Discussions By Condition: Blood conditions

Dark blue splotches on chest during workout exertion??

Posted In: Blood conditions 2 Replies
  • Posted By: the celt
  • August 11, 2010
  • 07:34 PM

greetings,

I am 45, in excellent shape, and workout five days a week. I am currently on testosterone replacement therapy (testosterone cypionate 100mg per week), and take no other medications. My lab work is good except that my hematocrit is high (54), a result of the test therapy. My doctor says to just watch it and give blood every eight weeks to lower the red cell count.

Over the past twelve months, my chest, neck and face have seemed overly red even when at rest. In addition, while lifting weights, I develop numerous dark blue splotches (like temporary bruises) on my chest. Anyone have any idea what this may be? Should I be concerned?

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2 Replies:

  • Seems to me that when you work out, your BP goes up and your red blood cells (which feed your muscles) go more toward the surface, giving the appearance of 'bruises'. They are 'temporary' because when your HR/BP goes back down, the blood moves interiorly again and you can't see it. When at rest, the areas you describe (neck, face, chest) already have a thinner skin barrier so you would be able to see it there. I'm trying to say that it's probably happening much of the time, but when you exercise (even slightly like walking; anything that raises your BP) these symptoms are exacerbated. I think what you are describing is directly related to your high hematocrit. I don't think it's anything to worry about since your doc already knows about it and is treating you for it, but I would definitely make certain he/she understands the full extent of your symptoms at your next appointment. I'm not a doctor, but that seems the most likely answer to me. Hope that helps!
    Harmonium 322 Replies
    • August 12, 2010
    • 01:25 PM
    • 0
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  • I bet that's it since my BP is borderline at times. I'll make sure to let my doc know about the splotches. Thanks!!!QUOTE=Harmonium;237719]Seems to me that when you work out, your BP goes up and your red blood cells (which feed your muscles) go more toward the surface, giving the appearance of 'bruises'. They are 'temporary' because when your HR/BP goes back down, the blood moves interiorly again and you can't see it. When at rest, the areas you describe (neck, face, chest) already have a thinner skin barrier so you would be able to see it there. I'm trying to say that it's probably happening much of the time, but when you exercise (even slightly like walking; anything that raises your BP) these symptoms are exacerbated. I think what you are describing is directly related to your high hematocrit. I don't think it's anything to worry about since your doc already knows about it and is treating you for it, but I would definitely make certain he/she understands the full extent of your symptoms at your next appointment. I'm not a doctor, but that seems the most likely answer to me. Hope that helps!
    the celt 2 Replies
    • August 12, 2010
    • 02:12 PM
    • 0
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