Sign 7: Bruising and Bleeding
Our blood’s ability to clot is a silent but vital process. It’s what ensures that minor cuts don’t lead to excessive bleeding and potential dangers. Platelets, tiny blood cells, are the stars behind this function. Multiple myeloma, however, can turn this well-orchestrated procedure into a challenge. The bone marrow, which is responsible for producing platelets, gets infiltrated by myeloma cells. This infiltration means fewer platelets are produced, leading to clotting issues. For many individuals, understanding this drop in platelet count is critical, not just as a symptom but as a gateway to understanding the depth and spread of the disease.
One of the most apparent indications of a reduced platelet count is the ease with which one bruises. Patients often find perplexing, dark patches forming on their skin after the slightest bumps. These bruises, larger and more persistent than typical ones, can sometimes be the first visual cue that something is amiss internally. Additionally, prolonged bleeding from minor cuts or wounds becomes a recurring scenario. Even small injuries, which would previously clot within minutes, might now take hours to cease bleeding, becoming a source of anxiety for many.
While these visible signs are concerning, what happens unseen, beneath the skin’s surface, is equally, if not more, alarming. Internal bleeding isn’t always immediately noticeable. However, subtle symptoms can provide clues. For instance, frequent and unexplained headaches might indicate minor bleeds within the brain. Similarly, the presence of blood in stools or urine can be a telltale sign of internal hemorrhages. Recognizing these symptoms early is pivotal, as unchecked internal bleeding can lead to serious complications, demanding immediate medical intervention.
The mouth, too, doesn’t remain untouched by the effects of a dwindling platelet count. Simple routines like brushing can become a source of worry. It’s not uncommon for patients to report bleeding gums post their oral hygiene rituals. Some might also observe an increased propensity for mouth sores or ulcers, which not only pose a risk of further infection but can also make eating a painful task. Regular dental check-ups become essential, ensuring that any oral issues are addressed promptly and that the overall oral health isn’t compromised.
Thankfully, while the symptom is concerning, there are ways to manage and mitigate the risks associated with reduced clotting. Regular blood tests to keep an eye on platelet counts are foundational. Depending on the severity, doctors might recommend platelet transfusions or medications that stimulate platelet production. Furthermore, small lifestyle adjustments can also make a world of difference. Being cautious to avoid potential injury, using softer toothbrushes, and even dietary changes to include foods that promote clotting can be beneficial. As with most symptoms of multiple myeloma, communication with healthcare professionals is key. The more proactive one is in reporting and addressing symptoms, the better the outcomes. (7)
