not out about his lifestyle. Besides, he's not concerned, I am.

I'm sorry that one of you doesn't have a good relationship with your primary care physician so you can talk to a professional about things like this. Myself, I outed to my PCP so that she can give me correct guidance where it concerns risk factors -- hepatitis titers for my vaccines mainly -- as well as discussing injuries that can happen to the top (mistress gets flogger arm, twists ankle in platform heels) or to a bottom. I want someone I can talk to who can give me correct advice on someone taking medications and what I need to be concerned for doing various types of play. She doesn't need to be kinky to at least be able to talk to me sensibly about questions like that.

***********************************
You are correct that Altace does affect bleeding times, to a somewhat lesser degree than a warfarin-type drug.

Beware that ramipril have a lowering effect on blood pressure, and postural hypotension can occur depending on the patient's underlying medical history and physiologic concerns. It's on the parallel with ACE inhibitors and beta blockers. In the presence of volume depletion (someone being excessively dry, not drinking their requisite water), hypotension can be more dramatic or sudden. Lightheadedness and syncope are side effects of the lowering effect on the blood pressure.

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Pandora
Ms World Leather 2004
Ms Philadelphia Leather 2004

"Simply put, if you want a real femdom to love you, give her reasons to love you." Gloria Brame

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Post #: 9

RE: Concern about heavy bruising - 7/31/2007 3:55:53 PM

MsLadySue

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MsPandora, thankfully my friend is a very healthy person. He eats right and takes good care of himself and hasn't experienced any problems such as lightheadedness in the few months I've known and played with him. He's very active, not afraid of hard work and appears to have no side effects from the medication other than the bruising. He has regular checkups with his doctor and has passed all tests, etc with flying colours.

Thank you for your responses to my request for information. Much appreciated.

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In order for you to insult me, I would first have to value your opinion.
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Post #: 10

RE: Concern about heavy bruising - 7/31/2007 7:21:50 PM

Aswad

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quote:

ORIGINAL: GhitaAmati

Isnt there some discussion about heavy consistant bruising forming clots? If I am right in remembering this, I would think that would be the greatest risk.

I seem to recall having heard something about it, but not what that was; if you find out, I'd love a pointer. That said, I would ask the GP whether there is any risk of a hematoma (confusingly enough, the word seems to be applied both to bruises and to the lumps/swellings I have in mind when using that word). Those are to be avoided...

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"If God saw what any of us did that night, he didn't seem to mind.
From then on I knew: God doesn't make the world this way.
We do." -- Rorschack, Watchmen.

(in reply to GhitaAmati)

Post #: 11

RE: Concern about heavy bruising - 8/1/2007 4:17:08 AM

MisPandora

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From: Philadelphia, PA
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quote:

ORIGINAL: GhitaAmati

Isnt there some discussion about heavy consistant bruising forming clots? If I am right in remembering this, I would think that would be the greatest risk.

Bruising (aka ecchymosis, contusion, hematoma) *is* clotted blood from damaged and leaking vessels, namely capillaries, under the skin and within the various stratas of flesh. The most dangerous come when they are located in the fascia (muscles) because of the heavier vascularization. Brusies in the muscles can calcify and harden. Clots within a vessel itself can break free and cause an embolism. Extreme cases of crush injuries and severe bruising covering larger body surface areas have been known to result in compartment syndrome and rhabdomyolysis in trauma patients.

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Pandora
Ms World Leather 2004
Ms Philadelphia Leather 2004

"Simply put, if you want a real femdom to love you, give her reasons to love you." Gloria Brame

(in reply to GhitaAmati)

Post #: 12

RE: Concern about heavy bruising - 8/1/2007 4:33:33 AM

sierraflowr

Posts: 59
Joined: 6/7/2005
From: Northern California
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quote:

ORIGINAL: MisPandora

I'm sorry that one of you doesn't have a good relationship with your primary care physician so you can talk to a professional about things like this. Myself, I outed to my PCP so that she can give me correct guidance where it concerns risk factors -- hepatitis titers for my vaccines mainly -- as well as discussing injuries that can happen to the top (mistress gets flogger arm, twists ankle in platform heels) or to a bottom. I want someone I can talk to who can give me correct advice on someone taking medications and what I need to be concerned for doing various types of play. She doesn't need to be kinky to at least be able to talk to me sensibly about questions like that.

***********************************
You are correct that Altace does affect bleeding times, to a somewhat lesser degree than a warfarin-type drug.

Beware that ramipril have a lowering effect on blood pressure, and postural hypotension can occur depending on the patient's underlying medical history and physiologic concerns. It's on the parallel with ACE inhibitors and beta blockers. In the presence of volume depletion (someone being excessively dry, not drinking their requisite water), hypotension can be more dramatic or sudden. Lightheadedness and syncope are side effects of the lowering effect on the blood pressure.

You mention ACE inhibitors -isn't that just another word for a BP med, but since its helping the kidney out they say aCE inhibitor?
what are the worries???
my husband marks strangly. beat h is ass, flog, cane, etc and no marking. pinch, bite or suck and he marks immediately and buises something fierce. He played with a freind who used a weed wacker flogger and a leather lace flogger, it wrapped, since his arms were up he has terrible marks under his arms and on his side. i mean terrible. he isn't concerned-should i be? he's not on a BP med, just a baby asprin, cholesterol med, and diabetes med.

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RE: Concern about heavy bruising - 8/1/2007 7:21:50 AM

Aswad

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sierraflowr,

As MisPandora said, you need to start getting your advice from your primary care physician, not online forums. I could pretend to know about this subject (I don't) and offer you bad advice, which might look reasonable to you (since you're asking in the first place, you don't have much to compare to), but that would end up being harmful. Your physician will know about this, or know where to find out about it, and can offer responsible and correct advice. Advice from someone you already trust with your health.

MisPandora,

Thanks for elaborating. Compartment syndrome was the main concern of the people who pointed this out to me, I had not properly considered hardening and embolisms. I will discuss it further with my physician when he has the time.

_____________________________

"If God saw what any of us did that night, he didn't seem to mind.
From then on I knew: God doesn't make the world this way.
We do." -- Rorschack, Watchmen.

(in reply to sierraflowr)

Post #: 14

RE: Concern about heavy bruising - 8/1/2007 10:05:01 AM

sub4hire

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quote:

ORIGINAL: MsLadySue

To everyone who mentioned he should speak with his doctor, that isn't likely to happen since he's not out about his lifestyle. Besides, he's not concerned, I am.

If he isn't concerned and it is dangerous for him he isn't going to stop anyway. Why be concerned for someone who doesn't care enough about themselves to help themselves? Going to save the world one person at a time?
You can't save those who don't want help, trust me I learned that the hard way with my family. Took me twenty year's to finally get it all the way in my head.

(in reply to MsLadySue)

Post #: 15

RE: Concern about heavy bruising - 8/3/2007 2:55:17 PM

MsLadySue

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I didn't say I was going to make any attempt to stop him. I play with him also and he's a very dear friend. I am asking out of curiosity and my own peace of mind, not his.

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In order for you to insult me, I would first have to value your opinion.
I love it when someone insults me. That means I don't have to be nice anymore.

(in reply to sub4hire)

Post #: 16

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