What to do about broken capillaries in the lower leg
Mar 26, 2023
Source: Cainiu Health
Dr. Zhang Jianbin
Introduction
If capillary rupture in the lower leg is caused by trauma to the leg, hemostasis can be achieved using sterile gauze or elastic bandages with compression. If spontaneous capillary rupture occurs due to long-term use of antiplatelet medications, hemostatic drugs may be used under a doctor's guidance. If increased capillary fragility results from aplastic anemia, pro-coagulant medications can be administered.
The management of ruptured capillaries in the lower leg depends on the underlying cause. Common causes include trauma, medication factors, aplastic anemia, and others.
1. Trauma
If the rupture is due to physical injury to the leg, apply sterile gauze to the affected area to compress and stop the bleeding, or use an elastic bandage for pressure dressing.
2. Medication Factors
If long-term use of antiplatelet or anticoagulant drugs leads to spontaneous capillary rupture, hemostatic medications may be used under a doctor's guidance. Commonly used drugs include vitamin K3 injection, vitamin K1 injection, and para-aminomethylbenzoic acid injection, which help promote blood vessel contraction.
3. Aplastic Anemia
If increased capillary fragility results from aplastic anemia, pro-coagulant medications can be used as advised by a physician. Examples include tranexamic acid tablets, etamsylate injection, and batroxobin for injection. These agents reduce capillary permeability and promote blood coagulation.
In addition, conditions such as hemophilia may also cause such symptoms. It is recommended to seek timely medical evaluation, identify the underlying cause, and receive appropriate treatment.
